A pre-post study of multidisciplinary ward-based conferences on nutrition care for hospital patients

IF 2.9 Q3 NUTRITION & DIETETICS

Clinical nutrition ESPEN Pub Date : 2025-06-21 DOI:10.1016/j.clnesp.2025.06.033

Naoki Hashizume , Natsumi Maruyama , Ayu Nagamatsu , Mayumi Ikeda , Risa Takayanagai , Hanae Kita , Naruki Higashidate , Saki Sakamoto , Hirotomo Nakahara , Daisuke Masui , Nobuya Ishibashi , Takumi Kawaguchi , Tatsuru Kaji

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引用次数: 0

Abstract

Background

Malnutrition is a significant concern among hospitalized patients, contributing to increased complication rates and prolonged hospital stays. To improve nutritional management, our institution implemented weekly multidisciplinary ward-based nutrition conferences involving physicians, nurses, pharmacists, and a dedicated dietitian. When necessary, a specialized nutritional support team (NST) provided additional interventions. This study aimed to evaluate the impact of this multidisciplinary approach, with the primary outcome being the length of hospital stay.

Methods

In an advanced treatment hospital functioning as both an acute care and long-term care hospital, as well as a designated tertiary care center under Japan's national medical system by the Ministry of Health, Labour, and Welfare, we conducted a retrospective analysis from April 2011 to March 2020, dividing the study period into two eras: Era 1 (pre-conferences, April 2011–March 2016) and Era 2 (post-conferences, April 2016–March 2020). Key metrics included the length of hospital stay and the proportion of patients receiving NST interventions. The NST has been the main organizer of nutrition-related seminars. These seminars have been held six times a year and were designed to provide training opportunities for multidisciplinary ward personnel, including nurses, physicians, and dietitians.

Results

The average length of hospital stay was significantly shorter in Era 2 (15.5 ± 0.1 days) compared to Era 1 (18.2 ± 1.1 days) (p = 0.0016). The proportion of patients requiring NST interventions decreased significantly from 3.36 ± 0.29 % in Era 1 to 2.06 ± 0.47 % in Era 2 (p = 0.0013).

Conclusions

The introduction of a multidisciplinary ward-based nutrition conferences significantly reduced the length of hospital stay and decreased the number of patients requiring NST interventions. These findings highlight the value of structured, collaborative nutritional care with training opportunities in improving hospital efficiency and patient outcomes.

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多学科病房会议对医院患者营养护理的前后研究。

背景：营养不良是住院患者的重要问题，导致并发症发生率增加和住院时间延长。为了改善营养管理，我们的机构实施了每周一次的多学科病房营养会议，包括医生、护士、药剂师和一位专门的营养师。必要时，一个专门的营养支持小组（NST）提供额外的干预。本研究旨在评估这种多学科方法的影响，主要结果是住院时间。方法：在一家同时兼具急症护理和长期护理的高级治疗医院，以及由厚生劳动省指定的日本国家医疗系统三级护理中心，我们从2011年4月到2020年3月进行了回顾性分析，将研究时期分为两个时代：时代1（会议前，2011年4月- 2016年3月）和时代2（会议后，2016年4月- 2020年3月）。关键指标包括住院时间和接受NST干预的患者比例。NST一直是营养相关研讨会的主要组织者。这些研讨会每年举行六次，旨在为包括护士、医生和营养师在内的多学科病房人员提供培训机会。结果：第2期患者平均住院时间（15.5±0.1 d）明显短于第1期患者（18.2±1.1 d）（p = 0.0016）。需要NST干预的患者比例从第1时代的3.36±0.29%显著下降到第2时代的2.06±0.47% （p = 0.0013）。结论：多学科病房营养会议的引入显著缩短了住院时间，减少了需要NST干预的患者数量。这些发现突出了结构化、协作性营养护理与培训机会在提高医院效率和患者预后方面的价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical nutrition ESPEN NUTRITION & DIETETICS-

CiteScore

4.90

自引率

3.30%

发文量

512

期刊介绍： Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.