Nutritional Assessment - December 2015


Cochrane Reviews

ALKHAWAJA, S., MARTIN, C., BUTLER, R.J. and GWADRY-SRIDHAR, F., 2015. Post-pyloric versus gastric tube feeding for preventing pneumonia and improving nutritional outcomes in critically ill adults. The Cochrane database of systematic reviews, 8, pp. CD008875
Abstract: BACKGROUND: Nutritional support is an essential component of critical care. Malnutrition has been associated with poor outcomes among patients in intensive care units (ICUs). Evidence suggests that in patients with a functional gut, nutrition should be administered through the enteral route. One of the main concerns regarding use of the enteral route is the reduction in gastric motility that is often responsible for limited caloric intake. This increases the risk of aspiration pneumonia as well. Post-pyloric feeding, in which the feed is delivered directly into the duodenum or the jejunum, could solve these issues and provide additional benefits over routine gastric administration of the feed. OBJECTIVES: To evaluate the effectiveness and safety of post-pyloric feeding versus gastric feeding for critically ill adults who require enteral tube feeding. Full Text

VISVANATHAN, A., DENNIS, M. and WHITELEY, W., 2015. Parenteral fluid regimens for improving functional outcome in people with acute stroke. The Cochrane database of systematic reviews, 9, pp. CD011138
Abstract: BACKGROUND: Parenteral fluids are commonly used in people with acute stroke with poor oral fluid intake. However, the balance between benefit and harm for different fluid regimens is unclear. OBJECTIVES: To assess whether different parenteral fluid regimens lead to differences in death, or death or dependence, after stroke based on fluid type, fluid volume, duration of fluid administration, and mode of delivery. Full Text

Dietician Role

BAPEN Nutritional Care Tool . Available: [17/11/2015].

BECK, A., ANDERSEN, U.T., LEEDO, E., JENSEN, L.L., MARTINS, K., QUVANG, M., RASK, K., VEDELSPANG, A. and RONHOLT, F., 2015. Does adding a dietician to the liaison team after discharge of geriatric patients improve nutritional outcome: a randomised controlled trial. Clinical rehabilitation, 29(11), pp. 1117-1128

GANZER, H., ROTHPLETZ-PUGLIA, P., BYHAM-GRAY, L., MURPHY, B.A. and TOUGER-DECKER, R., 2015. The eating experience in long-term survivors of head and neck cancer: a mixed-methods study. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 23(11), pp. 3257-3268 Full Text

NHS England - Allied Health Professionals can help build a healthier NHS . Available: [17/11/2015].

PERSENIUS, M., HALL-LORD, M.L., WILDE-LARSSON, B. and CARLSSON, E., 2015. Clinical nursing leaders' perceptions of nutrition quality indicators in Swedish stroke wards: a national survey. Journal of nursing management, 23(6), pp. 705-715 Full Text


HEGLAND, K.W., TROCHE, M.S., BRANDIMORE, A., OKUN, M.S. and DAVENPORT, P.W., 2015. Comparison of Two Methods for Inducing Reflex Cough in Patients With Parkinson's Disease, With and Without Dysphagia. Dysphagia,Full Text

LANGMORE, S.E., MCCULLOCH, T.M., KRISCIUNAS, G.P., LAZARUS, C.L., VAN DAELE, D.J., PAULOSKI, B.R., RYBIN, D. and DOROS, G., 2015. Efficacy of electrical stimulation and exercise for dysphagia in patients with head and neck cancer: A randomized clinical trial. Head & neck

LIPS, M., SPEYER, R., ZUMACH, A., KROSS, K.W. and KREMER, B., 2015. Supracricoid laryngectomy and dysphagia: A systematic literature review. The Laryngoscope, 125(9), pp. 2143-2156

MERCADANTE, S., AIELLI, F., ADILE, C., FERRERA, P., VALLE, A., FUSCO, F., CARUSELLI, A., CARTONI, C., MASSIMO, P., MASEDU, F., VALENTI, M. and PORZIO, G., 2015. Prevalence of oral mucositis, dry mouth, and dysphagia in advanced cancer patients. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer, 23(11), pp. 3249-3255 Full Text

