{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T04:03:42Z","timestamp":1792728222025,"version":"4.5.0"},"reference-count":57,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,10,12]],"date-time":"2012-10-12T00:00:00Z","timestamp":1350000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Almost 50% of patients are malnourished on admission; many others develop malnutrition during admission. Malnutrition contributes to hospital morbidity, mortality, costs, and readmissions. The Joint Commission requires malnutrition risk screening on admission. If screening identifies malnutrition risk, a nutrition assessment is required to create a nutrition care plan. The plan should be initiated early in the hospital course, as even patients with normal nutrition become malnourished quickly when acutely ill. While the Harris\u2010Benedict equation is the most commonly used method to estimate calories, its accuracy may not be optimal in all patients. Calculating the caloric needs of acutely ill obese patients is particularly problematic. In general, a patient's caloric intake should be slightly less than calculated needs to avoid the metabolic risks of overfeeding. However, most patients do not receive their goal calories or receive parenteral nutrition due to erroneous practices of awaiting return of bowel sounds or holding feeding for gastric residual volumes. Patients with inadequate intake over time may develop potentially fatal refeeding syndrome. The hospitalist must be able to recognize the risk factors for malnutrition, patients at risk of refeeding syndrome, and the optimal route for nutrition support. Finally, education of patients and their caregivers about nutrition support must begin before discharge, and include coordination of care with outpatient facilities. As with all other aspects of discharge, it is the hospitalist's role to assure smooth transition of the nutrition care plan to an outpatient setting. Journal of Hospital Medicine 2013. \u00a9 2012 Society of Hospital Medicine<\/jats:p>","DOI":"10.1002\/jhm.1969","type":"journal-article","created":{"date-parts":[[2012,10,12]],"date-time":"2012-10-12T12:21:19Z","timestamp":1350044479000},"page":"52-58","source":"Crossref","is-referenced-by-count":97,"title":["Nutrition in the hospitalized patient"],"prefix":"10.1002","volume":"8","author":[{"given":"Lisa L.","family":"Kirkland","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deanne T.","family":"Kashiwagi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Brantley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Scheurer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prathibha","family":"Varkey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,10,12]]},"reference":[{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1054\/clnu.1999.0121"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(02)00215-7"},{"issue":"8","key":"e_1_2_11_4_2","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.1001\/archinte.1987.00370080098019","article-title":"Malnutrition among hospitalized patients. A problem of physician awareness","volume":"147","author":"Roubenoff R","year":"1987","journal-title":"Arch Intern Med."},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2005.08.009"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/75.2.308"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1079\/BJN20041152"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.123.4.1202"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2008.03.012"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607112440285"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0884533610374200"},{"key":"e_1_2_11_12_2","unstructured":"American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors and Clinical Practice Committee. Definition of Terms Style and Conventions used in A.S.P.E.N. Board of Directors\u2010Approved Documents. May2012. Available at:http:\/\/www.nutritioncare.org\/Library.aspx. Accessed June 29 2012."},{"key":"e_1_2_11_13_2","volume-title":"Comprehensive Accreditation for Hospitals","author":"Joint Commission on Accreditation of Healthcare Organizations","year":"2007"},{"key":"e_1_2_11_14_2","first-page":"163","volume-title":"The ASPEN Nutrition Support Core Curriculum: A Case\u2010Based Approach\u2014The Adult Patient","author":"Russell MK","year":"2007"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0884533608321130"},{"key":"e_1_2_11_16_2","first-page":"4","volume-title":"Dietitian's Handbook of Enteral and Parenteral Nutrition","author":"Charney P","year":"2012"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/00075197-200309000-00006"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/014860717700100101"},{"key":"e_1_2_11_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2004.05.213"},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-9007(01)00729-8"},{"issue":"4","key":"e_1_2_11_21_2","first-page":"509","article-title":"Predictive equations for energy needs for the critically ill","volume":"54","author":"Walker RN","year":"2009","journal-title":"Respir Care."