医院营养治疗闭环管理循证医学证据表明，严重营养不良会影响外科病人的康复，甚或成为重症、大手术死亡的重要因素恶性肿瘤患者营养不良的发生率高达40%-80%,营养不良直接或间接影响患者的治疗效果和预后CKD包括透析患者死亡率增高和营养不良密切相关1.SanfordDE,etal.Severnutritionalriskpredictsdecreasedlong-termsurvivalingeriatricpatientsundergoingpancreaticoduodenectomyforbenigndiseaseJAmCollSurg,2014,219(6):1149-11562.HoJW,etal.Malnutritionriskpredictssurgicaloutcomesinpatientsundergoinggastrointestinaloperations:Resultsofaprospectivestudy.ClinNutr,2015,34(4):679-6843.FukudaY.etal.PrevalenceofMalutritionAmongGastricCancerPatientsUndergoingGastrectomyandOptimalPreoperativeNutritionalSupportforPreventingSurgicalSiteInfections.AnnSurgOncol,2015,22Suppl3:S778-S7854.KwagSJ,etal.Thenutritionalriskisaindependentfactorforpostpperativemorbidityinsurgeryforcolorectalcancer.AnnSurgTreatRes,2014,86(4):206-2115.黎介寿，肿瘤营养学的兴起及临床应用.肠外与肠内营养，2004(11)1,1-26.徐光齐罗智鹏石华伟薛瑶纯姜海平,常见恶性肿瘤患者的营养状况与临床结局的相关性研究.肿瘤代谢与营养电子杂志2017.02.0097.CharlsonCo‐morbidityIndexandalbuminsignificantlyassociatedwithfractureriskinperitonealdialysispatients[J].MaggieKMMa,DesmondYHYap,TerencePSYip,SingLeungLui,WaiKeiLo.Nephrology.2013(5)8.EtiologyoftheProtein-EnergyWastingSyndromeinChronicKidneyDisease:AConsensusStatementFromtheInternationalSocietyofRenalNutritionandMetabolism(ISRNM)[J].JuanJesúsCarrero,PeterStenvinkel,LilianCuppari,T.AlpIkizler,KamyarKalantar-Zadeh,GeorgeKaysen,WilliamE.Mitch,S.RussPrice,ChristophWanner,AngelaY.M.Wang,PieterterWee,HaroldA.Franch.JournalofRenalNutrition.2013(2)•ICU停留时间•住院天数•医疗费用•并发症风险•死亡结局•临床结局•治疗效果•预后效果•免疫力•生活质量•生存时间营养不良增加危重病患者的死亡风险世界卫生组织已将营养不良纳入诊断范围三甲、JCI评审对医院营养诊疗管理的要求对重点病房进行营养风险筛查提供各类营养不良/营养失衡患者的营养支持方案按照《病历书写基本规范》的要求进行记录，形成营养病历有营养科与临床各科的协作机...