MOLEIRO, J., FAIAS, S., FIDALGO, C., SERRANO, M. and PEREIRA, A.D., 2015. Usefulness of Prophylactic Percutaneous Gastrostomy Placement in Patients with Head and Neck Cancer Treated with Chemoradiotherapy. Dysphagia, Full Text

NESHATIAN, L. and KATZKA, D.A., 2015. A Hidden Cause of Dysphagia. Primary Esophageal Lymphoma. Gastroenterology, 149(3), pp. 549-550. Full Text

OCCOMORE, L.C. and KNIGHT, Z., 2015. A weekly speech and language therapy service for head and neck radiotherapy patients during treatment: maximizing accessibility and efficiency. The Journal of community and supportive oncology, 13(7), pp. 248-255

O'HARA, J., GOFF, D., COCKS, H., MOOR, J., HARTLEY, C., MUIRHEAD, C. and PATTERSON, J., 2015. One-year swallowing outcomes following Transoral Laser Microsurgery +/- Adjuvant Therapy versus Primary Chemoradiotherapy for Advanced Stage Oropharyngeal Squamous Cell Carcinoma. Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery,

PATEL, D.A. and VAEZI, M.F., 2015. A Spiraling Case of Persistent Dysphagia. Diffuse Esophageal Spasm. Gastroenterology, 149(2), pp. 298-299.     Full Text

PIERCE, J.L., TANNER, K., MERRILL, R.M., MILLER, K.L., KENDALL, K.A. and ROY, N., 2015. Swallowing Disorders in Sjogren's Syndrome: Prevalence, Risk Factors, and Effects on Quality of Life. Dysphagia Full Text

SECCIA, T.M., ROSSITTO, G., CALO, L.A. and ROSSI, G.P., 2015. Oral Burning With Dysphagia and Weight Loss. Medicine, 94(31), pp. e1163      Full Text

SEO, H.G., OH, B.M. and HAN, T.R., 2015. Swallowing Kinematics and Factors Associated with Laryngeal Penetration and Aspiration in Stroke Survivors with Dysphagia. Dysphagia, Full Text

SOGAWA, Y., KIMURA, S., HARIGAI, T., SAKURAI, N., TOYOSATO, A., NISHIKAWA, T., INOUE, M., MURASAWA, A. and ENDO, N., 2015. New Swallowing Evaluation Using Piezoelectricity in Normal Individuals. Dysphagia Full Text

STARMER, H., NOURELDINE, S.I., OZGURSOY, O.B. and TUFANO, R.P., 2015. Voice outcomes following reoperative central neck dissection for recurrent/persistent thyroid cancer. The Laryngoscope, 125(11), pp. 2621-2625 Full Text

SUTTRUP, I. and WARNECKE, T., 2015. Dysphagia in Parkinson's Disease. Dysphagia, 


Fluid Management


CRARY, M.A., CARNABY, G.D., SHABBIR, Y., MILLER, L. and SILLIMAN, S., 2015. Clinical Variables Associated with Hydration Status in Acute Ischemic Stroke Patients with Dysphagia. Dysphagia, Full Text

MOUSSA, M.D., SCOLLETTA, S., FAGNOUL, D., PASQUIER, P., BRASSEUR, A., TACCONE, F.S., VINCENT, J.L. and DE BACKER, D., 2015. Effects of fluid administration on renal perfusion in critically ill patients. Critical Care (London, England), 19, pp. 250 Full Text

PARKE, R.L., MCGUINNESS, S.P., GILDER, E., MCCARTHY, L.W. and COWDREY, K.A., 2015. A randomised feasibility study to assess a novel strategy to rationalise fluid in patients after cardiac surgery. British journal of anaesthesia, 115(1), pp. 45-52

ISHIKI, H., IWASE, S., GYODA, Y., KANAI, Y., ARIYOSHI, K., MIYAJI, T., TAHARA, Y., KAWAGUCHI, T., CHINZEI, M. and YAMAGUCHI, T., 2015. Oral nutritional support can shorten the duration of parenteral hydration in end-of-life cancer patients: a randomized controlled trial. Nutrition and cancer, 67(1), pp. 105-111

MARIK, P.E., 2015. Fluid therapy in 2015 and beyond: the mini-fluid challenge and mini-fluid bolus approach. British journal of anaesthesia, 115(3), pp. 347-349.

