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Addressing disease-related malnutrition in healthcare: A Latin American perspective

Título de la revista
Correia, Maria Isabel
Hegazi, Refaat A.
Graf, José Ignacio Diaz?Pizarro
Gomez?Morales, Gabriel
Gutiérrez, Catalina Fuentes
Goldin, Maria Fernanda
Navas, Angela
Espitia, Olga Lucia Pinzón
Tavares, Gilmária Millere



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SAGE Publications Inc.


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Alarmingly high rates of disease-related malnutrition have persisted in hospitals of both emerging and industrialized nations over the past 2 decades, despite marked advances in medical care over this same interval. In Latin American hospitals, the numbers are particularly striking; disease-related malnutrition has been reported in nearly 50% of adult patients in Argentina, Brazil, Chile, Costa Rica, Cuba, Dominican Republic, Ecuador, Mexico, Panama, Paraguay, Peru, Puerto Rico, Venezuela, and Uruguay. The tolls of disease-related malnutrition are high in both human and financial terms - increased infectious complications, higher incidence of pressure ulcers, longer hospital stays, more frequent readmissions, greater costs of care, and increased risk of death. In an effort to draw attention to malnutrition in Latin American healthcare, a feedM.E. Latin American Study Group was formed to extend the reach and support the educational efforts of the feedM.E. Global Study Group. In this article, the feedM.E. Latin American Study Group shows that malnutrition incurs excessive costs to the healthcare systems, and the study group also presents evidence of how appropriate nutrition care can improve patients' clinical outcomes and lower healthcare costs. To achieve the benefits of nutrition for health throughout Latin America, the article presents feedM.E.'s simple and effective Nutrition Care Pathway in English and Spanish as a way to facilitate its use. © 2014 The American Society for Parenteral and Enteral Nutrition.
Palabras clave
Awareness , health care , Clinical effectiveness , Decubitus , Diet therapy , Disease association , Disease related malnutrition , Evidence based practice , Financial management , Follow up , Health care cost , Health care system , Health education , High risk patient , Hospital readmission , Hospitalization , Human , Incidence , Infectious complication , Malnutrition , Nutrition education , Nutritional status , Outcome assessment , Paraguay , Priority journal , Review , Risk assessment , Risk factor , South and central america , Economics , Health care quality , Hospital , Iatrogenic disease , Length of stay , Malnutrition , Nutritional assessment , Randomized controlled trial (topic) , Health care costs , Hospitalization , Hospitals , Humans , Iatrogenic disease , Incidence , Latin america , Length of stay , Malnutrition , Nutrition assessment , Nutrition therapy , Nutritional status , Quality assurance , Randomized controlled trials as topic , Assessment , Community , Hospital , Malnutrition , Nutrition , Oral nutrition supplement , Screening