Nutritional status and clinical outcomes of older patients in rehabilitation

Neumann, Sonja; Miller, Michelle; Daniels, Lynne; Crotty, Maria

doi:10.1111/j.1365-277x.2005.00596.x

Cited by 108 publications

(94 citation statements)

References 26 publications

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“…physical function and quality of life in one study [35] and length of stay and poor 202 participation in rehabilitation activities in a second study [36]. However, a two further studies 203 found it was not able to predict length of stay, complications, physical function, 204 rehospitalisation, institutionalisation, discharge location or mortality [21].…”

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confidence: 99%

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Protein-energy malnutrition in the rehabilitation setting: Evidence to improve identification

Marshall

2016

Maturitas

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confidence: 99%

“…However, two studies reported outliers, 0.06% in Australia [35] and 68% in Italy [50]. It is 286 unclear if these outliers in reported prevalence of malnutrition by the MNA are due to a real 287 difference in the severity of malnutrition in each study or due to possible differences in how 288 the tool was implemented.…”

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confidence: 99%

Protein-energy malnutrition in the rehabilitation setting: Evidence to improve identification

Marshall

2016

Maturitas

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“…In the community, the prevalence of malnutrition in older adults aged 75-80 years is two-fold higher than the 65-74 age group (Ljungqvist et al, 2010). It is well-documented that malnourished older adults have higher mortality rates , reduced quality of life (Neumann et al, 2005), reduced ability to perform activities of daily living (Inoue and Kato, 2007;Izawa et al, 2014), risk of additional illness (BAPEN Malnutrition Advisory Group, 2003a) and they experience longer recovery times than wellnourished peers (BAPEN Malnutrition Advisory Group, 2003a).…”

Section: Introductionmentioning

confidence: 99%

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Hamirudin

Charlton

Walton

2016

Archives of Gerontology and Geriatrics

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Introduction Nutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. Methods A systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. Results Fiftyfour articles were eligible to be included in the review and malnutrition risk varied from 0% to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. Conclusions Timely nutrition screening of older adults living in the community, if followed up with appropriate intervention and monitoring improves the nutritional status of older adults. This indicates that nutrition intervention should be considered a priority following nutrition screening for malnourished and at risk older adults. Further evaluation of outcomes of nutrition screening and associated interventions, using structured pathways of care, is warranted. Abstract IntroductionNutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. MethodsA systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. ResultsFifty-four articles were eligible to be included in the review and malnutrition risk varied from 0 % to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. ConclusionsTimely ...

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“…A malnourished person is more likely to visit their General Practitioner (GP) and be admitted to hospital [4], where they have a longer stay [5][6][7], a higher rate of complications [5,6,8], and a slower functional recovery [7,9,10]. There is also an increased risk of hospital readmission [10,11] and mortality [12][13][14]. In 2011-12, malnutrition was estimated to cost the UK £19.6 billion [15].…”

Section: Introductionmentioning

confidence: 99%

The impact of trained volunteer mealtime assistants on dietary intake and satisfaction with mealtime care in adult hospital inpatients: A systematic review

Howson

Sayer

Roberts

2017

The Journal of nutrition, health and aging

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BackgroundMalnutrition is common in hospital inpatients and is associated with increased morbidity and mortality. Insufficient assistance at mealtimes can contribute to this and therefore trained volunteer mealtime assistants may be of benefit. ObjectivesTo identify and review the current evidence for the impact of trained volunteer mealtime assistants on dietary intake and satisfaction with mealtime care in adult hospital inpatients. MethodsA systematic search of Medline, Embase and CINAHL was conducted to identify relevant articles. Articles of any methodology were considered. Quality assessment and data extraction were carried out by two reviewers independently. ParticipantsParticipants were inpatients in a hospital setting, including rehabilitation units. Participants in long term care facilities were excluded. InterventionArticles that examined the effect of trained volunteer mealtime assistants on nutritional outcomes or satisfaction with mealtime care were included. Results 5576 articles were identified, of which 14 were included in the review. Nine were small research studies and five were quality improvement initiatives. The quality of eight studies was moderate, with one study being of lower quality. Eight articles reported dietary intake and seven demonstrated an improvement, with protein intakes at volunteer mealtimes increasing by 4.3g-10.1g and energy intakes by 44-105kcal. Ten articles reported positive staff, patient and volunteer feedback. No adverse events were reported. ConclusionThere is evidence from small studies and improvement projects that trained volunteer mealtime assistants are safe and improve satisfaction with mealtime care in hospital inpatients, although evidence for an effect on dietary intake was less consistent. Larger studies with robust methodology are required to confirm this.

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Nutritional status and clinical outcomes of older patients in rehabilitation

Abstract: Over half our sample was identified as at risk of malnutrition or malnourished and this was associated with poorer clinical outcomes.

Cited by 108 publications

References 26 publications

Protein-energy malnutrition in the rehabilitation setting: Evidence to improve identification

Protein-energy malnutrition in the rehabilitation setting: Evidence to improve identification

Outcomes related to nutrition screening in community living older adults: A systematic literature review

The impact of trained volunteer mealtime assistants on dietary intake and satisfaction with mealtime care in adult hospital inpatients: A systematic review

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