JOURNAL OF NUTRITION RESEARCH
ORIGINAL ARTICLE
OPEN ACCESS
Received: 25.12.2022
Accepted: 26.01.2023
Published: 25.02.2023
Citation: Varma S, Kapoor M,
Patil M, Patel D, Timmanpyati S.
(2023). Survey of Nutritional
Screening Status as Well as Dietitian
to Patient Ratio in Various
Healthcare Setups in India. Journal
of Nutrition Research. 11(1): 33-37. h
ttps://doi.org/
10.55289/jnutres/v11i1_22.24
*
Corresponding author.
shilpavarma2008@gmail.com
Funding: None
Competing Interests: None
Copyright: © This is an open access
article distributed under the terms
of the Creative Commons
Attribution License, which permits
unrestricted use, distribution, and
reproduction in any medium,
provided the original author and
source are credited.
Published By India Association for
Parenteral and Enteral Nutrition
(IAPEN)
ISSN
Electronic: 2348-1064
Survey of Nutritional Screening Status
as Well as Dietitian to Patient Ratio in
Various Healthcare Setups in India
Shilpa Varma
1*
, Megha Kapoor
2
, Mansi Patil
3
, Datta Patel
4
,
Shivshankar Timmanpyati
2
1 Clinical Nutritionist, BelleVue Multispeciality Hospital, Mumbai, India
2 Dietitian, Tata Memorial Hospital, (HBNI), Mumbai, India
3 Chief Dietitian, Asha Kiran JHC Hospital, Pune, India
4 Head of Department of Nutrition and Dietetics, D.Y. Patil School of Medicine and Hospital,
Navi Mumbai, India
Abstract
It’s very well documented that malnutrition is an independent risk factor that
has an impact on treatment outcomes and further influences the quality
of life and survivorship. Nutritional attention with timely intervention is an
integral component of patient care which corresponds to improved disease
outcomes. Adequate nutrition not only provides economic and physiological
benefits but also ensures psychological comfort throughout the patient’s
journey and during and after treatment. Evaluation of the patient’s nutritional
status is critical in determining the nutritional prescription for the patient.
Several studies indicate early identification of malnourished patients or at risk
of malnutrition is the key to begin timely and adequate nutrition attention.
This multi-centre study attempted a nationwide online survey on malnutrition
screening from 19th November to 18th December 2022. Out of 644 responses
received, 443 were considered for analysis, and 201 were excluded. Responses
from hospitals with less than 50 beds and multiple entries from the same
hospital were not considered for analysis. Out of 443 hospitals, 287 (64.7%)
were accredited and 156 (35.2%) were non-accredited. It was observed in the
survey that nutritional screening (NS) was performed in 361 (81.5%) hospitals
out of 443. A majority (90.9%) of the accredited hospitals (n=261) undertook
regular NS as opposed to government and charitable trust hospitals (n=100).
For NS, 47.4% of accredited and 22.4 % of non-accredited hospitals used a
single screening tool of choice. There were 26 non-accredited hospitals with
no dietician service. The average number of dieticians in accredited hospitals
and non-accredited hospitals were 4.4±3.94 SD and 2.3±3.93 respectively. The
dietician-patient ratio in accredited and non-accredited hospitals was 1:73, and
1:212 respectively. Conclusion: Adequate and standard NS practices are lacking
in both accredited and non-accredited hospitals with a poor dietitian-to-patient
ratio. We propose a better dietician-patient ratio and a simple and rapid first-
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