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      Recognition and Prevention of Nosocomial Malnutrition: A Review and A Call to Action!

      1 , 2
      The American journal of medicine
      Elsevier BV
      Coding, Inpatient, Malnutrition, Nosocomial, Outcomes, Revenue, Safety

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          Abstract

          Nosocomial malnutrition in hospitalized adults is a morbid, costly, and potentially preventable and treatable problem. Although recognized as contributing to many serious complications of hospitalization, malnutrition is often missed when present on admission and rarely diagnosed if it occurs during hospital stay. Many routine clinical practices such as holding nutrition for testing or failing to address poor intake, when added to acute inflammatory disease states, cause rapid deterioration in nutritional status in up to 70% of inpatients. Malnutrition during hospitalization is associated with increased mortality for years after discharge. In addition, unrecognized (and under-coded) malnutrition is associated with potential lost revenues for hospital systems. Low-cost interventions of recognizing at-risk patients and providing adequate nutrition have the potential to improve patient outcomes and reduce health care costs. Physicians must champion implementation of these interventions, using guidance from national organizations.

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          Author and article information

          Journal
          Am. J. Med.
          The American journal of medicine
          Elsevier BV
          1555-7162
          0002-9343
          December 2017
          : 130
          : 12
          Affiliations
          [1 ] Department of Critical Care, Abbott Northwestern Hospital, Minneapolis, Minn; Division of Hospital Medicine, Mayo Clinic, Rochester, Minn. Electronic address: Kirkland.lisa@mayo.edu.
          [2 ] Hospital Medicine, Phoenix Children's Hospital, Phoenix, Ariz.
          Article
          S0002-9343(17)30827-6
          10.1016/j.amjmed.2017.07.034
          28843651
          4c24ad91-a4a6-4f26-8b8c-524255197d0d
          History

          Malnutrition,Outcomes,Nosocomial,Coding,Inpatient,Revenue,Safety
          Malnutrition, Outcomes, Nosocomial, Coding, Inpatient, Revenue, Safety

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