Validity of the Malnutrition Screening Tool for Older Adults at High Risk of Hospital Readmission

Wu, Min; Courtney, Mary D.; Shortridge‐Baggett, Lillie M.; Finlayson, Kathleen; Isenring, Elisabeth

doi:10.3928/00989134-20120509-03

Cited by 37 publications

(33 citation statements)

References 43 publications

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“…Given changes in nutritional status, the differences between the various indicators used for nutritional diagnosis (3,6,9,16,17,21,24) , and the peculiarities of older adults, new studies are needed on the nutritional status of hospitalized older surgical patients, and on continuous and routine nutritional status monitoring. The TLC of patients at nutritional risk also differed significantly from the TLC of patients not at nutritional risk according to the NRS.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the use of nutritional screening instruments (24) is critical given the prevalence of malnutrition and/or nutritional risk in hospitalized older adults (8,24) . In a recent prospective study, Calvo et al, 2012, found that 77% of hospitalized older adults were at risk of malnutrition or malnourished according to the mini-nutritional assessment, and that low serum albumin, cholesterol, and vitamins A and D were associated with malnutrition or risk of malnutrition (3) .…”

Section: Introductionmentioning

confidence: 99%

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Is total lymphocyte count related to nutritional markers in hospitalized older adults?

Leandro-Merhi

Braz

Aquino

2017

Arq. Gastroenterol.

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BACKGROUND Older patients are commonly malnourished during hospital stay, and a high prevalence of malnutrition is found in hospitalized patients aged more than 65 years. OBJECTIVE To investigate whether total lymphocyte count is related to other nutritional markers in hospitalized older adults. METHODS Hospitalized older adults (N=131) were recruited for a cross-sectional study. Their nutritional status was assessed by the Nutritional Risk Screening (NRS), anthropometry, and total lymphocyte count. The statistical analyses included the chi-square test, Fisher's exact test, and Mann-Whitney test. Spearman's linear correlation coefficient determined whether total lymphocyte count was correlated with the nutritional markers. Multiple linear regression determined the parameters associated with lymphocyte count. The significance level was set at 5%. RESULTS According to the NRS, 41.2% of the patients were at nutritional risk, and 36% had mild or moderate depletion according to total lymphocyte count. Total lymphocyte count was weakly correlated with mid-upper arm circumference (r=0.20507); triceps skinfold thickness (r=0.29036), and length of hospital stay (r= -0.21518). Total lymphocyte count in different NRS categories differed significantly: older adults who were not at nutritional risk had higher mean and median total lymphocyte count ( P =0.0245). Multiple regression analysis showed that higher lymphocyte counts were associated with higher triceps skinfold thicknesses and no nutritional risk according to the NRS. CONCLUSION Total lymphocyte count was correlated with mid-upper arm circumference, triceps skinfold thickness, and nutritional risk according to the NRS. In multiple regression the combined factors that remained associated with lymphocyte count were NRS and triceps skinfold thickness. Therefore, total lymphocyte count may be considered a nutritional marker. Other studies should confirm these findings.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Is total lymphocyte count related to nutritional markers in hospitalized older adults?

Leandro-Merhi

Braz

Aquino

2017

Arq. Gastroenterol.

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“…6,9 Older adults are particularly vulnerable to undernutrition or specific nutrient deficiencies because they often have diseases and disabilities that limit dietary intake. 3,[10][11][12] Malnutrition has negative impacts on patients and the health care system, leading to more complications, slowed recovery, and higher costs of care. Study results show that malnourished hospital patients, compared with their adequately nourished peers, are more likely to experience pressure ulcers, 13 postsurgical infections, 14,15 and falls 16 and are at greater risk for death.…”

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confidence: 99%

Health System Quality Improvement

Meehan

Loose

Bell

et al. 2016

Journal of Nursing Care Quality

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Among hospitalized patients, malnutrition is prevalent yet often overlooked and undertreated. We implemented a quality improvement program that positioned early nutritional care into the nursing workflow. Nurses screened for malnutrition risk at patient admission and then immediately ordered oral nutritional supplements for those at risk. Supplements were given as regular medications, guided and monitored by medication administration records. Post-quality improvement program, pressure ulcer incidence, length of stay, 30-day readmissions, and costs of care were reduced.

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“…Risk of malnutrition was identified using the MST, which has been shown to have good sensitivity and specificity in the acute geriatric population14 21 and the ED 15. The MST was newly incorporated into the ED admission process for the purposes of the study.…”

Section: Methodsmentioning

confidence: 99%

Emergency department malnutrition screening and support model improves outcomes in a pilot randomised controlled trial

et al. 2013

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Objective To trial malnutrition screening in older adults presenting to an emergency department (ED) and compare two service delivery models of nutritional support on nutritional status, quality of life, falls and unplanned hospital admissions. Design Participants (>60 years) presenting to ED screened at malnutrition risk were randomly allocated to either the control group (receiving regular treatment from community hospital interface programme nursing staff ) or intervention group (receiving dietetic assessment, nutrition intervention and follow-up in addition to regular community hospital interface programme support). Outcome measures including body weight, quality of life, depression, falls history and days of hospital admissions were collected at baseline and 12 weeks. Results Of 703 patients screened, 84 (12%) were identified at malnutrition risk. 24 consented to the intervention study, with 88% (21/24) confirmed to be malnourished. Clinically important but not statistically significant differences were found over the 12-week trial; the intervention group (n=9) gained 0.8 kg (±3.7) while the control group (n=10) lost −1

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Validity of the Malnutrition Screening Tool for Older Adults at High Risk of Hospital Readmission

Cited by 37 publications

References 43 publications

Is total lymphocyte count related to nutritional markers in hospitalized older adults?

Is total lymphocyte count related to nutritional markers in hospitalized older adults?

Health System Quality Improvement

Emergency department malnutrition screening and support model improves outcomes in a pilot randomised controlled trial

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