The Trend of Nutritional Adequacy and Nutritional Routs among Imam Reza Teaching Hospital: Result from NutritionDay 2019-2021

Adequate nutrition is essential for the well-being of hospitalized patients. Assessing nutritional adequacy plays a crucial role in patient-centered care. The nutritionday (nDay) project, supported by ESPEN, conducts a global audit to evaluate nutritional risks. Imam Reza Teaching Hospital in Mashhad is one of the participating hospitals. This study examines the trend of nutritional adequacy in Imam Reza Teaching Hospital from nDay 2019 to 2021.  This cross-sectional study analyzed data from the nday database of Imam Reza Teaching Hospital in Mashhad, Iran, collected between 2019 and 2021. Written consent was obtained, and the study followed international standards and the nDay questionnaire. Factors such as nutritional routs, energy goals, and energy intake were considered. All statistical analyses were performed using the Statistical Package for Social Sciences version 19.0. The three-year trend of nutritional adequacy was compared, using the Chi-Square test. A total of 414 patients from 14 departments of Imam Reza Hospital were included in the study during 2019-2021. There was no significant trend of energy goal among the wards, during 2019-2021; except in women's burning, orthopedic surgery, and general surgery wards (P<0.001,<0.001,<0.001, respectively). There was a significant variation in energy intake, during 2019-2021 in men’s burning, oncology, cardiac surgery, gynecology surgery, and general surgery wards (P<0.001, <0.001, <0.001, <0.001, <0.001, respectively).  This study showed that burning and oncology patients didn’t receive their energy goal, which can indicate the importance of nutritional care in these patients.