How can screening for malnutrition among hospitalized patients be improved? An automatic e-mail alert system when admitting previously malnourished patients

Giovannelli, Jonathan; Coevoet, V.; Vasseur, Chloé; Gheysens, Audrey; Basse, Blandine; Houyengah, F.

doi:10.1016/j.clnu.2014.09.008

Cited by 12 publications

(30 citation statements)

References 24 publications

(13 reference statements)

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Section: Resultsmentioning

confidence: 99%

“…Most of the interventions had successful outcomes (n=16, 76%) [ 12 , 17 - 23 , 25 - 27 , 29 , 31 - 34 ]. One outcome that was mentioned in several of the articles was an improvement in time efficiency, which was facilitated by the technological implementation of the process [ 19 , 23 , 25 - 27 , 31 , 33 , 34 ]. Other articles reported that implementing a technological component improved detection rates of malnutrition within the hospital [ 12 , 17 , 20 , 22 , 28 , 30 , 31 , 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…One outcome that was mentioned in several of the articles was an improvement in time efficiency, which was facilitated by the technological implementation of the process [ 19 , 23 , 25 - 27 , 31 , 33 , 34 ]. Other articles reported that implementing a technological component improved detection rates of malnutrition within the hospital [ 12 , 17 , 20 , 22 , 28 , 30 , 31 , 34 ]. Earlier detection allowed for a faster response to those patients with a diagnosis of malnutrition.…”

Section: Resultsmentioning

confidence: 99%

“…In addition to saving time and improving detection rates, 4 articles discussed the economic benefits and potential costs saved from incorporating the mentioned technology into practice [ 19 , 23 , 31 , 34 ]. Giovannelli et al [ 31 ] discussed how an automated email alert system for readmitted patients with previously known malnutrition decreased hospital length of stay (LOS). Rossi et al [ 19 ] expected their computer program to save an annual Aus $6500 to $10,000 in hospital costs related to malnutrition.…”

Section: Resultsmentioning

confidence: 99%

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The Use of Technology in Identifying Hospital Malnutrition: Scoping Review

Trtovac¹,

Lee²

2018

JMIR Med Inform

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BackgroundMalnutrition is a condition most commonly arising from the inadequate consumption of nutrients necessary to maintain physiological health and is associated with the development of cardiovascular disease, osteoporosis, and sarcopenia. Malnutrition occurring in the hospital setting is caused by insufficient monitoring, identification, and assessment efforts. Furthermore, the ability of health care workers to identify and recognize malnourished patients is suboptimal. Therefore, interventions focusing on the identification and treatment of malnutrition are valuable, as they reduce the risks and rates of malnutrition within hospitals. Technology may be a particularly useful ally in identifying malnutrition due to scalability, timeliness, and effectiveness. In an effort to explore the issue, this scoping review synthesized the availability of technological tools to detect and identify hospital malnutrition.ObjectiveOur objective was to conduct a scoping review of the different forms of technology used in addressing malnutrition among adults admitted to hospital to (1) identify the extent of the published literature on this topic, (2) describe key findings, and (3) identify outcomes.MethodsWe designed and implemented a search strategy in 3 databases (PubMed, Scopus, and CINAHL). We completed a descriptive numerical summary and analyzed study characteristics. One reviewer independently extracted data from the databases.ResultsWe retrieved and reviewed a total of 21 articles. We categorized articles by the computerized tool or app type: malnutrition assessment (n=15), food intake monitoring (n=5), or both (n=1). Within those categories, we subcategorized the different technologies as either hardware (n=4), software (n=13), or both (n=4). An additional subcategory under software was cloud-based apps (n=1). Malnutrition in the acute hospital setting was largely an unrecognized problem, owing to insufficient monitoring, identification, and initial assessments of identifying both patients who are already malnourished and those who are at risk of malnourishment. Studies went on to examine the effectiveness of health care workers (nurses and doctors) with a knowledge base focused on clinical care and their ability to accurately and consistently identify malnourished geriatric patients within that setting.ConclusionsMost articles reported effectiveness in accurately increasing malnutrition detection and awareness. Computerized tools and apps may also help reduce health care workers’ workload and time spent assessing patients for malnutrition. Hospitals may also benefit from implementing malnutrition technology through observing decreased length of stay, along with decreased foregone costs related to missing malnutrition diagnoses. It is beneficial to study the impact of these technologies to examine possible areas of improvement. A future systematic review would further contribute to the evidence and effectiveness of the use of technologies in assessing and monitoring hospital malnutrition.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The Use of Technology in Identifying Hospital Malnutrition: Scoping Review

