An European survey of structure and organisation of nutrition support teams in Germany, Austria and Switzerland.
OBJECTIVE
Nutritional support teams (NST) have been demonstrated to be an excellent mechanism for identifying patients in need of nutrition support, improving the efficacy of nutrition support in a variety of hospital environments. Focus of this study was the investigation of function, structure and organisation of NST in Germany (D), Austria (A) and Switzerland (CH).


METHODS
Prospective investigation of the function, structure and organisation of NST in D, A and CH, using standardised questionnaires.


RESULTS
From a total of 3071 hospitals in D, A and CH, NST have been established at 98 hospitals (3.2%). Their main activities were creating nutritional regimes (100%), education (87%) and monitoring nutrition therapy (92%). In general, the NST are not independently operating units but are affiliated to a special discipline. Seventy-one per cent of the physicians, 40% of the nurses and 69% of the dieticians in the NST held a nutrition-specific additional qualification. A total of 12% of the physicians, 37% of the nurses and 46% of the dieticians are exclusively responsible for the NST. A reduction of complications (88%) and cost saving (98%) were indicated since their establishment. The NST received in 32% funding support.


CONCLUSIONS
In D, A, CH neither a uniform nor comprehensive patient care by NST existed in 2004. Standards of practice, development of guidelines in clinical nutrition and better documentation in NSTs are necessary. Special efforts should be aimed at education of NST members and financing of teams.
Shang
E
E
Department of Surgery, University Hospital Mannheim, Theodor-Kutzer-Ufer 1-3, 68135 Mannheim, Germany. edward.shang@chir.ma.uni-heidelberg.de
Hasenberg
T
T
Schlegel
B
B
Sterchi
A B
AB
Schindler
K
K
Druml
W
W
Koletzko
B
B
Meier
R
R
D001317:Austria; D003362:Cost-Benefit Analysis; D004046:Dietetics; D005858:Germany; D019538:Health Care Surveys; D006801:Humans; D009741:Nursing Staff, Hospital; D044623:Nutrition Therapy / Q000191:economics / Q000379:methods* / Q000592:standards; D052756:Nutritional Sciences / Q000193:education*; D018529:Nutritional Support / Q000379:methods; D010348:Patient Care Team / Q000191:economics / Q000458:organization & administration / Q000592:standards; D010820:Physicians; D011446:Prospective Studies; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D013557:Switzerland; D016896:Treatment Outcome