MORITZ, M.L. and AYUS, J.C., 2015. Maintenance Intravenous Fluids in Acutely Ill Patients. The New England journal of medicine, 373(14), pp. 1350-1360.

WALKER, L.J. and YOUNG, P.J., 2015. Fluid administration, vasopressor use and patient outcomes in a group of high-risk cardiac surgical patients receiving postoperative goal-directed haemodynamic therapy: a pilot study. Anaesthesia and Intensive Care, 43(5), pp. 617-627 Full Text


BADIA-TAHULL, M.B., LLOP-TALAVERON, J. and LEIVA-BADOSA, E., 2015. Impact of intravenous lipid emulsions on liver function tests: Contribution of parenteral fish oil. Nutrition (Burbank, Los Angeles County, Calif.), 31(9), pp. 1109-1116 Full Text

DAIGLE, C.R., BOULES, M., CORCELLES, R., MCMICHAEL, J., KROH, M., EL-HAYEK, K. and BRETHAUER, S.A., 2015. Percutaneous Endoscopic Gastrostomy for Decompression of Nonmalignant Gastrointestinal Disease. Journal of laparoendoscopic & advanced surgical techniques.Part A, 25(10), pp. 804-807

DAVIDSON, P., KWIATKOWSKI, C.A. and WIEN, M., 2015. Management of Hyperglycemia and Enteral Nutrition in the Hospitalized Patient. Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 30(5), pp. 652-659 Full Text

IPPOLITO, P., LARSON, E.L., FURUYA, E.Y., LIU, J. and SERES, D.S., 2015. Utility of Electronic Medical Records to Assess the Relationship Between Parenteral Nutrition and Central Line-Associated Bloodstream Infections in Adult Hospitalized Patients. JPEN.Journal of parenteral and enteral nutrition, 39(8), pp. 929-934 Full Text

JIA, Z.Y., YANG, J., XIA, Y., TONG, D.N., ZALOGA, G.P., QIN, H.L. and OLICLINOMEL N4 STUDY GROUP, 2015. Safety and efficacy of an olive oil-based triple-chamber bag for parenteral nutrition: a prospective, randomized, multi-center clinical trial in ChinaNutrition journal, 14(1), pp. 119

KOZENIECKI, M. and FRITZSHALL, R., 2015. Enteral Nutrition for Adults in the Hospital Setting. Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 30(5), pp. 634-651

RIDLEY, E.J., DAVIES, A.R., ROBINS, E.J., LUKAS, G., BAILEY, M.J. and FRASER, J.F., 2015. Nutrition therapy in adult patients receiving extracorporeal membrane oxygenation: a prospective, multicentre, observational study. Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine, 17(3), pp. 183-189

SARAN, D., BRODY, R.A., STANKORB, S.M., PARROTT, S.J. and HEYLAND, D.K., 2015. Gastric vs Small Bowel Feeding in Critically Ill Neurologically Injured Patients: Results of a Multicenter Observational Study. JPEN.Journal of parenteral and enteral nutrition, 39(8), pp. 910-916

SOLEIMANI, A., TAGHIZADEH, M., BAHMANI, F., BADROJ, N. and ASEMI, Z., 2015. Metabolic response to omega-3 fatty acid supplementation in patients with diabetic nephropathy: A randomized, double-blind, placebo-controlled trial. Clinical nutrition (Edinburgh, Scotland), 

SONG, G.M., TIAN, X., LIANG, H., YI, L.J., ZHOU, J.G., ZENG, Z., SHUAI, T., OU, Y.X., ZHANG, L. and WANG, Y., 2015. Role of Enteral Immunonutrition in Patients Undergoing Surgery for Gastric Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Medicine, 94(31), pp. e1311 Full Text

Nursing Role

FORD, S., 2015. Nurses defend use of sponges to combat end of life dehydration. Nursing times, 111(32-33), pp. 5.

