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

doi:10.1016/j.clnu.2012.11.021

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

Research output: Contribution to journal › Article › Research › peer-review

401 Citations (Scopus)

224 Downloads (Pure)

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 language	English
Pages (from-to)	737-45
Number of pages	9
Journal	Clinical Nutrition
Volume	32
Issue number	5
DOIs	https://doi.org/10.1016/j.clnu.2012.11.021
Publication status	Published - 2013
Externally published	Yes

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SDG 2 Zero Hunger

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10.1016/j.clnu.2012.11.021

Malnutrition and poor food intake are associated with prolonged hospital stay, frequeAccepted author manuscript, 710 KBLicence: CC BY-NC-ND

Ageing Nutrition: Research Across the Care Continuum
Marshall, S. (Project Lead), Isenring, E. (Professor), Hugo, C. (HDR Student), Agarwal, E. (Assistant Professor), Teleni, L. (HDR Student), Reidlinger, D. (Associate Professor), Campbell, K. (Associate Professor), Van der Meij, B. (Senior Research Fellow) & Tang, X. (Admin)
1/01/14 → …
Project: Research

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",

year = "2013",

doi = "10.1016/j.clnu.2012.11.021",

language = "English",

volume = "32",

pages = "737--45",

journal = "Clinical Nutrition",

issn = "0261-5614",

publisher = "Churchill Livingstone",

number = "5",

}

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

Research output: Contribution to journal › Article › Research › peer-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

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

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SP - 737

EP - 745

JO - Clinical Nutrition

JF - Clinical Nutrition

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ER -

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

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Ageing Nutrition: Research Across the Care Continuum

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