2024
DOI: 10.3390/healthcare12070765
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A Conceptual Study on Characterizing the Complexity of Nutritional Interventions for Malnourished Older Adults in Hospital Settings: An Umbrella Review Approach

Alvin Wong,
Yingxiao Huang,
Merrilyn D. Banks
et al.

Abstract: Introduction: Malnutrition is a widespread and intricate issue among hospitalized adults, necessitating a wide variety of nutritional strategies to address its root causes and repercussions. The primary objective of this study is to systematically categorize nutritional interventions into simple or complex, based on their resource allocation, strategies employed, and predictors of intervention complexity in the context of adult malnutrition in hospital settings. Methods: A conceptual evaluation of 100 nutritio… Show more

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Cited by 2 publications
(6 citation statements)
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“…Improving patients' access to nutritional support and interventions through reimbursement has been shown to improve clinical outcomes in a local cohort study of patients receiving medical financial support [21]. Additionally, the complexity of nutritional interventions needs to be recognized to better tailor interventions to the needs of specific patient populations [9]. This finding reinforces that a more comprehensive approach to intervention development and evaluation may be crucial in achieving optimal clinical outcomes, considering the unique needs and preferences of different patient populations.…”
Section: Discussionmentioning
confidence: 94%
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“…Improving patients' access to nutritional support and interventions through reimbursement has been shown to improve clinical outcomes in a local cohort study of patients receiving medical financial support [21]. Additionally, the complexity of nutritional interventions needs to be recognized to better tailor interventions to the needs of specific patient populations [9]. This finding reinforces that a more comprehensive approach to intervention development and evaluation may be crucial in achieving optimal clinical outcomes, considering the unique needs and preferences of different patient populations.…”
Section: Discussionmentioning
confidence: 94%
“…The recent synthesis of primary data from high-quality studies with a low or some concerns regarding the risk of bias indicated that nutritional intervention reduces mortality at the time points of 30 days (30 d), 6 months (6 m), and 12 months (12 m) (relative risk (RR) at 30 d: 0.72, 95%CI: 0.55-0.94; 6 m: 0.81, 95%CI: 0.71-0.92; and 12 m: 0.80, 95%CI: 0.67-0.95) with low heterogeneity (degree of variation observed between the results of individual studies being analyzed) and moderate to high certainty of evidence [8]. Additionally, 33 different variations (education, oral nutritional supplements, or food fortification) and combinations (e.g., education with food fortification or education with exercise) of interventions across 19 reviews were observed [9], indicating that there are many components in an intervention. Even seemingly simple terms such as protected mealtimes (the avoidance of procedures/interventions at patient mealtimes) [10] have widely varied components (e.g., the types of human resources needed, timing, and services provided during protected timing) [8].…”
Section: Introductionmentioning
confidence: 93%
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