Malnutrition and poor food intake are associated with prolonged hospital stay, frequent readmissions, and greater in-hospital mortality: results from the Nutrition Care Day Survey 2010

Ekta Agarwal, Maree Ferguson, Merrilyn Banks, Marijka Batterham, Judith Bauer, Sandra Capra, Elisabeth Isenring

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Abstract

BACKGROUND & AIMS: The Australasian Nutrition Care Day Survey (ANCDS) ascertained if malnutrition and poor food intake are independent risk factors for health-related outcomes in Australian and New Zealand hospital patients.

METHODS: Phase 1 recorded nutritional status (Subjective Global Assessment) and 24-h food intake (0, 25, 50, 75, 100% intake). Outcomes data (Phase 2) were collected 90-days post-Phase 1 and included length of hospital stay (LOS), readmissions and in-hospital mortality.

RESULTS: Of 3122 participants (47% females, 65 ± 18 years) from 56 hospitals, 32% were malnourished and 23% consumed ≤ 25% of the offered food. Malnourished patients had greater median LOS (15 days vs. 10 days, p < 0.0001) and readmissions rates (36% vs. 30%, p = 0.001). Median LOS for patients consuming ≤ 25% of the food was higher than those consuming ≤ 50% (13 vs. 11 days, p < 0.0001). The odds of 90-day in-hospital mortality were twice greater for malnourished patients (CI: 1.09-3.34, p = 0.023) and those consuming ≤ 25% of the offered food (CI: 1.13-3.51, p = 0.017), respectively.

CONCLUSION: The ANCDS establishes that malnutrition and poor food intake are independently associated with in-hospital mortality in the Australian and New Zealand acute care setting.

Original languageEnglish
Pages (from-to)737-45
Number of pages9
JournalClinical Nutrition
Volume32
Issue number5
DOIs
Publication statusPublished - 2013
Externally publishedYes

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Hospital Mortality
Malnutrition
Length of Stay
Eating
New Zealand
Food
Patient Readmission
Nutritional Status
Surveys and Questionnaires
Health

Cite this

@article{ed87c462838a4ca396451f2ef6590e48,
title = "Malnutrition and poor food intake are associated with prolonged hospital stay, frequent readmissions, and greater in-hospital mortality: results from the Nutrition Care Day Survey 2010",
abstract = "BACKGROUND & AIMS: The Australasian Nutrition Care Day Survey (ANCDS) ascertained if malnutrition and poor food intake are independent risk factors for health-related outcomes in Australian and New Zealand hospital patients.METHODS: Phase 1 recorded nutritional status (Subjective Global Assessment) and 24-h food intake (0, 25, 50, 75, 100{\%} intake). Outcomes data (Phase 2) were collected 90-days post-Phase 1 and included length of hospital stay (LOS), readmissions and in-hospital mortality.RESULTS: Of 3122 participants (47{\%} females, 65 ± 18 years) from 56 hospitals, 32{\%} were malnourished and 23{\%} consumed ≤ 25{\%} of the offered food. Malnourished patients had greater median LOS (15 days vs. 10 days, p < 0.0001) and readmissions rates (36{\%} vs. 30{\%}, p = 0.001). Median LOS for patients consuming ≤ 25{\%} of the food was higher than those consuming ≤ 50{\%} (13 vs. 11 days, p < 0.0001). The odds of 90-day in-hospital mortality were twice greater for malnourished patients (CI: 1.09-3.34, p = 0.023) and those consuming ≤ 25{\%} of the offered food (CI: 1.13-3.51, p = 0.017), respectively.CONCLUSION: The ANCDS establishes that malnutrition and poor food intake are independently associated with in-hospital mortality in the Australian and New Zealand acute care setting.",
author = "Ekta Agarwal and Maree Ferguson and Merrilyn Banks and Marijka Batterham and Judith Bauer and Sandra Capra and Elisabeth Isenring",
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Malnutrition and poor food intake are associated with prolonged hospital stay, frequent readmissions, and greater in-hospital mortality : results from the Nutrition Care Day Survey 2010. / Agarwal, Ekta; Ferguson, Maree; Banks, Merrilyn; Batterham, Marijka; Bauer, Judith; Capra, Sandra; Isenring, Elisabeth.

