{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:40:48Z","timestamp":1771461648960,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[1989,5,1]],"date-time":"1989-05-01T00:00:00Z","timestamp":609984000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[1989,5]]},"abstract":"<jats:p>To assess the adequacy of the nutritional care provided, a prospective noninterventional study was carried out on 250 randomly selected patients aged 65 and over who were admitted to a Veterans Administration Hospital. Of this group, 97 patients (39%) were found to be at high risk of having clinically significant protein\u2010energy malnutrition. In 43 cases (17%), an assessment of the patient's nutritional status was not possible because the available data were inadequate. No patient had a diagnosis of malnutrition recorded on the problem list. Only 13 percent of the high\u2010risk patients received some form of nutrition support therapy; 10 (10%) received oral supplements, and four (4%) were started on enteral feedings. Patients who received enteral feedings experienced a high rate of complications resulting from use of the feeding tubes. Over all, none of the high risk study patients received optimal nutrition support therapy. These findings indicate that elderly patients hospitalized in the Veterans Administration hospital in this study are usually not screened appropriately for protein\u2010energy malnutrition, the diagnosis is frequently missed or ignored, and nutrition support therapy is underutilized and often ineffectually managed. (<jats:italic>Journal of Parenteral and Enteral Nutrition<\/jats:italic> <jats:bold>13<\/jats:bold>:249\u2013254, 1989)<\/jats:p>","DOI":"10.1177\/0148607189013003249","type":"journal-article","created":{"date-parts":[[2008,5,14]],"date-time":"2008-05-14T19:51:26Z","timestamp":1210794686000},"page":"249-254","source":"Crossref","is-referenced-by-count":55,"title":["Patterns of Care: An Analysis of the Quality of Nutritional Care Routinely Provided to Elderly Hospitalized Veterans"],"prefix":"10.1002","volume":"13","author":[{"given":"Dennis H.","family":"Sullivan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Sha Moriarty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronni","family":"Chernoff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A.","family":"Lipschitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1989,5]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"200","article-title":"Parenteral nutrition and nutritional assessment","volume":"2","author":"Willcutts H.","year":"1978","journal-title":"JPEN"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1974.03240060028025"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1976.03260410023017"},{"key":"e_1_2_1_5_1","doi-asserted-by":"crossref","first-page":"1720","DOI":"10.1001\/jama.1980.03300430022015","article-title":"Protein\u2010calorie malnutrition in a community hospital","volume":"243","author":"Willard MD","year":"1980","journal-title":"JAMA"},{"key":"e_1_2_1_6_1","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1093\/ajcn\/32.2.418","article-title":"Hospital malnutrition : A prospective evaluation of general medical patients during the course of hospitalization","volume":"32","author":"Weinsier RL","year":"1979","journal-title":"Am J Clin Nutr"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607185009002170"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)60437-6"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607181005006488"},{"key":"e_1_2_1_10_1","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1093\/ajcn\/35.2.398","article-title":"Detection of protein\u2010calorie malnutrition in the elderly","volume":"35","author":"Mitchell CO","year":"1982","journal-title":"Am J Clin Nutr"},{"key":"e_1_2_1_11_1","volume-title":"Nutritional Assessment of the Elderly Through Anthropometry","author":"Chumlea WC","year":"1983"},{"issue":"79","key":"e_1_2_1_12_1","article-title":"Weight and Height of Adults 18\u201374 Years of Age, United States. 1971\u20131974","volume":"11","author":"Abraham S.","year":"1979","journal-title":"Vital and Health Statistics"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/014860717700100101"},{"key":"e_1_2_1_14_1","first-page":"432","article-title":"Nutritional care of hospitalized patients","volume":"27","author":"Prevost EA","year":"1974","journal-title":"Am J Clin Nutr"},{"key":"e_1_2_1_15_1","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/S0002-8223(21)03911-0","article-title":"Hospital malnutrition: A 33\u2010hospital screening study","volume":"86","author":"Kamath SK","year":"1986","journal-title":"J Am Diet Assoc"},{"key":"e_1_2_1_16_1","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/S0002-8223(21)40971-5","article-title":"Nutritional problems of hospitalized patients","volume":"71","author":"Tobias AL","year":"1977","journal-title":"J Am Diet Assoc"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198019250-00004"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1981.01380200057012"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/014860718100500146"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/014860718701100152"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607185009005618"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/014860718100500180"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/014860718701100219"},{"key":"e_1_2_1_24_1","first-page":"233A","article-title":"Mechanical complications of enteral nutrition: Prospective study of 109 consecutive patients (abstr)","volume":"32","author":"Jeffers SL","year":"1984","journal-title":"Clin Res"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/0261-5614(83)90038-9"},{"key":"e_1_2_1_26_1","first-page":"9","article-title":"Performance and acceptability of Entriflex feeding tubes with hydromer lubricated lumen and mercury weight and with placement stylet","volume":"7","author":"Vasquez RM","year":"1981","journal-title":"Nutr Support Serv"},{"key":"e_1_2_1_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607184008005506"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0148607189013003249","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T18:56:51Z","timestamp":1760641011000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607189013003249"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,5]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1989,5]]}},"alternative-id":["10.1177\/0148607189013003249"],"URL":"https:\/\/doi.org\/10.1177\/0148607189013003249","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"value":"0148-6071","type":"print"},{"value":"1941-2444","type":"electronic"}],"subject":[],"published":{"date-parts":[[1989,5]]}}}