Nutritional Assessment of the Hospitalized Patient

  • Paul M. Starker
Part of the Advances in Nutritional Research book series (ANUR, volume 8)


Nutritional assessment is a technique by which malnutrition can be identified. The importance of identifying malnourished patients has greatly increased in the recent past because of our increased ability to alter the nutritional state. Significant malnutrition remains a term which is difficult to define because it implies that nutritional intervention is mandated to improve clinical outcome.


Body Composition Nutritional Intervention Total Body Water Nutritional Assessment Prognostic Nutritional Index 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Abel, R. M., Fischer, J. E., Buckley, M. S., Barnett, G. O., and Austen, G., 1976, Malnutrition in cardiac surgical patients: Results of prospective randomized evaluation of early postoperative parenteral nutrition, Arch. Surg. 111: 45.Google Scholar
  2. Awai, M., and Brown, E. B., 1963, Studies of the metabolism of I-131 labelled human transferrin, J. Lab. Clin. Med. 61: 363.Google Scholar
  3. Bistrian, B. R., Blackburn. G. L., Hallowell, E., and Heddle, R., 1974, Protein status of general surgical patients, JAMA 230: 858.CrossRefGoogle Scholar
  4. Bistrian, B. R., Blackburn, G. L., Vitale, J., Cochran, D., and Naylor, J., 1976, Prevalence of malnutrition in general medical patients, JAMA 235: 1567.CrossRefGoogle Scholar
  5. Blackburn, G. L., Bistrian, B. R., Maini, B. S., Schlamm, H. T., and Smith, M. F., 1977, Nutritional and metabolic assessment of the hospitalized patient, J. Parent. Ent. Nutr. 1: 11.CrossRefGoogle Scholar
  6. Bradfield, R. B., Schutz, Y., and Lechtig, A., 1974, Skinfold changes with weight loss, Am. J. Clin. Nutr. 32: 175.Google Scholar
  7. Bray, G. A., Greenway, F. L., Molitch, M. E., Dabms, W. T., Atkinson, R. L., and Hamilton, K., 1978, Use of anthropometric measurements to assess weight loss, Am. J. Clin. Nutr. 31: 769.Google Scholar
  8. Buzby, G. P., Mullern, J. L., Matthews, D. C., Hobbs, C. L., and Rosato, E. F., 1980, Prognostic nutritional index in gastrointestinal surgery, Am. J. Surg. 139: 160.CrossRefGoogle Scholar
  9. Chandra, R. K., 1974, Rosette-forming T-lymphocytes and cell-mediated immunity in malnutrition, Br. Med. J. 3: 608.CrossRefGoogle Scholar
  10. Collins, J. P., McCarthy, L D., and Hill, G. L., 1979, Assessment of protein nutrition in surgical patients—the value of anthropometrics, Am. J. Nutr. 32: 1527.Google Scholar
  11. Dewys, D. M., 1980, Nutritional care of the cancer patient, JAMA 224: 374.CrossRefGoogle Scholar
  12. Elwyn, D. H., Bryan-Brown, C. W., and Shoemaker, W. C., 1975, Nutritional aspects of body water dislocations in postoperative and depleted patients, Ann. Surg. 182: 76.CrossRefGoogle Scholar
  13. Forse, R. A., Christou, N. U., Meakins, J. L., MacLean, L. D., and Shizgal, H. M., 1981, The reliability of skin testing as a measure of the nutritional state, Arch. Surg. 116: 1284.Google Scholar
  14. Goodwin, J. F., Murphy, B., and Guillemette, M., 1966, Direct measurement of serum iron and binding capacity, Clin. Chem. 12: 247.Google Scholar
  15. Grant, J. P., 1986, Nutritional assessment in clinical practice, Nutr. Clin. Practice, 1: 3.Google Scholar
  16. Grant, J. P., Custer, P. B., and Thurlow, J., 1981, Current techniques of nutritional assessment, Surg. Clin. N. Amer. 61: 437.Google Scholar
  17. Haffejee, A. A., and Angorn, I. B., 1979, Nutritional status and the nonspecific cellular and humoral immune response in esophageal carcinoma, Ann. Surg. 189: 475.Google Scholar
  18. Hickman, D. M., Miller, R. A., Rombean, J. L., Twomey, P. L., and Frey, C. F., 1980, Serum albumin and body weight as predictors of postoperative course in colorectal cancer, J. Parent. Ent. Nutr. 4: 314.CrossRefGoogle Scholar
  19. Holier, A. R., and Fischer, J. E., 1977, The effects of perioperative hyperalimentation on complications in patients with carcinoma and weight loss, J. Surg. Res. 23: 31.CrossRefGoogle Scholar
  20. Hull, J. C., O’Quigley, J., Giles, G. R., Appleton, N., and Stocks, H., 1980, Upper limb anthropometry: The value of measurement variance studies, Am. J. Clin. Nutr. 33: 1846.Google Scholar
  21. Kassiadou, A., Domingos, J. C., Vianna, R., and Cline, G., 1978, Malnutrition in general medical and surgical patients, J. Parent. Ent. Nutr. 2:199 (Abst.).Google Scholar