},{"key":"e_1_2_11_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607110378104"},{"key":"e_1_2_11_23_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.111.3.769"},{"key":"e_1_2_11_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607108327192"},{"key":"e_1_2_11_25_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/51.2.241"},{"key":"e_1_2_11_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607102026001011"},{"key":"e_1_2_11_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(95)90231-7"},{"key":"e_1_2_11_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2006.01.021"},{"key":"e_1_2_11_29_2","volume-title":"Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Evidence Report\/Technology Assessment Number 43","author":"Winawer N","year":"2001"},{"issue":"8","key":"e_1_2_11_30_2","first-page":"525","article-title":"Perioperative total parenteral nutrition in surgical patients","volume":"328","author":"Veterans Affairs Total Parenteral Nutrition Cooperative Study Group","year":"1991","journal-title":"N Engl J Med."},{"key":"e_1_2_11_31_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.01024.x"},{"key":"e_1_2_11_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/0884533611405795"},{"key":"e_1_2_11_33_2","first-page":"454","volume-title":"Krause's Food and Nutrition Therapy","author":"Charney P","year":"2008"},{"key":"e_1_2_11_34_2","unstructured":"Dietary Supplement Health and Education Act (DSHEA) of 1994. Available at:http:\/\/www.gpo.gov\/fdsys\/pkg\/BILLS\u2010103s784es\/pdf\/BILLS\u2010103s784es.pdf. Accessed June 29 2012."},{"key":"e_1_2_11_35_2","first-page":"470","volume-title":"Krause's Food and Nutrition Therapy","author":"Thompson CA","year":"2008"},{"key":"e_1_2_11_36_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3181a40116"},{"key":"e_1_2_11_37_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607103027005355"},{"key":"e_1_2_11_38_2","unstructured":"American Dietetic Association Evidence Library. Critical Illness. Available at:http:\/\/www.adaevidencelibrary.com\/template.cfm?key=767&auth=1. Accessed June 29 2012."},{"key":"e_1_2_11_39_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.115.suppl_2.64S"},{"key":"e_1_2_11_40_2","first-page":"259","volume-title":"Dietitian's Handbook of Enteral and Parenteral Nutrition","author":"Skipper A","year":"2012"},{"key":"e_1_2_11_41_2","first-page":"63","volume-title":"ADA Pocket Guide to Enteral Nutrition","author":"Malone A","year":"2006"},{"key":"e_1_2_11_42_2","first-page":"187","volume-title":"The ASPEN Nutrition Support Core Curriculum: A Case\u2010Based Approach\u2014The Adult Patient","author":"Marian M","year":"2007"},{"key":"e_1_2_11_43_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607109335234"},{"key":"e_1_2_11_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2009.04.002"},{"key":"e_1_2_11_45_2","doi-asserted-by":"publisher","DOI":"10.1177\/01486071040280S601"},{"key":"e_1_2_11_46_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(95)00438-6"},{"key":"e_1_2_11_47_2","doi-asserted-by":"publisher","DOI":"10.1016\/0261-5614(94)90052-3"},{"issue":"9","key":"e_1_2_11_48_2","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1177\/000313480006600915","article-title":"The effect of abrupt cessation of total parenteral nutrition on serum glucose: a randomized trial","volume":"66","author":"Nirula R","year":"2000","journal-title":"Am Surg."},{"key":"e_1_2_11_49_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198611000-00003"},{"key":"e_1_2_11_50_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a301"},{"key":"e_1_2_11_51_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607108330314"},{"key":"e_1_2_11_52_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2004.04.008"},{"key":"e_1_2_11_53_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)12251-1"},{"key":"e_1_2_11_54_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMct0806956"},{"key":"e_1_2_11_55_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2009.11.017"},{"key":"e_1_2_11_56_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2010.06.009"},{"key":"e_1_2_11_57_2","unstructured":"Nutrition Support in Adults. NICE Clinical Guideline No. 32. 2006. Available at:http:\/\/guidance.nice.org.uk\/CG32\/NICEGuidance. Accessed November 29 2011."},{"key":"e_1_2_11_58_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-9007(01)00542-1"}],"container-title":["Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjhm.1969","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.1969","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jhm.1969","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.1969","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T15:34:02Z","timestamp":1760628842000},"score":1,"resource":{"primary":{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/10.1002\/jhm.1969"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10,12]]},"references-count":57,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["10.1002\/jhm.1969"],"URL":"https:\/\/doi.org\/10.1002\/jhm.1969","archive":["Portico"],"relation":{},"ISSN":["1553-5592","1553-5606"],"issn-type":[{"value":"1553-5592","type":"print"},{"value":"1553-5606","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,10,12]]}}}