title: [Active nutrition policy in the implementation of the hospital nutritional support; results of an observational study].
abstract: BACKGROUND
  Malnutrition at hospitals is responsible for high morbidity and mortality** rates. This study aims at describing the results of the implementation of a hospital nutrition program with an eventual deployment of nutritional support.
  
  
  METHODS
  Observational, prospective, single-centre design. All adult patients consecutively admited in our hospital during the period January 2012-September 2013 were registered. The implementation of the nutrion program consisted of: nutritional assessment at admitance; examination of the patient with indications for starting nutritional support; implementation of nutritional support; monitoring and follow-up.
  
  
  RESULTS
  1,268 patients were admited. 1,234 patients (97.3%) underwent a nutritional assesment by means of Subjective Global Assessment. 821 patients (66.5%) were identified with cathegory A, 280 patients (22.7%) with cathegory B, and 60 patients (4.9%) with cathegory C. 269 patients (21.8%) presented indications for nutritional support of which 227 (84.4%) did receive it. A total of 219 patients (64.4%) out of the 340 patients (27.6%) representing the global figure of malnutrition at the hospital (cathegories B + C), presented indications for starting some kind of nutritional support. 181 patients (82.6%) initiated this nutritional support. 28 patients (73.7%) out of the 38 patients (17.3%) who did not initiate it showed EGS C, being the patients ominous prognostic the main reason for not starting the nutritional support.
  
  
  CONCLUSIONS
  The aplication of a program aimed at the eventual implementation of nutritional support allowed the nutritional assessment of a high percentage of inpatients and the correct use of nutritional support on a high percentage of these patients.
authors.affiliation: Servicio de Nutrición. Hospital de Alta Complejidad en Red "El Cruce" Dr. Néstor C. Kirchner. Florencio Varela. Buenos Aires. República Argentina.. juliarodb@gmail.com.
authors.forename: Julia
authors.initials: J
authors.lastname: Rodriguez Bugueiro
authors.affiliation: Servicio de Nutrición. Hospital de Alta Complejidad en Red "El Cruce" Dr. Néstor C. Kirchner. Florencio Varela. Buenos Aires. República Argentina..
authors.forename: Natalia
authors.initials: N
authors.lastname: Lacquaniti
authors.affiliation: Servicio de Nutrición. Hospital de Alta Complejidad en Red "El Cruce" Dr. Néstor C. Kirchner. Florencio Varela. Buenos Aires. República Argentina..
authors.forename: María Cecilia
authors.initials: MC
authors.lastname: Merkel
authors.affiliation: Servicio de Nutrición. Hospital de Alta Complejidad en Red "El Cruce" Dr. Néstor C. Kirchner. Florencio Varela. Buenos Aires. República Argentina..
authors.forename: Anabel
authors.initials: A
authors.lastname: Villagra
mesh_terms: D000328:Adult; D005260:Female; D006761:Hospitals; D006801:Humans; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D018673:Nutrition Policy; D018529:Nutritional Support; D011446:Prospective Studies