Association of nutritional risk and adverse medical outcomes across different medical inpatient populations

Felder, Stefan; Lechtenboehmer, Christian A.; Bally, Martina; Fehr, Rebecca; Deiss, Manuela; Faessler, Lukas; Kutz, Alexander; Steiner, Deborah; Rast, Anna Christina; Laukemann, Svenja; Kulkarni, Prasad S.; Stanga, Zeno; Haubitz, Sebastian; Huber, Andreas; Müeller, Beat; Schuetz, Philipp

doi:10.1016/j.nut.2015.06.007

Cited by 222 publications

(164 citation statements)

References 26 publications

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“…For instance, the study published in Nutrition was similar to ours [23] . Both the studies observed nutrition-related parameters, prospectively followed adults for 30 days and used multivariate regression models to investigate the association of nutritional factors with clinical outcomes.…”

Section: Characteristic and Limitations Of The Studysupporting

confidence: 78%

Nutrition Status, Nutrition Support Therapy, and Food Intake are Related to Prolonged Hospital Stays in China: Results from the NutritionDay 2015 Survey

Zheng

Huang²,

Shi³

et al. 2016

Ann Nutr Metab

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Background and Aims: Malnutrition is a common and critical problem that greatly influences the clinical outcomes of hospitalized patients. Nutrition support therapy and food intake, in addition to disease-related factors, are also important to maintain the nutrition status of patients. In light of this, we aimed to examine the risk factors associated with malnutrition in 3 hospitals in China. Methods: This project was part of the NutritionDay audit, an international daylong cross-sectional audit investigating the nutritional intervention profiles of hospitalized patients. Seven standardized questionnaires were used, and malnutrition was defined as a body mass index <18.5 kg/m² or unintentional weight loss >5% in last 3 months. Results: A total of 842 hospitalized patients from 9 units in 3 Chinese hospitals participated in the project on November 19, 2015. Among them, 825 were included in the analyses. Malnutrition was identified in 29.3% of the patients and oral nutrition was the primary nutrition support therapy administered (n = 623, 75.6%). Age, nutrition support, and food intake during the past week were independent risk factors for malnutrition. Furthermore, nutrition status, nutrition support therapy, and food intake during the past week were associated with prolonged length of stay. Conclusions: The prevalence of malnutrition in Chinese hospitals was similar to that in European hospitals. Nutrition status was associated with age, nutrition support, and food intake, which was closely related to patients' clinical outcome, such as prolonged hospital stays as confirmed in this study. More studies are needed to determine why nutrition intake is often inadequate and to determine efficient methods for correcting the nutrition status of patients.

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Section: Characteristic and Limitations Of The Studysupporting

confidence: 78%

Nutrition Status, Nutrition Support Therapy, and Food Intake are Related to Prolonged Hospital Stays in China: Results from the NutritionDay 2015 Survey

Zheng

Huang²,

Shi³

et al. 2016

Ann Nutr Metab

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“…The malnourished group was more likely to be readmitted within 30 days of discharge, 31% compared with 12% for the nonmalnourished group. The finding of a 31% readmission rate in our malnourished group is greater than or similar to readmission rates of 11%, 17.3%, or 37% reported in other malnourished groups 7 , 9 . The readmission rate of our malnourished group is also greater than rates reported in several studies of general patient populations not specifically identified to be malnourished.…”

Section: Discussionsupporting

confidence: 53%

“…Earlier studies have used differing end points and malnutrition criteria, making direct comparison difficult but worth reviewing. Previous studies have reported increased in‐hospital mortality, 12.4% vs 4.7% 2 ; increased 30‐day mortality, 33.7% vs 4% 9 ; increased 90‐day mortality, 31.8% vs 5.2% 4 ; increased 90‐day mortality in critically ill patients, 25.8% vs 19.1% 10 ; and increased 1‐year mortality, 34% vs 4.1% 7 , compared with patients without malnutrition.…”

Section: Discussionmentioning

confidence: 91%

Difference in Composite End Point of Readmission and Death Between Malnourished and Nonmalnourished Veterans Assessed Using Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition Clinical Characteristics

Hiller

Shaw

Fabri

2016

J Parenter Enteral Nutr

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“…If untreated, DRM ultimately leads to significant loss of lean and adipose tissues and affects the function and recovery of multiple organ systems [3]. Among hospitalized patients, the prevalence of DRM is estimated between 20% and 55%, with about 20% of patients affected in Switzerland [4][5][6][7]. Hospitalized elderly patients are particularly vulnerable to develop DRM as a consequence of preexisting decreased lean body mass and impaired intake of protein, energy, and fluids [8].…”

Section: Introductionmentioning

confidence: 99%

Detection and treatment of medical inpatients with or at-risk of malnutrition: Suggested procedures based on validated guidelines

et al. 2016

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a lack of knowledge in regard to detecting disease-related malnutrition and implementing nutritional support. Our aim was to suggest practical procedures for screening and treating malnourished or at-risk patients hospitalized in medical wards, thereby fostering a straightforward implementation of nutritional therapy independent of the underlying disease and comorbidities. Methods: A working group of experts in clinical nutrition selected and analyzed published diseasespecific European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines relevant for our aim. Eight questions in population, intervention, control, outcome format were defined to cover topics such as screening, nutritional targets, and routes of feeding. Individual studies were extracted from the guidelines by applying inclusion and exclusion criteria targeting the heterogeneous population of medical inpatients with or at-risk of disease-related malnutrition. We used those studies as evidence, as well as recommendations from the selected ESPEN guidelines, to formulate answers to the questions

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Association of nutritional risk and adverse medical outcomes across different medical inpatient populations

Cited by 222 publications

References 26 publications

Nutrition Status, Nutrition Support Therapy, and Food Intake are Related to Prolonged Hospital Stays in China: Results from the NutritionDay 2015 Survey

Nutrition Status, Nutrition Support Therapy, and Food Intake are Related to Prolonged Hospital Stays in China: Results from the NutritionDay 2015 Survey

Difference in Composite End Point of Readmission and Death Between Malnourished and Nonmalnourished Veterans Assessed Using Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition Clinical Characteristics

Detection and treatment of medical inpatients with or at-risk of malnutrition: Suggested procedures based on validated guidelines

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