Introduction: Malnutrition in hospitalized patients is frequent and linked to increased morbidity, longer hospital stays and disadvantageous outcomes. Detecting malnourished patients and offering nutritional support leads to a clinical benefit and cost savings. To optimize screening and support, current data about prevalence in medical disciplines is crucial.

Objectives: Our study aimed to estimate the risk of malnutrition at the different specialties of the University Hospital of Leipzig (UKL) in the years 2020-2023.

Methods: The initial test of nutritional risk score 2002 (NRS) was routinely performed in all patients admitted to the UKL in the years 2020-2023. If body mass index was <20.5 kg/m² or the patients had unintentional weight loss in the last 3 months or reduced food intake in the last week, the initial screening was positive.

Results: Mean number of patients admitted was 44,599 per year. The prevalence of a positive initial NRS screening varied across medical disciplines. Radiotherapy showed the highest prevalence in all four years, with an average of 40.5% (41.6% female [f]) followed by intensive care (31.8% [49.2% f]) and internal medicine, which includes oncologic patients (16.3% [47.1% f]). Gynecology had the lowest prevalence (5.2% [99.2% f]). The mean ± standard deviation age of patients with positive initial screenings was in radiotherapy 65.4 ± 12.4 years, in intensive care 64.5 ± 19.5 years, in internal medicine 60.5 ± 17.7 years, and in gynecology 40.6 ± 17.0 years.

Conclusion: These findings highlight a considerable burden of malnutrition in hospitalized patients at the UKL and offer current data" /> Introduction: Malnutrition in hospitalized patients is frequent and linked to increased morbidity, longer hospital stays and disadvantageous outcomes. Detecting malnourished patients and offering nutritional support leads to a clinical benefit and cost savings. To optimize screening and support, current data about prevalence in medical disciplines is crucial.

Objectives: Our study aimed to estimate the risk of malnutrition at the different specialties of the University Hospital of Leipzig (UKL) in the years 2020-2023.

Methods: The initial test of nutritional risk score 2002 (NRS) was routinely performed in all patients admitted to the UKL in the years 2020-2023. If body mass index was <20.5 kg/m² or the patients had unintentional weight loss in the last 3 months or reduced food intake in the last week, the initial screening was positive.

Results: Mean number of patients admitted was 44,599 per year. The prevalence of a positive initial NRS screening varied across medical disciplines. Radiotherapy showed the highest prevalence in all four years, with an average of 40.5% (41.6% female [f]) followed by intensive care (31.8% [49.2% f]) and internal medicine, which includes oncologic patients (16.3% [47.1% f]). Gynecology had the lowest prevalence (5.2% [99.2% f]). The mean ± standard deviation age of patients with positive initial screenings was in radiotherapy 65.4 ± 12.4 years, in intensive care 64.5 ± 19.5 years, in internal medicine 60.5 ± 17.7 years, and in gynecology 40.6 ± 17.0 years.

Conclusion: These findings highlight a considerable burden of malnutrition in hospitalized patients at the UKL and offer current data" />

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