Trtovac¹,

Lee²

2018

JMIR Med Inform

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“…Screening for malnutrition followed by nutritional counseling is recommended as part of care for older people . The use of computerized medical records enables accessibility to valid information related to relevant measurable parameters, such as body mass index (BMI), and might improve the intervention rate …”

Section: Introductionmentioning

confidence: 99%

Randomized trial results of alerting primary clinicians to severe weight loss among older adults in the Low Indexes of Metabolism Intervention Trial part A

Tsabar

Press

Rotman³

et al. 2020

Geriatrics Gerontology Int

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Aim To test whether alerting clinicians to severe weight loss in older patients leads to higher dietitian visit rates, to higher body mass index (BMI) levels and, mainly, to lower annual death risk. Methods The randomized controlled trial included patients aged ≥75 years, with BMI ≤23 kg/m2 that decreased ≥2 kg/m2 during the previous 2 years. All participants received usual care. Additionally, an email alert was sent only to clinicians of participants assigned to the email alert group. The follow‐up period was 12 months. Results Among 706 participants (mean age 83 ± 6 years; mean baseline BMI 20.5 kg/m2), the BMI record was updated in 541 (77%) participants, and 123 participants died. Dietitian visits were reported for 22 patients (6%) in the email group (n = 362) and 14 patients (4%) in the control group (n = 344; OR 1.5, 95% CI 0.8–2.9; P = 0.24). Measured BMI were raised by a mean of 0.69 (95% CI 0.43–0.95) kg/m2 versus 0.79 (95% CI 0.48–1.1) kg/m2 (P = 0.63). A total of 77 patients (21%) died in the intervention group versus 47 (14%) in the control group (P = 0.008; number needed to harm = 13; 95% CI 7–43). Conclusions In this trial, alerting clinical staff to severe weight loss in patients aged ≥75 years was not associated with higher visit rates to a dietitian or change in BMI, but was associated with a significantly higher death rate than usual clinical care. Geriatr Gerontol Int 2020; 20: 329–335.

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Trends and Novel Research in Hospital Nutrition Care: A Narrative Review of Leading Clinical Nutrition Journals

Keller¹,

Laur

Dhaliwal

et al. 2020

J Parenter Enteral Nutr

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Hospital malnutrition is a longstanding problem that continues to be underrecognized and undertreated. The aim of this narrative review is to summarize novel, solution-focused, recent research or commentary to update providers on the prevention of iatrogenic malnutrition as well as the detection and treatment of hospital malnutrition. A narrative review was completed using the top 11 clinically relevant nutrition journals. Of the 13,850 articles and editorials published in these journals between 2013 and 2019, 511 were related to hospital malnutrition. A duplicate review was used to select (n = 108) and extract key findings from articles and editorials. Key criteria for selection were population of interest (adult hospital patients, no specific diagnostic group), solutionfocused, and novel perspectives. Articles were categorized (6 classified in >1 category) as Screening and Assessment (n = 17), Standard (n = 25), Advanced (n = 12) and Specialized Nutrition Care (n = 8), Transitions (n = 15), Multicomponent (n = 21), Education and Empowerment (n = 9), Economic Impact (n = 3), and Guidelines (n = 4) for summarizing. Research advances in screening implementation, standard nutrition care, transitions, and multicomponent interventions provide new strategies to consider for malnutrition prevention (iatrogenic), detection, and care. However, several areas requiring further research were identified. Specifically, larger and more rigorous studies that examine health outcomes and economic analyses are urgently needed.

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How can screening for malnutrition among hospitalized patients be improved? An automatic e-mail alert system when admitting previously malnourished patients

Cited by 12 publications

References 24 publications

The Use of Technology in Identifying Hospital Malnutrition: Scoping Review

The Use of Technology in Identifying Hospital Malnutrition: Scoping Review

Randomized trial results of alerting primary clinicians to severe weight loss among older adults in the Low Indexes of Metabolism Intervention Trial part A

Trends and Novel Research in Hospital Nutrition Care: A Narrative Review of Leading Clinical Nutrition Journals

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