title: [nutritionDay- an annual cross-sectional audit of nutrition in healthcare].
abstract: nutritionDay is a worldwide project to determine prevalence of symptoms of malnutrition and reduced nutrient intake as well as risk factors and outcome. Individual units can benchmark their data against data from the reference database of the same specialty. Questionnaires are available in 32 languages. 151'666 patients from 4'877 units in 51 countries have participated between 2006 - 2012. In hospitals 8.1 % had a BMI < 18.5, 45.4 % indicated having lost weight and 49.9 % had not eaten normally last week. On nutritionDay 41.5 % ate the full meal at lunch or dinner and 14 % ate nothing. The odds ratio for death in hospital within 30 days was 2.76 [2.50, 3.05] if having lost weight, increased to a maximum of 6.17 [5.54, 6.88] with a history of decreased intake last week and 7.66 [6.72, 8.74] if no intake was found on nutritionDay despite being allowed to eat. All factors remained significant in multivariate analysis. The most frequent reason for not eating is loss of appetite. Only a maximum of one third of all patients that eat nothing receive support with enteral or parenteral nutrition. Disease-related undernutrition is very frequent in hospitals and is associated with poor outcome. nutritionDay is a measurement tool to determine the prevalence of undernutrition and to benchmark regularly nutrition risk factors and level of interventions against a large recent reference database.
authors.affiliation: nutritionDay Projektteam und Klinik für Innere Medizin III, Allgemeine Intensivtherapie und Schmerztherapie, Medizinische Universität Wien.
authors.forename: Karin
authors.initials: K
authors.lastname: Schindler
authors.affiliation: nutritionDay Projektteam und Klinik für Anästhesie, Allgemeine Intensivtherapie und Schmerztherapie, Medizinische Universität Wien.
authors.forename: Sigrid
authors.initials: S
authors.lastname: Kosak
authors.affiliation: IFB Adipositas Erkrankungen, Universität Medizin Leipzig.
authors.forename: Tatjana
authors.initials: T
authors.lastname: Schütz
authors.affiliation: nutritionDay Projektteam und Institut für Biomedizin des Alterns, Universität Erlangen-Nürnberg.
authors.forename: Dorothee
authors.initials: D
authors.lastname: Volkert
authors.affiliation: Universitätsklinik für Pneumologie, Inselspital Bern.
authors.forename: Barbara
authors.initials: B
authors.lastname: Hürlimann
authors.affiliation: Klinik für Innere Medizin, Kantonsspital Winterthur.
authors.forename: Peter
authors.initials: P
authors.lastname: Ballmer
authors.affiliation: nutritionDay Projektteam und Klinik für Anästhesie, Allgemeine Intensivtherapie und Schmerztherapie, Medizinische Universität Wien.
authors.forename: Michael
authors.initials: M
authors.lastname: Hiesmayr
mesh_terms: D001317:Austria; D019985:Benchmarking; D015992:Body Mass Index; D002423:Cause of Death; D003430:Cross-Sectional Studies; D014943:Global Health; D006707:Homes for the Aged / Q000706:statistics & numerical data; D017052:Hospital Mortality; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D038622:Internationality; D044342:Malnutrition / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality / Q000517:prevention & control*; D009735:Nursing Homes / Q000706:statistics & numerical data; D009752:Nutritional Status; D012307:Risk Factors; D015431:Weight Loss