Prevalence of malnutrition among older people in medical and surgical wards in hospital and quality of nutritional care: A multicenter, cross‐sectional study

Bonetti, Loris; Terzoni, Stefano; Lusignani, Maura; Negri, Marina Aparecida Espinosa; Froldi, M.; Destrebecq, Anne

doi:10.1111/jocn.14051

Cited by 43 publications

(37 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, many nurses and some patients described the food as unpalatable. Similar problems have been identified internationally, for example, Bonetti et al (2017), who indicated similar concerns for patients in Italian hospitals. Furthermore, this study highlighted the potential flow-on effects to organisational changes in the way patient foods were stored and distributed; highlighting the need for widespread consultation, right to the point-of-care, prior to such changes being implemented, and then having a strategy to both evaluate and respond to any problems arising from such changes.…”

Section: Discussionsupporting

confidence: 72%

Meeting the challenges posed by an escalating diabetes healthcare burden: A mixed methods study

et al. 2019

View full text Add to dashboard Cite

Aims and objectives: To identify innovative new strategies to maintain optimal care for patients with diabetes while in hospital. Background: The ongoing escalation in the incidence of diabetes is contributing to a growing burden associated with diabetes management. Design: Mixed methods underpinned by Appreciative Inquiry. Methods: Online survey (n=173) and focus group interviews with nurses and midwives (n=40), and individual interviews with recently discharged hospital patients (n=6). Results: Suggest a need for further education and knowledge on diabetes management for nursing, midwifery, medical and ancillary staff. This, together with improved communication and team work, is required to prevent delays in prescribing and reviewing insulin requirements, along with timely access to appropriate food for people with diabetes. Conclusions: In seeking solutions to the challenges in caring for hospitalised patients with diabetes there is a need to work across the entire hospital workforce and to develop effective and efficient methods for ensuring appropriate skills and knowledge of diabetes management for staff across complex and rapidly changing hospital systems.

show abstract

Section: Discussionsupporting

confidence: 72%

Meeting the challenges posed by an escalating diabetes healthcare burden: A mixed methods study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Yet, the risk of contracting SARS-CoV-2 does not depend on the individual's nutritional status but on the degree of contact with the pathogen. Whether the coronavirus exposure develops into a true infection might contrariwise depend on the individual's first-line abilities, and, regrettably, malnutrition is a common occurrence that afflicts many older adults in China (47) and Italy (48), both having been heavily afflicted by the highest number of deaths. It is clear that the segment of population most at risk of SARS-CoV-2 infection is the elderly, with frailty (49) and older age (50) being well-known predictors of a negative outcome in acute care settings.…”

Section: Resultsmentioning

confidence: 99%

The Malnutritional Status of the Host as a Virulence Factor for New Coronavirus SARS-CoV-2

et al. 2020

View full text Add to dashboard Cite

“…In all care settings, it is important to characterize the determinants of malnutrition, as intervention strategies may need to be more general and focused on the improvement of structural characteristics of the hospital/nursing home facility as well as on the specific rehabilitation process of the individual patient. Although several studies have been conducted in Italy on the prevalence of malnutrition in nursing homes [ 16 , 17 ], few data are available concerning risk factors for poor nutritional status in older institutionalized adults.…”

Section: Introductionmentioning

confidence: 99%

What Are the Risk Factors for Malnutrition in Older-Aged Institutionalized Adults?

et al. 2020

View full text Add to dashboard Cite

Malnutrition is common in older adults and is associated with functional impairment, reduced quality of life, and increased morbidity and mortality. The aim of this study was to explore the association between health (including depression), physical functioning, disability and cognitive decline, and risk of malnutrition. Participants were recruited from nursing homes in Italy and completed a detailed multidimensional geriatric evaluation. All the data analyses were completed using Stata Version 15.1. The study included 246 participants with an age range of 50 to 102 (80.4 ± 10.5). The sample was characterised by a high degree of cognitive and functional impairment, disability, and poor health and nutritional status (according to Mini Nutritional Assessment (MNA), 38.2% were at risk for malnutrition and 19.5% were malnourished). Using a stepwise linear regression model, age (B = −0.043, SE = 0.016, p = 0.010), depression (B = −0.133, SE = 0.052, p = 0.011), disability (B = 0.517, SE = 0.068, p < 0.001), and physical performance (B = −0.191, SE = 0.095, p = 0.045) remained significantly associated with the malnutrition risk in the final model (adjusted R-squared = 0.298). The logistic regression model incorporating age, depression, disability, and physical performance was found to have high discriminative accuracy (AUC = 0.747; 95%CI: 0.686 to 0.808) for predicting the risk of malnutrition. The results of the study confirm the need to assess nutritional status and to investigate the presence of risk factors associated with malnutrition in order to achieve effective prevention and plan a better intervention strategy.

show abstract

Prevalence of malnutrition among older people in medical and surgical wards in hospital and quality of nutritional care: A multicenter, cross‐sectional study

Abstract: These findings will provide indications on the strategies needed to overcome such barriers.

Cited by 43 publications

References 48 publications

Meeting the challenges posed by an escalating diabetes healthcare burden: A mixed methods study

Meeting the challenges posed by an escalating diabetes healthcare burden: A mixed methods study

The Malnutritional Status of the Host as a Virulence Factor for New Coronavirus SARS-CoV-2

What Are the Risk Factors for Malnutrition in Older-Aged Institutionalized Adults?

Contact Info

Product

Resources

About