- Email: [email protected]
PP200-MON: Nutritionday Spain 2012. Are we Different from the Rest of Europe?
Nutritional epidemiology
S203
onset were more diverse among 0 to 12 years old. Remission rate increased along with age from 2 3 years old and 37% experienced remission at 15 years old and over. Statistically significant association was observed between the history of pollinosis and fruit allergy (Chi-square test: p < 0.001). Conclusion: The result that two third of FA group patients had never called medical attention indicates high probability of undercounting in medical facility based survey. Allergy to eggs and milk, predominant during younger ages would remit by school age and oral allergy syndrome (OAS) by fruit allergen associated with pollinosis increase thereafter. Disclosure of Interest: None Declared.
PP199-MON AN AUDIT OF MEAL SERVICE AND PROVISION IN A LARGE TEACHING HOSPITAL IN DUBLIN M. O’Donoghue1 , G. Corrigan1 , N. Connolly1 , O. Deeney1 , E. Fanning1 , H. Guiden1 , R. Hannon1 , C. O’Hanlon1 , K. McElligott1 , S. McMahon1 , C. Moreau1 , A. Shaw1 , C. O’Neill1 . 1 Nutrition and Dietetic Department, Beaumont Hospital, Dublin Ireland, Dublin, Ireland Rationale: To evaluate the provision of meal service in Beaumont Hospital, Dublin, Ireland. Methods: An observational meal audit tool was developed by the dietetic department. The audit was conducted across three meal occasions in one day on seven wards. Timing of meals, assistance, staffing, accuracy and adequacy of meals and snacks received were recorded. Results: A total of 484 of 595 potential patient meal occasions were captured (n = 111 fasting), see table 1. Meal interruptions were observed across all meal occasions but no impact was observed. The average time from meal arrival to delivery was 23.1 minutes (range 7 55 minutes). Breakfast was the most delayed due to meal service during nursing handover. 51% of milk orders were not received despite its availability on wards. Table 1. Overview of results
Requiring assistance Received assistance Received wrong meal ± portion/extras Received extra food ordered >50% food wastage Recommended time allowed for meals (>30 min)
No. of meal occasions
% of total meals
118 100 93 13 96 484
24% 85% a 19% 65% b 20% 100%
a
% of those patients who required assistance. b % of those patients who received extras ordered (n = 13/20).
Conclusion: This audit highlighted the need for improved meal time service including protection of meal times and increased delivery of nourishing snacks and drinks. Reconfiguration of meal provision may optimise nutritional intake, reduce wastage and improve standards. Continuous audit of meal services is planned to increase awareness of the link between inadequate meal provision in hospital and malnutrition risk. References [1] BAPEN Nutrition Screening Week 2010 & 2011. [2] Charles R, Mulligan S, O’Neill D. The identification and assessment of under-nutrition in patients admitted to the age-related health care unit of an acute Dublin general hospital. Department of
Nutrition & Dietetics, Adelaide & Meath Hospital, Dublin. Irish Journal of Medical Science 1999; 168(3): 180 5. Disclosure of Interest: None Declared.
PP200-MON NUTRITIONDAY SPAIN 2012. ARE WE DIFFERENT FROM THE REST OF EUROPE? C. Puiggros1 , B. Sarto1 , G. Cardenas1 , J.A. Lopez1 , M.L. Chicharro1 , A. Sancho1 , M. Girib´ es1 , H. Segurola1 , R. Burgos1 , on behalf of NutritionDay. 1 Nutrition Unit, Hospital Vall d’Hebron, Barcelona, Spain Rationale: The hospital’s nutritionDay (nDH) is an international project aimed to raise awareness of malnutrition in hospitals. It’s a one-day cross-sectional audit with outcome evaluation at 30 days. It has been held annually since 2006. Spain is involved in the project since its inception. Methods: The nDH 2012 results from different European countries were analyzed. Main compared variables were: age, sex, body mass index (BMI), presence of comorbidities, weight loss prior to admission, nutritional support route, oral intake (hospital menu and food from outside), length of hospital stay (LOS), destination at discharge and readmission at 30 days. Results: 14 European countries participated in the project, with a total of 8348 patients (907 Spain, 10.9%). Very few differences are found between Spain and the rest in: BMI values (mean 26.4), LOS, patients still hospitalized and death percentage at 30 days, weight loss (46% of patients) and hospital intake (only 39% of patients ate 100% of hospital menu). Table1. Main differences between groups Variable
Spain
Europe
Comorbidities, % Discharge (at 30 days), % Basal diet, % Special Diet, % Protein Supplements, % Enteral Nutrition, % Parenteral Nutrition, %
28.10 49.60 35.60 45.30 7.28 2.09 1.87
39.00 63.20 63.14 13.50 11.13 5.45 3.81
Conclusions: The patients shown a wide range of age. Discharge percentage at 30 days is lower in Spain despite being patients with less comorbidity. The use of special diets is much higher in Spain compared to specialized nutritional support (EN, PN and supplements) that is lower. The percentage of patients with feeding stomas is lower in Spain. Disclosure of Interest: None Declared.
PP201-MON STUDY ON THE PREVALENCE OF CHILD MALNUTRITION IN ˜O PRETO MEDICAL SCHOOL, THE HOSPITAL OF THE RIBEIRA ˜O PAULO UNIVERSITY OF SA V. Pileggi1 , J.S. Camelo Junior2 . 1 Paediatrics, 2 Ribeirao Preto Medical School, Ribeirao Preto, Brazil Rationale: This study aims to understand the prevalence of child malnutrition in hospital HCFMRP USP.
