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Hospitals Must Pay Attention to Fulfill Inpatient’s Nutritional Needs


Nusa Dua – Bali, 2 March 2016 – Malnourished patients have become a common issue as it happens in both in developed and developing countries. However, the fulfillment of patient’s nutritional needs should have become the first priority as it drastically helps their recovery process, which in turn reduces hospital stay, improves patient’s life quality, and lowers treatment cost. Total medical is becoming a fundamental issue on the practice of national health insurance in most of the countries, including Indonesia with BPJS). The importance of nutritional therapy for patients will be covered and discussed in the 17th Fresenius Kabi Advanced Nutrition Course (FRANC) on Raising the Standard of Nutrition Therapy in 2017, held in Indonesia on 3rd – 4th March 2017.

Malnutrition is a condition in which the body lacks proper nutrients, having excess or imbalance amount of energy, protein, or other nutrients, causing measurable adverse effects on tissue/ body form and function, and clinical outcome. Malnutrition leads to decreased energy stores or improper nutritional absorption, often characterized by weight loss and changes in body composition which include loss of body fat, loss of lean mass, and a relative increase in extracellular fluid volume.

Prof. Jonathan Asprer – Professor of Surgery, University of Santo Tomas and Medical Director Fresenius Kabi in his speech, stated, “Malnutrition cases at hospitals has gone up 30-50% , with more than 70% patients were left unidentified as medical personnel have little to no knowledge on how the importance of understanding patient’s nutritional status . This encourages us to hold FRANC Asia to invite the public, government, and medical personnel to understand nutritional therapy for patients.”

DR. dr Ike Sri redjeki, SpAN KIC, KMN, M.Kes, Representative from Indonesian Society of Parenteral and Enteral Nutrition (INASPEN) said, “Malnutrition leads to various consequences such as extended hospital stay, higher morbidity, increase the needs on more intensive therapy with high risk of complication, healing wound problem, and high theraphy cost, compared to patient with better nutrition status with the same disease.”

Malnutrition is caused by a number of factors such as digestion problem that lead to nutrition malabsorption, maldigestion, inadequate food intake (inability to eat by themselves, poor dental condition, social / financial problem) or it may caused by increased energy need due to chronic diseases, consuming diseases (e.g. malignancy), liver disease, hyperthyroidism, and other endocrine disorders.

Other factors tthat increase malnutrition is elderly, 65 years old and older, patients with long-term illness such as diabetes, kidney disorder, and chronic lung disease, chronic progressive disease such as cancer, and drug users.

DR. dr Ike Sri redjeki, SpAN KIC, KMN, M.Kes furthermore explained, “If malnutrion is treated correctly so patient will have a better nutrition status, then he will see health improvements such as less complications with less infections, improved wound healing. It also increased patient mobilization and reduced length of hospital stay. Number of re-hospitalizations is also reduce with increase quality of life and better survival.

Prof. dr. H. Abdul Kadir, PhD., SpTHT-KL(K), MARS, Chairman of Indonesia’s Vertical Hosiptal Association said, “Understanding the malnutrition situation in hospitals especially for inpatient, therefore it is very important to understand a patient’s nutritional needs by measuring and supervising their nutritional condition, food intake, nutritional status. We attempt to assure medical personnel in government’s vertical hospital that nutritional therapy is as important as any other medical treatments. We suggest hospitals to improve their medical personnel’s capability to improve the standards of patient’s nutritional screening. Nutritional therapy is very cost efficiency; patient who recovers quickly means lower treatment cost.”

Dr. Ian Kloer SKM, Director of Medical Device & Marketing Unit Indonesia – Fresenius Kabi Indonesia said, “As a health conscious company, Fresenius Kabi sees mall nutrition as everyone’s responsibility. Because of that, we support recommendation on the importance of malnutrition theraphy at early stage. Fresenius Kabi has consistently cooperated with medical professional organizations to inform them about the facts and the importance of nutritional therapy and providing appropriate solutions for patients according to their needs and condition. With the inclusion of some o nutritional therapy products from Fresenius Kabi to health e-catalogue, we show our support in providing health access to patient of health facility on nutrition theraphy.

About Fresenius Kabi
Fresenius Kabi is a global health company focused on providing medicines and various technologies for infusion, transfusion, and clinical nutrition. In the 18th century, Hirsch was acquired by Fresenius. Owner of Hirsch, Dr. Eduard Fresenius, founded the pharmaceutical company, Dr. E. Fresenius, in 1912. The business constantly evolved and employed 400 workers in 1933.
Fresenius Kabi’s products consist of I.V, generic drugs, infusion therapy and clinical nutrition products, as well as medical equipments. We offer transfusion technology products to collect and process blood components as well as for apheresis systems.

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