A call-to-action from the feedM.E. Middle East study group

تايفشتسلما يف ينمونلما ىضرلما نم 50% ىلإ لصي ام اًيلماع يصوتو .ةيذغتلا ءوس رطلخ ينضرعم وأ ةيذغتلا ءوس نم نوناعي لوخد دنع ىضرلما عيملج يوذغتلا صحفلاب تاهيجوتلا يف ينمونلما ىضرلما نم تاساردلا جئاتن حضوتو .ىفشتسلما يئاذغلا مييقتلا ةعباتم عم ،يمييقتلا صحفلا نأ تايفشتسلما ةيريرسلا جئاتنلا نستح نأ نكيم رملأا بلطتي امدنع ةياعرلاو دوجو نم مغرلابو .ةيحصلا ةياعرلا فيلاكت للقتو ىضرملل ىوتسلما نود ةيوذغتلا ةياعرلا ىلإ هابتنلاا لازي لا هنإف ةغمادلا ةلدلأا تعضو دقو .ملاعلا ءاحنأ عيمج يف ةيحصلا قفارلما يف لثملأا ةيانعلل ةطيسب ةقيرط ةوطخب ةوطخ feedM.E. ةيلماعلا ةعومجلما هذه نإ .ةيوذغتلا ةياعرلا تاسرامم لضفأ ليهستل ةيوذغتلا لوخد دنع ىضرملل ةيوذغتلا ةلالحا صحفل ءابطلأا هجوت ةقيرطلا هجو ىلع لخدتلا دنعو ،ةياعرلا يمدقت يف عورشلا وأ ىفشتسلما ينيتور لكشب ةعباتلما وأ ةجالحا دنع ةيوذغتلا ةياعرلا عم ةعرسلا ةعومجم ىعستو .ةيوذغتلا ةياعرلا ططخ زيزعتو ليدعت عم .انتقطنلم جمانربلا اذه ديدمتل feedM.E. طسولأا قرشلا ةيوذغتلا ةيانعلا ةقيرط فييكتو دامتعا ىلع ءابطلأا حصننو تاذ ةيوذغت ةياعر يمدقتل كلذو )Nutrition Care Pathway( .ةيمويلا ةسراملما ىلإ ةدوج Up to 50% of hospitalized patients worldwide are malnourished or at risk of malnutrition. Guidelines recommend nutritional screening of all patients on hospital admission. Results from studies of hospitalized patients show that screening, with followup nutritional assessment and care when indicated, can improve patients’ clinical outcomes and reduce healthcare costs. Despite compelling evidence, attention to nutritional care remains suboptimal in clinical settings worldwide. The feedM.E. Global Study Group developed a simple, stepwise Nutrition Care Pathway to facilitate best-practice nutrition care. This pathway guides clinicians to screen patients’ nutritional status on hospital admission or at initiation of care; intervene promptly with nutrition care when needed; and supervene or follow-up routinely with adjustment and reinforcement of nutrition care plans. The feedM.E. Middle East Study Group seeks to extend this program to our region. We advise clinicians to adopt and adapt the Nutrition Care Pathway, bringing quality nutrition care to everyday practice. Saudi Med J 2015; Vol. 36 (8): 903-910 doi: 10.15537/smj.2015.8.11671 From the Department of Clinical Nutrition (Al-Zeer), King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia, and Abbott Nutrition Reseach and Development (Ozcagli), Istanbul, the Department of Anesthesiology and Intensive Care (Uyar), Ege University Hospital, Izmir, Turkey. Address correspondence and reprint request to: Dr. Mehmet Uyar, Department of Anesthesiology and Intensive Care, Ege University Hospital, Bornova 35100, Izmir, Turkey. E-mail: [email protected] OPEN ACCESS U to 50% of hospitalized patients are reported to be at risk of malnutrition or actually malnourished.1,2 Clinical studies in healthcare settings worldwide have shown that disease-related malnutrition is exceedingly common,3-7 especially in older patients.8,9 The prevalence of disease-related malnutrition-nutritional inadequacy with an inflammatory component10 is similarly high in hospitals of both emerging and industrialized nations. This prevalence remains as high now as it was a decade ago in almost every country.11-14 Patients with poor nutritional status are susceptible to disease progression and complications, and their recovery from illness or injury is often prolonged.1,15,16 A key barrier to bestpractice nutrition care is limited hospital resources; clinicians report that too little time and not enough money constrain staff training on how to recognize and treat malnutrition.17,18 While educational training and nutrition interventions have financial costs, so do the consequences of malnutrition. Disease-related malnutrition increases 903 www.smj.org.sa Saudi Med J 2015; Vol. 36 )8( Review Article