S203
onset were more diverse among 0 to 12 years old. Remission rate increased along with age from 2 3 years old and 37% experienced remission at 15 years old and over. Statistically significant association was observed between the history of pollinosis and fruit allergy (Chi-square test: p < 0.001). Conclusion: The result that two third of FA group patients had never called medical attention indicates high probability of undercounting in medical facility based survey. Allergy to eggs and milk, predominant during younger ages would remit by school age and oral allergy syndrome (OAS) by fruit allergen associated with pollinosis increase thereafter. Disclosure of Interest: None Declared.
PP199-MON AN AUDIT OF MEAL SERVICE AND PROVISION IN A LARGE TEACHING HOSPITAL IN DUBLIN M. O’Donoghue1 , G. Corrigan1 , N. Connolly1 , O. Deeney1 , E. Fanning1 , H. Guiden1 , R. Hannon1 , C. O’Hanlon1 , K. McElligott1 , S. McMahon1 , C. Moreau1 , A. Shaw1 , C. O’Neill1 . 1 Nutrition and Dietetic Department, Beaumont Hospital, Dublin Ireland, Dublin, Ireland Rationale: To evaluate the provision of meal service in Beaumont Hospital, Dublin, Ireland. Methods: An observational meal audit tool was developed by the dietetic department. The audit was conducted across three meal occasions in one day on seven wards. Timing of meals, assistance, staffing, accuracy and adequacy of meals and snacks received were recorded. Results: A total of 484 of 595 potential patient meal occasions were captured (n = 111 fasting), see table 1. Meal interruptions were observed across all meal occasions but no impact was observed. The average time from meal arrival to delivery was 23.1 minutes (range 7 55 minutes). Breakfast was the most delayed due to meal service during nursing handover. 51% of milk orders were not received despite its availability on wards. Table 1. Overview of results
Requiring assistance Received assistance Received wrong meal ± portion/extras Received extra food ordered >50% food wastage Recommended time allowed for meals (>30 min)
No. of meal occasions
% of total meals
118 100 93 13 96 484
24% 85% a 19% 65% b 20% 100%
a
% of those patients who required assistance. b % of those patients who received extras ordered (n = 13/20).
Conclusion: This audit highlighted the need for improved meal time service including protection of meal times and increased delivery of nourishing snacks and drinks. Reconfiguration of meal provision may optimise nutritional intake, reduce wastage and improve standards. Continuous audit of meal services is planned to increase awareness of the link between inadequate meal provision in hospital and malnutrition risk. References [1] BAPEN Nutrition Screening Week 2010 & 2011. [2] Charles R, Mulligan S, O’Neill D. The identification and assessment of under-nutrition in patients admitted to the age-related health care unit of an acute Dublin general hospital. Department of
Nutrition & Dietetics, Adelaide & Meath Hospital, Dublin. Irish Journal of Medical Science 1999; 168(3): 180 5. Disclosure of Interest: None Declared.
PP200-MON NUTRITIONDAY SPAIN 2012. ARE WE DIFFERENT FROM THE REST OF EUROPE? C. Puiggros1 , B. Sarto1 , G. Cardenas1 , J.A. Lopez1 , M.L. Chicharro1 , A. Sancho1 , M. Girib´ es1 , H. Segurola1 , R. Burgos1 , on behalf of NutritionDay. 1 Nutrition Unit, Hospital Vall d’Hebron, Barcelona, Spain Rationale: The hospital’s nutritionDay (nDH) is an international project aimed to raise awareness of malnutrition in hospitals. It’s a one-day cross-sectional audit with outcome evaluation at 30 days. It has been held annually since 2006. Spain is involved in the project since its inception. Methods: The nDH 2012 results from different European countries were analyzed. Main compared variables were: age, sex, body mass index (BMI), presence of comorbidities, weight loss prior to admission, nutritional support route, oral intake (hospital menu and food from outside), length of hospital stay (LOS), destination at discharge and readmission at 30 days. Results: 14 European countries participated in the project, with a total of 8348 patients (907 Spain, 10.9%). Very few differences are found between Spain and the rest in: BMI values (mean 26.4), LOS, patients still hospitalized and death percentage at 30 days, weight loss (46% of patients) and hospital intake (only 39% of patients ate 100% of hospital menu). Table1. Main differences between groups Variable
Spain
Europe
Comorbidities, % Discharge (at 30 days), % Basal diet, % Special Diet, % Protein Supplements, % Enteral Nutrition, % Parenteral Nutrition, %
28.10 49.60 35.60 45.30 7.28 2.09 1.87
39.00 63.20 63.14 13.50 11.13 5.45 3.81
Conclusions: The patients shown a wide range of age. Discharge percentage at 30 days is lower in Spain despite being patients with less comorbidity. The use of special diets is much higher in Spain compared to specialized nutritional support (EN, PN and supplements) that is lower. The percentage of patients with feeding stomas is lower in Spain. Disclosure of Interest: None Declared.
PP201-MON STUDY ON THE PREVALENCE OF CHILD MALNUTRITION IN ˜O PRETO MEDICAL SCHOOL, THE HOSPITAL OF THE RIBEIRA ˜O PAULO UNIVERSITY OF SA V. Pileggi1 , J.S. Camelo Junior2 . 1 Paediatrics, 2 Ribeirao Preto Medical School, Ribeirao Preto, Brazil Rationale: This study aims to understand the prevalence of child malnutrition in hospital HCFMRP USP.