Abstract
At the Kagoshima University Hospital, a dietitian conducts a pre-hospitalization nutrition interview with the patient being admitted to facilitate provision of safe and appropriate meals right from the first day of admission. We analyzed the proposed nutritional diet guidance to establish dietary provisions based on the disease characteristics and patient-related factors.
For the 2,525 patients scheduled for admission and participating in the pre-hospitalization nutrition interview between October 2017 and September 2018, a survey was conducted to record the diagnosis procedure combination (DPC, using major diagnostic categories [MDC]), age (by group), need for nutrition management, meal provision status, and recommendations for nutritional dietary guidance.
Based on the nutritional diet guidance for each MDC, there were more patients in the diseases and disorders of the circulatory system (MDC 05), diseases and disorders of respiratory system (04), and endocrine, nutritional and metabolic diseases and disorders (10). Nutritional diet guidance also included that for hypertension, diabetes, and heart disease. Food allergies were the highest in the group of working age patients and decreased in the group of aged patients. For nutritional dietary guidance, the proportion of recommendations was more than 50% in patients aged 65 years or older.
These results suggest that pre-hospitalization nutrition interview conducted by a dietician in the hospitalization support center, and the analysis according to disease characteristics and patient-related factors can help to accurately identify the issues with nutrition management and lead to effective measures under limited medical treatment resources.
