Malnutrition in hospitalised older adults: A multicentre observational study of prevalence, associations and outcomes

O'Shea, Emma; Trawley, Steven; Manning, Edmund; Barrett, Aoife; Browne, Vanessa; Timmons, Suzanne

doi:10.1007/s12603-016-0831-x

Cited by 99 publications

(77 citation statements)

References 40 publications

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“…Malnutrition can be caused by starvation, chronic disease-related inflammation and acute disease-related inflammation (2) . The prevalence of malnutrition varies widely among hospitalised adults, with estimates ranging from 4% to 45% (3)(4)(5)(6)(7)(8) . Multiple studies report adverse effects of malnutrition, which include a prolonged length of stay (5)(6)(7) , increased overall and in-hospital mortality (5)(6)(7) , increased risk of readmission (6,7,9,10) and higher hospitalisation costs (6,10) .…”

Section: Introductionmentioning

confidence: 99%

Malnourished adults’ receipt of hospital discharge nutrition care instructions: a pilot study

Brooks

Vest

Shapero

et al. 2019

J Human Nutrition Diet

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Background Malnutrition remains an important yet under‐recognised problem among hospitalised adults. Although interventions exist aiming to improve nutritional status beyond hospitalisation, few studies examine how often and what type of nutrition care instructions are given at discharge. The present study sought to review nutrition‐focused discharge care provided to malnourished adults. Methods We reviewed the electronic medical record for discharge nutrition care instructions provided to adult patients identified by dietitians as malnourished over a 4‐month period. Results Seventy‐six eligible patients were identified during the study period. More than half of malnutrition cases (64.5%) were attributed to chronic illness. According to electronic medical record documentation, 6.6% received discharge instructions to consume oral nutrition supplements and 30.3% received new or changed prescriptions for vitamins/noncaloric supplements. Almost half of patients (47.4%) received general diet instructions that did not address malnutrition and 44.8% received inappropriate instructions to limit caloric intake. Conclusions A majority of malnourished adult patients receive inappropriate or inadequate nutrition care instructions at the time of discharge. Clinician education and redesign of nutrition care options in the electronic medical record may improve the provision of post‐discharge nutrition care instructions.

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Section: Introductionmentioning

confidence: 99%

Malnourished adults’ receipt of hospital discharge nutrition care instructions: a pilot study

Brooks

Vest

Shapero

et al. 2019

J Human Nutrition Diet

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show abstract

“…Moreover, slightly lower results compared to the present study were obtained in a Singaporean study by Pin Ng et al . , where, among 1550 patients (62% of females and 38% of males) older than 55 years, malnutrition was reported in approximately 35% of patients diagnosed on the basis of serum Alb concentration and in 5% on the basis of TLC.…”

Section: Discussionmentioning

confidence: 99%

Nutritional status in patients aged over 65 years and its influence on the quantity and type of complications occurring 3, 6 and 12 months after hospitalisation: a clinical prospective study

Ostrowska

Szostak-Węgierek

Jeznach-Steinhagen

2018

J Human Nutrition Diet

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“…Recent evidence suggests that malnutrition is associated with rapid cognitive decline, disease progression and the degree of impairment in daily functioning in patients with dementia [8][9][10]. While studies have shown that patients with dementia or AD were more likely to suffer from a poor nutritional status [11,12]. Weight loss and malnutrition were prominent symptoms of dementia and could be detected at the early stages of AD [13,14].…”

Section: Introductionmentioning

confidence: 99%

Associations of cognitive condition with nutritional status in an elderly population: an analysis based on a 7-year database in Chongqing, the Southwest of China

Liu

et al. 2020

Preprint

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Background: Malnutrition is one of the health problems in the elderly population, which increases the risk of poor clinical outcomes. The purpose of this investigation was to evaluate the nutritional status and cognitive function of an elderly Chinese population, to explore the association between malnutrition and cognitive condition as well as the cognitive domain.Methods: A cross-sectional study was conducted in 2365 participants aged 60 years or above from January 2013 to September 2019. We used the Mini Nutritional Assessment Short Form (MNA-SF), and the Mini Mental State Examination (MMSE) to assess the impact of malnutrition on cognitive function.Nutrition-associated factors were analyzed.Results: 33.45% of the participants were identified as malnutrition risk and 5.54% were malnourished, while 36.74% had cognitive impairments. 48.63% had nutritional deficits and 53.65% had cognitive impairment in those over 80 years old. Malnutrition is associated with global cognition (ρ= 0.349, P < 0.0001) and the cognitive domain particularly in orientation (ρ= 0.343, P < 0.0001). The impact was extended to attention and calculation (ρ=0.310, P < 0.0001) as well as language (ρ= 0.302, P < 0.0001) of those over 80 years of age. Malnutrition is an independent risk factor for cognitive impairment after adjusting for other variables (OR=2.004, 95% CI: 1.621-2.479).Conclusion: The prevalence of malnutrition and cognitive impairment was relatively high and increased with age. Malnutrition leads to cognitive decline and disorientation, and also contributes to attention problems, calculation problem and language impairment in the oldest old. Thus, clinicians should assess the nutritional and cognitive status of the elderly regularly to the early dictation and timely intervention.

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Malnutrition in hospitalised older adults: A multicentre observational study of prevalence, associations and outcomes

Abstract: These findings support the prioritisation of nutritional screening in clinical practice and public health policy, for all patients ≥70 on admission to hospital, and in particular for people with dementia, increased functional dependency and/or multi-morbidity, and those who are frail.

Cited by 99 publications

References 40 publications

Malnourished adults’ receipt of hospital discharge nutrition care instructions: a pilot study

Malnourished adults’ receipt of hospital discharge nutrition care instructions: a pilot study

Nutritional status in patients aged over 65 years and its influence on the quantity and type of complications occurring 3, 6 and 12 months after hospitalisation: a clinical prospective study

Associations of cognitive condition with nutritional status in an elderly population: an analysis based on a 7-year database in Chongqing, the Southwest of China

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