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首页> 外文期刊>Proceedings of the Nutrition Society >Malnutrition in the UK: where does it begin?
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Malnutrition in the UK: where does it begin?

机译：英国的营养不良：它从哪里开始？

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More than 3 million individuals are estimated to be at risk of malnutrition in the UK, of whom about 93% live in the community. BAPEN's Nutrition Screening Week surveys using criteria based on the 'Malnutrition Universal Screening Tool' ('MUST') revealed that 28% of individuals on admission to hospital and 30-40% of those admitted to care homes in the previous 6 months were malnourished (medium+high risk using 'MUST'). About three quarters of hospital admissions and about a third of care home admissions came from their own homes with a malnutrition prevalence of 24% in each case. Outpatient studies using 'MUST' showed that 16-20% patients were malnourished and these were associated with more hospital admissions and longer length of stay. In sheltered housing, 10-14% of the tenants were found to be malnourished, with an overall estimated absolute prevalence of malnutrition which exceeded that in hospitals. In all cases, the majority of subjects were at high risk of malnutrition. These studies have helped establish the magnitude of the malnutrition problem in the UK and identified the need for integrated strategies between and within care settings. While hospitals provide a good opportunity to identify malnourished patients among more than 10 million patients admitted there annually and the five- to six-fold greater number attending outpatient departments, commissioners and providers of healthcare services should be aware that much of the malnutrition present in the UK originates in the community before admission to hospitals or care homes or attendance at outpatient clinics.
机译：在英国，估计有超过300万人面临营养不良的风险，其中约93％的人生活在社区中。 BAPEN使用基于“营养不良通用筛查工具”（“ MUST”）的标准进行的营养筛查周调查显示，在过去六个月中，有28％的入院患者和30-40％的疗养院患者营养不良（中高风险，请使用“必须”）。大约四分之三的住院病人和大约三分之一的养老院住院病人来自自己的家，营养不良发生率分别为24％。使用“必须”进行的门诊研究表明，有16-20％的患者营养不良，这与住院人数增加和住院时间更长有关。在庇护所住房中，发现10-14％的房客营养不良，总体营养不良的绝对发生率超过了医院。在所有情况下，大多数受试者营养不良的风险很高。这些研究帮助确定了英国营养不良问题的严重程度，并确定了在医疗机构之间及其内部需要采取综合策略的必要性。虽然医院提供了一个很好的机会来识别每年入院的1000万以上患者中的营养不良患者，并且在门诊就诊的患者数量增加了5到6倍，但是医疗服务专员和医疗服务提供者应该意识到，营养不良在很大程度上存在于医院。英国在进入医院或疗养院或在门诊就诊之前就起源于社区。

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