{"id":12140,"date":"2025-03-12T10:37:06","date_gmt":"2025-03-12T09:37:06","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=12140"},"modified":"2026-05-06T16:27:20","modified_gmt":"2026-05-06T14:27:20","slug":"opsporing-behandling-og-opfoelgning-af-risiko-for-underernaering-og-dehydrering-hos-saarbare-aeldre-patienter-i-akutmodtagelsen","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/03\/12\/opsporing-behandling-og-opfoelgning-af-risiko-for-underernaering-og-dehydrering-hos-saarbare-aeldre-patienter-i-akutmodtagelsen\/","title":{"rendered":"Opsporing, behandling og opf\u00f8lgning af risiko for underern\u00e6ring og dehydrering hos s\u00e5rbare \u00e6ldre patienter i akutmodtagelsen"},"content":{"rendered":"
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Anne Marie Beck, klinisk di\u00e6tist, bromatolog, master i gerontologi, ph.d. seniorforsker, Martine Kj\u00e6rsgaard Nielsen klinisk di\u00e6tist, cand.scient. klinisk ern\u00e6ring, ph.d.-studerende, Emma Dalb\u00e6k Mejlvang Pedersen, klinisk di\u00e6tist, Anne Wilkens Knudsen, klinisk di\u00e6tist, sygeplejerske, cand. scient. i klinisk ern\u00e6ring, ph.d., forskningsmedarbejder, Tina Munk, klinisk di\u00e6tist, cand. scient. i klinisk ern\u00e6ring, ph.d., di\u00e6tist- og forskningschef. <\/span>Enheden af Di\u00e6tister og Ern\u00e6ringsforskning, EATEN, Herlev og Gentofte Hospital<\/span><\/p>\n

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Resum\u00e9
\n<\/span><\/strong>Baggrund
\n<\/span><\/strong>Dehydrering og underern\u00e6ring er hyppige \u00e5rsager til akut indl\u00e6ggelse af \u00e6ldre og har alvorlige konsekvenser. P\u00e5 nuv\u00e6rende tidspunkt opspores der ikke systematisk for dehydrering og risiko for underern\u00e6ring i akutmodtagelsen. Derfor blev der udviklet et nyt forl\u00f8b for opsporing, behandling og opf\u00f8lgning af risiko for underern\u00e6ring og dehydrering hos s\u00e5rbare \u00e6ldre patienter i akutmodtagelsen (AMA).
\n<\/span>Design
\n<\/span><\/strong>Feasibility studie med deltagelse af \u00e6ldre > 65 \u00e5r, i risiko for underern\u00e6ring og\/eller dehydreret, inkluderet fra AMA samt fire kommuner.
\n<\/span>Metode
\n<\/span><\/strong>Der blev indsamlet kvantitative og kvalitative data ved baseline samt ved opf\u00f8lgende bes\u00f8g p\u00e5 ca. dag 4 og ca. dag 30 efter interventionen.
\n<\/span>Resultater
\n<\/span><\/strong>60 informanter<\/span> deltog. Blodpr\u00f8ver viste dehydratio hos 47% og risiko for underern\u00e6ring hos 97%. Vanlige screening<\/span> opsporede kun 2 informanter. Opf\u00f8lgning i kommunalt regi var 100%.<\/span> 10% faldt fra undervejs, 19% blev genindlagt og 7% d\u00f8de. Af dem der gennemf\u00f8rte, angav 87%, at v\u00e6re tilfredse med indsatsen i h\u00f8j eller i meget h\u00f8j grad.
\n<\/span>Konklusion
\n<\/span><\/strong>Forekomsten af dehydrering og risiko for underern\u00e6ring var h\u00f8j, men meget f\u00e5 patienter var identificeret i AMA. Projektet var gennemf\u00f8rbart b\u00e5de p\u00e5 sygehuset og i kommunerne og patienterne var tilfredse med deltagelsen.<\/span><\/p>\n

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English abstract<\/strong><\/h4>\n

 <\/p>\n

Screening, treatment, and follow\u2011up of risk of malnutrition and dehydration in frail older patients in the emergency department<\/strong><\/h5>\n

Background<\/strong>
\nDehydration and malnutrition are frequent causes of acute hospitalisation in older people and have serious consequences. At present, there is no systematic screening for dehydration and risk of malnutrition in the emergency department, which led to the development of a new pathway for screening, treatment, and follow\u2011up of risk of malnutrition and dehydration in frail older patients in the emergency department (AMA).
\nDesign<\/strong>
\nFeasibility study including older adults > 65 years at risk of malnutrition and\/or dehydrated, recruited from the emergency department and four municipalities.
\nMethod<\/strong>
\nQuantitative and qualitative data were collected at baseline and at follow\u2011up visits approximately day 4 and day 30 after the intervention.
\nResults<\/strong>
\nSixty participants were included. Blood samples showed dehydration in 47% and risk of malnutrition in 97%, whereas routine screening identified only two participants. Follow\u2011up in the municipal setting was 100%; 10% dropped out during the study, 19% were readmitted, and 7% died. Among those who completed the programme, 87% reported being satisfied with the intervention to a high or very high degree.
\nConclusion<\/strong>
\nThe prevalence of dehydration and risk of malnutrition was high, yet very few patients were identified in the emergency department. The project was feasible in both the hospital and the municipalities, and patients were satisfied with participating.<\/p>\n

Keywords:<\/strong>\u00a0Older patients, dehydration, malnutrition, emergency department, screening, feasibility study, follow\u2011up.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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