Life Long Learning – Module 8.2
             Life Long Learning – Module 8.2
                                                               CharitéCharité
                   Oral and sip feeding
                   Oral and sip feeding
                         Kristina Norman, MSc
                         Kristina Norman, MSc
                        Dept. of Gastroenterology, 
                        Dept. of Gastroenterology, 
                       Hepatology & Endocrinology
                       Hepatology & Endocrinology
              Charité – Universitätsmedizin Berlin, Germany
              Charité – Universitätsmedizin Berlin, Germany
                               Copyright © 2006 by ESPEN
                 Oral and sip feeding
                 Oral and sip feeding
                                                            Charité
         • Why is oral nutrition 
         • Why is oral nutrition 
            important in hospital 
            important in hospital 
            patients?
            patients?
         • Requirements of oral 
         • Requirements of oral 
            nutrition in hospital 
            nutrition in hospital 
         • Monitoring and 
         • Monitoring and 
            improving oral intake
            improving oral intake
         • Fortification of 
         • Fortification of 
            standard hospital food 
            standard hospital food 
            and oral supplements 
            and oral supplements 
            (sip feeds)
            (sip feeds)
                              Copyright © 2006 by ESPEN
                    Why is oral nutrition important in 
                    Why is oral nutrition important in 
                                         hospital?                                    Charité
                                         hospital?
            •Malnutrition is common in hospitals
            •Malnutrition is common in hospitals
                                                                          Prevalence
                                                                          Prevalence
             Ireland:              Corish           2000       N=569               10.5
             Ireland:              Corish            2000      N=569               10.5
             UK:                   Edington         2004       N=850                 20
             UK:                   Edington          2004      N=850                  20
             Latin America:  Correia                2003       N=9348               50
             Latin America:  Correia                 2003      N=9348               50
             Argentina:            Wyszynski 2003  N=1000               47
             Argentina:            Wyszynski 2003  N=1000               47
             Denmark:              Rasmussen 2006  N= 590                          39.9
             Denmark:              Rasmussen 2006  N= 590                          39.9
             Germany:              Pirlich          2006       N=1886            27.4
             Germany:              Pirlich           2006      N=1886            27.4
                                          Copyright © 2006 by ESPEN
                         Who is at risk for malnutrition?
                         Who is at risk for malnutrition?
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                                       172 / 306
                        GERIATRICS 172 / 306
                                       38 / 100
                         ONCOLOGY 38 / 100
                                       89 / 273
             GASTROENTEROLOGY 89 / 273
                                       81 / 305
                    OTHER MEDICAL 81 / 305
                                       44 / 201
                       CARDIOLOGY 44 / 201
                                       15 / 102
                           UROLOGY 15 / 102
                                       70 / 512
                           SURGERY 70 / 512
                                       7 / 87
                      GYNECOLOGY 7 / 87
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                                       Prevalence of malnutrition (SGA B+C) [%] 
              Pirlich M et al, German Hospital Malnutrition Study, Clin Nutr 2006; 25: 563-572
                                               Copyright © 2006 by ESPEN