In: Clinical Nutrition, Vol. 32, No. 5, 2013, p. 737-45.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Malnutrition and poor food intake are associated with prolonged hospital stay, frequent readmissions, and greater in-hospital mortality

T2 - results from the Nutrition Care Day Survey 2010

AU - Agarwal, Ekta

AU - Ferguson, Maree

AU - Banks, Merrilyn

AU - Batterham, Marijka

AU - Bauer, Judith

AU - Capra, Sandra

AU - Isenring, Elisabeth

N1 - Copyright © 2012 Elsevier B.V. and NIPR. All rights reserved.

PY - 2013

Y1 - 2013

N2 - BACKGROUND & AIMS: The Australasian Nutrition Care Day Survey (ANCDS) ascertained if malnutrition and poor food intake are independent risk factors for health-related outcomes in Australian and New Zealand hospital patients.METHODS: Phase 1 recorded nutritional status (Subjective Global Assessment) and 24-h food intake (0, 25, 50, 75, 100% intake). Outcomes data (Phase 2) were collected 90-days post-Phase 1 and included length of hospital stay (LOS), readmissions and in-hospital mortality.RESULTS: Of 3122 participants (47% females, 65 ± 18 years) from 56 hospitals, 32% were malnourished and 23% consumed ≤ 25% of the offered food. Malnourished patients had greater median LOS (15 days vs. 10 days, p < 0.0001) and readmissions rates (36% vs. 30%, p = 0.001). Median LOS for patients consuming ≤ 25% of the food was higher than those consuming ≤ 50% (13 vs. 11 days, p < 0.0001). The odds of 90-day in-hospital mortality were twice greater for malnourished patients (CI: 1.09-3.34, p = 0.023) and those consuming ≤ 25% of the offered food (CI: 1.13-3.51, p = 0.017), respectively.CONCLUSION: The ANCDS establishes that malnutrition and poor food intake are independently associated with in-hospital mortality in the Australian and New Zealand acute care setting.

AB - BACKGROUND & AIMS: The Australasian Nutrition Care Day Survey (ANCDS) ascertained if malnutrition and poor food intake are independent risk factors for health-related outcomes in Australian and New Zealand hospital patients.METHODS: Phase 1 recorded nutritional status (Subjective Global Assessment) and 24-h food intake (0, 25, 50, 75, 100% intake). Outcomes data (Phase 2) were collected 90-days post-Phase 1 and included length of hospital stay (LOS), readmissions and in-hospital mortality.RESULTS: Of 3122 participants (47% females, 65 ± 18 years) from 56 hospitals, 32% were malnourished and 23% consumed ≤ 25% of the offered food. Malnourished patients had greater median LOS (15 days vs. 10 days, p < 0.0001) and readmissions rates (36% vs. 30%, p = 0.001). Median LOS for patients consuming ≤ 25% of the food was higher than those consuming ≤ 50% (13 vs. 11 days, p < 0.0001). The odds of 90-day in-hospital mortality were twice greater for malnourished patients (CI: 1.09-3.34, p = 0.023) and those consuming ≤ 25% of the offered food (CI: 1.13-3.51, p = 0.017), respectively.CONCLUSION: The ANCDS establishes that malnutrition and poor food intake are independently associated with in-hospital mortality in the Australian and New Zealand acute care setting.

U2 - 10.1016/j.clnu.2012.11.021

DO - 10.1016/j.clnu.2012.11.021

M3 - Article

VL - 32

SP - 737

EP - 745

JO - Clinical Nutrition

JF - Clinical Nutrition

SN - 0261-5614

IS - 5

ER -