Aims: To assess the prevalence of the use of supplements (sip feeds) in dis
trict general, psychiatric and community hospitals in the formerWessex heal
th region.
Method: Cross sectional study of prevalence and determinants of supplement
use in 10 district general hospitals (covering medical, surgical, orthopaed
ic, and elderly specialities), 4 psychiatric hospitals and 3 community hosp
itals.
Results: Overall 14% of patients were being supplemented although the varia
tion across hospitals and specialities was wide (0%-35%); elderly care pati
ents within district hospitals were most likely to be supplemented (20%; ra
nge 12-35%). In 34% of patients there was no documented reason as to why su
pplements were given. 60% of patients were not weighed on admission; 70% di
d not have a weight history recorded and 83% did not have a current weight
recorded. Documentation regarding supplement use appeared to be recorded in
an unsystematic manner.
Conclusions: Many patients were not being weighed on admission and appeared
to have no documentation as to why supplements were given. Given the impor
tance of malnutrition in hospital patients a more evidence based, objective
approach to assessing nutritional requirements, intake and support may be
beneficial. (C) 2001 Harcourt Publishers Ltd.