HOLLAND, M., 2015. Enhancing patient safety in enteral feeding. Nursing times, 111(38), pp. 22-23

HOOPER, L. and BUNN, D., 2015. Detecting dehydration in older people: useful tests. Nursing times, 111(32-33), pp. 12-16

RELPH, W., 2015. Measuring the quality of nutritional care. Nursing management (Harrow, London, England : 1994), 22(5), pp. 20

Nutritional Status

BROWN, T., BANKS, M., HUGHES, B.G., LIN, C., KENNY, L.M. and BAUER, J.D., 2015. New radiotherapy techniques do not reduce the need for nutrition intervention in patients with head and neck cancer. European journal of clinical nutrition, 69(10), pp. 1119-1124

CODULLO, V., CEREDA, E., CREPALDI, G., CAPPELLO, S., MONTECUCCO, C., CACCIALANZA, R. and CAPORALI, R., 2015. Disease-related malnutrition in systemic sclerosis: evidences and implications. Clinical and experimental rheumatology, 33(4 Suppl 91), pp. S190-4

GIOVANNELLI, J., COEVOET, V., VASSEUR, C., GHEYSENS, A., BASSE, B. and HOUYENGAH, F., 2015. How can screening for malnutrition among hospitalized patients be improved? An automatic e-mail alert system when admitting previously malnourished patients. Clinical nutrition (Edinburgh, Scotland), 34(5), pp. 868-873

LEE, J.H., HUTZLER, L.H., SHULMAN, B.S., KARIA, R.J. and EGOL, K.A., 2015. Does Risk for Malnutrition in Patients Presenting With Fractures Predict Lower Quality Measures? Journal of orthopaedic trauma, 29(8), pp. 373-378 Full Text

MONTALCINI, T., MORACA, M., FERRO, Y., ROMEO, S., SERRA, S., RASO, M.G., ROSSI, F., SANNITA, W.G., DOLCE, G. and PUJIA, A., 2015. Nutritional parameters predicting pressure ulcers and short-term mortality in patients with minimal conscious state as a result of traumatic and non-traumatic acquired brain injury. Journal of translational medicine, 13, pp. 305 Full Text

THIJSSEN, S., WONG, M.M., USVYAT, L.A., XIAO, Q., KOTANKO, P. and MADDUX, F.W., 2015. Nutritional Competence and Resilience among Hemodialysis Patients in the Setting of Dialysis Initiation and Hospitalization. Clinical journal of the American Society of Nephrology : CJASN, 10(9), pp. 1593-1601

WEI, X., DAY, A.G., OUELLETTE-KUNTZ, H. and HEYLAND, D.K., 2015. The Association Between Nutritional Adequacy and Long-Term Outcomes in Critically Ill Patients Requiring Prolonged Mechanical Ventilation: A Multicenter Cohort Study. Critical Care Medicine, 43(8), pp. 1569-1579 Full Text


NHS England.  Guidance – Commissioning Excellent Nutrition and Hydration 2015 – 2018. October 2015. Full Text

JARDEN, R.J. and SUTTON, L.J., 2015. A practice change initiative to improve the provision of enteral nutrition to intensive care patients. Nursing in critical care, 20(5), pp. 242-255

RELPH, W.L., 2015. Measuring the quality of nutritional care. Nursing management (Harrow, London, England : 1994), 22(5), pp. 20-23 Full Text

The following sources have been searched for evidence published in the previous four months

  • Age and Ageing
  • BMJ
  • British Journal of Community Nursing
  • British Journal of Nursing
  • Clinical Nutrition
  • Critical Care Medicine
  • Current Opinion in Clinical Nutrition and Metabolic Care
  • Dysphagia
  • European Journal of Clinical Nutrition
  • Gastrointestinal Nursing
  • GUT
  • International Journal of Palliative Nursing
  • Intensive Care Medicine
  • Intensive and Critical Care Nursing
  • JAMA, Journal of the American Medical Association
  • Journal of Advanced Nursing
  • JPEN, Journal of Parenteral and Enteral Nutrition
  • Journal of the Academy of Nutrition and Dietetics
  • Journal of the American Geriatric Society
  • Journal of Wound care
  • Lancet
  • NEJM, New England Journal of Medicine
  • NICE Published Clinical Guidelines
  • NICE Published Technology Appraisals
  • Nursing and Residential Care
  • Nursing Standard
  • Nursing Times
  • Nutrition
  • Nutrition in Clinical Practice
  • Proceedings of the Nutrition Society
  • Scottish Intercollegiate Guidelines Network (SIGN)