title: A short nutritional intervention in a cohort of hematological inpatients improves energy and protein intake and stabilizes nutritional status.
abstract: BACKGROUND
  Oncohematological diseases are associated with an important prevalence of malnutrition.
  
  
  OBJECTIVE
  Our aim is to determine if early recognition and treatment of malnourished hematological inpatients can improve their oral intake, nutritional status and reduce the length of hospital stay.
  
  
  METHODS
  Prospective 2-year study conducted in a cohort of hematology inpatients. Malnutrition Screening Tool (MST) was carried out on the first day of admission. Patients with a positive screening were recruited to have a complete nutritional evaluation and intervention, following usual clinical practice. Nutritional evaluation was repeated after one week.
  
  
  RESULTS
  Six hundred and seventeen hematological patients were screened (37.8% with positive screening). After one week, median diet intake increased from 80% to 90% (p < 0.001), and an increase of 407.36 Kcal (SD 679.37) and 17.58 g of protein (SD 31.97) was also achieved. More patients reached their energy and protein requirements (41.6 vs.% 63.3%, p = 0.009) and nutritional parameters remained stable. A trend to a lower stay (3.5 to 4.5 days less) was detected in the groups of patients who covered their needs.
  
  
  CONCLUSIONS
  The implementation of early malnutrition screening and short nutritional interventions improved energy and protein intake, increasing the percentage of patients who meet their requirements and avoiding deterioration of nutritional status.
authors.affiliation: Clinical Nutrition and Dietetics Unit. Department of Endocrinology and Nutrition, Complejo Asistencial Universitario de León. León. rotaibo22@gmail.com.
authors.forename: Rocío
authors.initials: R
authors.lastname: Villar-Taibo
authors.forename: Alicia
authors.initials: A
authors.lastname: Calleja-Fernández
authors.forename: Alfonso
authors.initials: A
authors.lastname: Vidal-Casariego
authors.forename: Begoña
authors.initials: B
authors.lastname: Pintor-de-la-Maza
authors.forename: Cecilia
authors.initials: C
authors.lastname: Álvarez-Del-Campo
authors.forename: Rosa
authors.initials: R
authors.lastname: Arias-García
authors.forename: Isidoro
authors.initials: I
authors.lastname: Cano-Rodríguez
authors.forename: María D
authors.initials: MD
authors.lastname: Ballesteros-Pomar
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D004044:Dietary Proteins / Q000008:administration & dosage*; D002149:Energy Intake; D005260:Female; D006402:Hematologic Diseases / Q000178:diet therapy*; D019337:Hematologic Neoplasms / Q000178:diet therapy; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D044623:Nutrition Therapy / Q000379:methods*; D009752:Nutritional Status; D011446:Prospective Studies
chemical_list: D004044:Dietary Proteins
keywords: Malnutrition. Nutrition assessment.  Nutritional status.  Hematological  neoplasms. Energy  intake.