  22. Klidjian, A. M., Foster, K. J., Kammerling, R. M., Looper, A., and Kanan, S. J., 1980, Relationship of anthropometric and dynamometric variables to serious postoperative complications, Br. J. Med. 281: 899.CrossRefGoogle Scholar
  23. Klidjian, A. M., Archer, T. J., Foster, K. J., and Kanan, S. J., 1982, Detection of dangerous malnutrition, J. Parent. Ent. Nutr. 6: 119CrossRefGoogle Scholar
  24. Law, D. K., Dudrick, S. J., and Abdou, N. I., 1973, Immunocompetence of patients with protein-calorie malnutrition, Annals Int. Med. 79: 545.Google Scholar
  25. Lopes, J. M., Russell, D. M., Whitwell, J., and Jeejeebhoy, K. N., 1982, Skeletal muscle function in malnutrition, Am. J. Clin. Nutr. 36: 602.Google Scholar
  26. Mancini, G., Carbonara, A. O., amd Heremans, J. F., 1965, Immunological quantifi-cation of antigens by single radial immunodiffusion, Int. J. Immunochem. 2: 235.Google Scholar
  27. McLaren, D. S., and Meguio, M. M., 1983, Nutritional assessment at the crossroads, J. Parent. Ent. Nutr. 7: 575.CrossRefGoogle Scholar
  28. Miller, C. L., 1978, Immunological assays as measurements of nutritional status: A review, J. Parent. Ent. Nutr. 2: 554.CrossRefGoogle Scholar
  29. Muller, J. L, Buzby, G. P., Matthews, D. C., Smale, B. F., and Rosato, E. F. 1980, Reduction in operative morbidity and mortality by combined preoperative and postoperative nutritional support, Ann. Surg. 192: 604.Google Scholar
  30. Oppenheimer, J. H., Surks, M. L, Bernstein, G., and Smith, J. C., 1965, Metabolism of I-131 labelled thyroxine-binding prealbnmin in man, Science 149: 748.CrossRefGoogle Scholar
  31. Peterson, P. A., 1971, Demonstration in serum of two physiological forms of human retinol-binding protein, Eur. J. Clin. Invest. 1: 437.CrossRefGoogle Scholar
  32. Reinhart, G. F., Myscofski, J. W., and Wilkens, D. B., 1980, Incidence and mortality of hypoalbuminemic patients in hospitalized veterans, J. Parent. Ent. Nutr. 4: 357.CrossRefGoogle Scholar
  33. Rhoads, J. E., and Alexander, C. E., 1955, Nutritional problems of surgical patients, Ann. N. Y. Acad. Sci. 63: 268.CrossRefGoogle Scholar
  34. Seltzer, M. H., Bastidas, J. A., Cooper, D. M., Engler, P., Slocum, B., and Fletcher, H. S., 1974, Instant nutritional assessment, J. Parent. Ent. Nutr. 3: 157.CrossRefGoogle Scholar
  35. Seltzer, M. H., Slocum, B. A., Cutalde-Beteher, E. L., Fileti, C., and Gerson, N., 1982, Instant nutritional assessment: Absolute weight loss and surgical mortality, J. Parent. Ent. Nutr. 6: 218.CrossRefGoogle Scholar
  36. Shizgal, H. M., Spanier, A. H., and Kurtz, R. S., 1976, Effect of parenteral nutrition on body composition in the critically ill patient, Am. J. Surg. 131: 156.CrossRefGoogle Scholar
  37. Smythe, P. M., Schonland, M., Brereton-Stiles, G. G., Mafoyane, A., Grace, H. J., Coovadia, H. M., Loening, W. E. K., Parent, M. A., and Vos, G. H., 1971, Thymolymphatic deficiency and depression of cell mediated immunity in protein.. calorie malnutrition, Lancet 2: 939.CrossRefGoogle Scholar
  38. Spanier, A. H., and Shizgal, H. M., 1977, Caloric requirements of the critically ill patient receiving intravenous hyperalimentation, Am. J. Surg. 133: 99.CrossRefGoogle Scholar
  39. Spanier, A. H., Menkins, J. L., MacLean, L. D., and Shizgal, H. M., 1976, The relationship between immune competence and nutrition, Surg. Forum 27: 332.Google Scholar
  40. Starker, P. M., Gump, F. E., Askanazi, J., Elwyn, D. H., and Kinney, J. M., 1982, Serum albumin as an index of nutritional support, Surgery 91: 194.Google Scholar
  41. Starker, P. M., LaSala, P. A., Askanazi, J., Gump, F. E., Forse, R. A., and Kinney, J. M., 1983, The response to TPN, Ann. Surg. 198: 720.CrossRefGoogle Scholar
  42. Starker, P. M., LaSala, P. A., Askanazi, J., Todd, G., Hensle, T. W., and Kinney, J. M., 1986, The influence of preoperative total parenteral nutrition upon morbidity and mortality, Surg. Gynecol. Obstet. 162: 569.Google Scholar
  43. Studley, H. O., 1936, Percentage of weight loss: A basic indicator of surgical risk in patients with chronic peptic ulcer, JAMA 106: 458.Google Scholar

Copyright information

© Plenum Press, New York 1990

Authors and Affiliations

  • Paul M. Starker
    • 1
  1. 1.Department of SurgeryColumbia-Presbyterian Medical CenterNew YorkUSA

Personalised recommendations