Hospital Foodservice, Patient Satisfaction, and Malnutrition Risk

NCT06502093 | Completed

• 1 other identifier: FOODSAT
• Study Type: observational
• Target: 310
• Locations: 1 country
• Sites: 1

Brief Summary

Malnutrition is the body's inability to absorb necessary nutrients, often due to disease, hunger, aging, or other factors. The European Society for Clinical Nutrition and Metabolism (ESPEN) focuses on the malnutrition aspect \[1,2\]. Unidentified or unmonitored malnutrition before hospitalization, complications affecting eating, patient inability to eat regularly due to exams/treatments, delayed meal times, psychological factors, hospital stay duration, lack of nutrition awareness, prejudices against hospital meals, etc., can lead to hospital malnutrition. Patient-related issues and lack of dietitian referrals may contribute, with food service problems being a key factor in nutritional decline \[3,4\]. The critical factors affecting the patient's food appreciation include the appearance, presentation, taste, consistency, texture, and temperature. In cases where patient expectations and satisfaction are not met, a decrease in food consumption and an increase in the amount of leftovers are observed. It has been observed that if the organoleptic properties and presentation style of the food offered to the patient are good, the patients evaluate the food as high quality, and their satisfaction with the food increases \[5\]. As a result, not being able to consume food due to lack of meal satisfaction means that the energy and elements that the patient needs are not taken into the body, which increases the patient's risk of malnutrition \[4\]. Effective hospital meal provision is crucial in preventing malnutrition, as emphasized by ESPEN. One of the most essential duties of the dietitian is to supervise every stage of food services to ensure the consumption of foods suitable for medical nutrition treatment of the hospitalized patient \[6,7\]. This study aimed to determine the role and effect of hospital food services on inpatient malnutrition. For this purpose, NRS-2002 screening was performed on 310 inpatients within three days after admission. NRS-2002 is a comprehensive screening test that the ESPEN recommends for hospitalized patients. Along with the second NRS-2002 screening, a food service satisfaction survey was administered to patients. The results of both NRS-2002 screening and satisfaction surveys were evaluated.

Conditions

Food Services; Malnutrition

Keywords

Nutritional Assessment; Food Services; Malnutrition; Patient Satisfaction

Outcome Measures

Primary Outcomes (2)

• NRS-2002 Screening Tool

  NRS-2002 is a malnutrition assessment tool developed by Kondrup et al. As a result of the screening test, patients are classified as having no risk of malnutrition (\<3 points) and having a risk of malnutrition (≥3 points)

  NRS-2002 was administered for the first time 2 days after the patients were hospitalized. It was repeated for the second time 1 week later.

• Acute Care Hospital Foodservice Patient Satisfaction Questionnaire (ACHFPSQ)

  Acute Care Hospital Foodservice Patient Satisfaction Questionnaire (ACHFPSQ), developed by Capra et al. It is evaluated out of a total of 100 points. The increase in the patient's scale score in each sub-dimension means that satisfaction with hospital food services also increases.

  The scale was administered once, 9 days after hospitalization, together with the NRS-2002 second screening.

Study Arms (1)

Observational Study Group

* Aged 18-65, * Volunteers at the Isparta City Hospital * Patients who were hospitalized in neurology, internal medicine, general surgery, cardiovascular surgery, and chest disease clinics for at least seven days

Other: Observational Malnutrition Screening and Foodservice Satisfaction

Interventions

Observational Malnutrition Screening and Foodservice Satisfaction OTHER

Patients asked Acute Care Hospital Foodservice Patient Satisfaction Questionnaire and malnutrition risk assessed with NRS-2002 screening tool.

Observational Study Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients who were hospitalized in neurology, internal medicine, general surgery, cardiovascular surgery, and chest disease clinics.

You may qualify if:

• aged 18-65 years
• volunteers patients
• Patients who were hospitalized for at least seven days

You may not qualify if:

• Patients with a hospital stay of less than seven days,
• receiving oral intake restrictive treatment,
• patients in the terminal phase,
• patients under 18 years of ages,
• patients over 65 years of ages.

Sponsors & Collaborators

• Istanbul Bilgi University: lead

Study Sites (1)

Ondokuz Mayıs University

Samsun, 55270, Turkey (Türkiye)

Location

Related Publications (6)

• Kruizenga HM, Seidell JC, de Vet HC, Wierdsma NJ, van Bokhorst-de van der Schueren MA. Development and validation of a hospital screening tool for malnutrition: the short nutritional assessment questionnaire (SNAQ). Clin Nutr. 2005 Feb;24(1):75-82. doi: 10.1016/j.clnu.2004.07.015.

  PMID: 15681104 BACKGROUND

• Klek S, Krznaric Z, Gundogdu RH, Chourdakis M, Kekstas G, Jakobson T, Paluszkiewicz P, Vranesic Bender D, Uyar M, Demirag K, Poulia KA, Klimasauskas A, Starkopf J, Galas A. Prevalence of malnutrition in various political, economic, and geographic settings. JPEN J Parenter Enteral Nutr. 2015 Feb;39(2):200-10. doi: 10.1177/0148607113505860. Epub 2013 Nov 4.

  PMID: 24190900 BACKGROUND

• Sorensen J, Fletcher H, Macdonald B, Whittington-Carter L, Nasser R, Gramlich L. Canadian Hospital Food Service Practices to Prevent Malnutrition. Can J Diet Pract Res. 2021 Dec 1;82(4):167-175. doi: 10.3148/cjdpr-2021-013. Epub 2021 Jul 21.

  PMID: 34286621 BACKGROUND

• Arends J, Baracos V, Bertz H, Bozzetti F, Calder PC, Deutz NEP, Erickson N, Laviano A, Lisanti MP, Lobo DN, McMillan DC, Muscaritoli M, Ockenga J, Pirlich M, Strasser F, de van der Schueren M, Van Gossum A, Vaupel P, Weimann A. ESPEN expert group recommendations for action against cancer-related malnutrition. Clin Nutr. 2017 Oct;36(5):1187-1196. doi: 10.1016/j.clnu.2017.06.017. Epub 2017 Jun 23.

  PMID: 28689670 BACKGROUND

• Kondrup J, Rasmussen HH, Hamberg O, Stanga Z; Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003 Jun;22(3):321-36. doi: 10.1016/s0261-5614(02)00214-5.

  PMID: 12765673 BACKGROUND

• Capra S, Wright O, Sardie M, Bauer J, Askew D. The acute hospital foodservice patient satisfaction questionnaire: the development of a valid and reliable tool to measure patient satisfaction with acute care hospital foodservices. Foodserv Res Int. 2005;16(1-2):1-14.

  BACKGROUND

MeSH Terms

Conditions

Malnutrition; Patient Satisfaction

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Birsen Demirel, PhD

  Ondokuz Mayıs University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Target Duration: 7 Days
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of Nutrition and Dietetic Department, Clinical Assistant Professor

Study Record Dates

• First Submitted: July 3, 2024
• First Posted: July 15, 2024
• Study Start: January 1, 2022
• Primary Completion: February 28, 2022
• Study Completion: February 28, 2022
• Last Updated: July 15, 2024

Record last verified: 2024-07

Locations

TU (1)