PD987 - MANAGEMENT OF QUALITY INDICATORS ON ORAL NUTRITIONAL SUPPLEMENTATION IN HOSPITALIZEDOLDER PATIENTS IN BRAZIL

PD987

MANAGEMENT OF QUALITY INDICATORS ON ORAL NUTRITIONAL SUPPLEMENTATION IN HOSPITALIZED

OLDER PATIENTS IN BRAZIL

D. N. Oliveira¹, C. R. Crossetti², T. B. B. Rolim¹, I. R. Santos³, A. Cattani⁴, L. V. S. Viana¹, A. P. S. Souza⁵, A. S. D. O. Mendonça¹, A. C. D. Oliveira⁶, R. S. Oliveira-Filho¹, V. Rosenfeld^1,*, S. P. Orlandi⁷, M. C. Gonzalez⁷

¹Medical Affairs, Nestlé, São Paulo, ²Nutrition, Hospital de Caridade Dr. Astrogildo Azevedo, Santa Maria, ³Nutrition, Unimed, João Pessoa, ⁴Nutrition, Hospital Pompéia, Caxias do Sul, ⁵Nutrition, Instituto de Neurologia de Goiânia, Goiânia, ⁶Nutrition, Hospital Municipal Souza Aguiar, Rio de Janeiro, ⁷Universidade Federal de Pelotas, Programa de Pós-graduação em Nutrição e Alimentos, Pelotas, Brazil

Rationale: Malnutrition in hospitalized older patients remains high, and the first choice of nutritional therapy should be
oral nutritional supplements (ONS), which help patients during hospitalization1. Aim: to evaluate the quality indicators of
ONS in hospitalized older patients.

Methods: A multicentric, retrospective, observational study with wards of older patients from five different hospitals in
Brazil. Different protocols were applied: assessment of calf circumference (CC) and MAN short form, ONS compliance,
and food intake, all verified by a dietitian.

Results: 190 patients were included, 53% female, 71.4 + 46.8 years, and the main chronic diseases were hypertension
(65%), diabetes (38%), and stroke (6%). After the evaluation of quality indicators, it was observed that all the hospitals
applied the MAN-SF protocol, and 50% of the patients were malnourished or at nutritional risk (mean MAN-SF: 10 +2).
However, four hospitals applied the CC assessment protocol, and 37% were classified as low CC (mean CC: 31 +3 cm).
64% of malnourished/nutritional risk patients by MAN-SF and 61% of patients with low CC received ONS. Only 57% of
older patients with oral intake <50% started ONS. Among patients on ONS, 68% were prescribed one bottle/day, 42%
had excellent adherence, and 12% consumed half or less than half of the total volume. The main reasons for low
adherence to ONS were appetite loss (4.5%), flavour (3.5%), and volume (3.5%).

Conclusion: The prevalence of malnutrition/nutritional risk in hospitalized older patients in Brazil is high. Approximately
half of ward patients with oral intake <50% started ONS. Therefore, we highlight that nutritional risk assessment protocols
and ONS compliance for older patients are essential for improving quality indicators on ONS.

References: Orlandi SP, Gonzalez MC. Rev. Nutr. Clin. Metab.2022;5(2):34-41.

Disclosure of Interest: D. Oliveira: None declared, C. Crossetti: None declared, T. Rolim: None declared, I. Santos: None declared, A. Cattani: None declared, L. Viana: None declared, A. P. Souza: None declared, A. Mendonça: None declared, A. C. Oliveira: None declared, R. Oliveira-Filho Other: Full-time employer of Nestlé., V. Rosenfeld Other: Full-time employer of Nestlé., S. Orlandi: None declared, M. C. Gonzalez Consultant for: Nestlé, Speakers Bureau of: Abbott and Nutricia