Malnutrition point-prevalence from 2012 to 2019 and associated health-outcomes in adult patients in rural hospitals

Eloisa Lopez; Mark Banbury; Elisabeth Isenring; Skye Marshall

doi:10.14283/jarcp.2019.16

Malnutrition point-prevalence from 2012 to 2019 and associated health-outcomes in adult patients in rural hospitals

Eloisa Lopez, Mark Banbury, Elisabeth Isenring, Skye Marshall

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

Abstract

Background and aims: Malnutrition negatively impacts hospitalised patients and the healthcare system. In adult patients admitted to three rural hospitals in northern New South Wales, Australia, the aims of this study were to: 1) report point-prevalence of malnutrition from 2012 to 2019; and 2) determine if there was an association between nutrition status and health-related outcomes. Methods: The point-prevalence of malnutrition was determined by three (2012, 2014, and 2019) cross-sectional studies which assessed nutrition status with the Subjective Global Assessment (SGA) tool. Health-related outcomes, assessed by a prospective cohort study in 2014, were length of stay, in-hospital mortality, hospital readmission, infection, falls, fractures, and pressure wounds. Results: Malnutrition point prevalence was 39% in 2012 (n=62), 48% in 2014 (n=128), and 28% in 2019 (n=96); where the prevalence in 2019 was significantly lower than in 2014 (p<0.017). The 2019 (median age 70 years) sample was younger than the 2012 (median age 80 years) and 2014 (median age 78 years) samples (p<0.05). Mortality rate was higher in the malnourished participants (p=0.059); and severe malnutrition may predict mortality (OR: 3.47 (95%CI: 0.94, 12.78] p=0.061). Conclusions: Nutrition status did not predict other health-related outcomes. The rate of malnutrition in rural hospitals in Australia was consistently high and is increased risk of in-hospital mortality.

Original language	English
Pages (from-to)	91-97
Number of pages	7
Journal	JARCP: The Journal of Aging Research and Clinical Practice
Volume	8
DOIs	https://doi.org/10.14283/jarcp.2019.16
Publication status	Published - 1 Dec 2019

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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
Research by Master of Nutrition and Dietetic Practice Students
Isenring, E. (Supervisor), Marshall, S. (Supervisor), Reidlinger, D. (Project Lead), Kelly, J. (Supervisor), Cox, G. (Supervisor), Van der Meij, B. (Supervisor), MacKenzie-Shalders, K. (Supervisor), Mayr, H. (Supervisor), Utter, J. (Associate Professor), Dahl, C. (Masters by Coursework Student), Crichton, M. (Masters by Coursework Student), O'Bryan, K. R. (Masters by Coursework Student), Norris, R. (Masters by Coursework Student), Fahey, M. (Masters by Coursework Student), Davidson, A. (Masters by Coursework Student), Naranjo, A. (Masters by Coursework Student), Mahoney, S. (Masters by Coursework Student), Eberhardt, F. (Masters by Coursework Student), Dalwood, P. (Masters by Coursework Student), Lopez, E. (Masters by Coursework Student), Hofto, S. (Masters by Coursework Student), Innerarity, C. (Masters by Coursework Student), So, D. (Masters by Coursework Student), McIntosh, A. (Masters by Coursework Student), Gadd, N. (Masters by Coursework Student), Chan, H. C. (Masters by Coursework Student), Lan, X. (Masters by Coursework Student), Fei, X. (Masters by Coursework Student), Kostjasyn, S. (Masters by Coursework Student), Adhyaru, P. (Masters by Coursework Student), Giang, J. (Masters by Coursework Student), Leung, E. L. Y. (Masters by Coursework Student), Strike, K. (Project Roles), Pearcy, J. (Masters by Coursework Student), Somani, A. (Masters by Coursework Student), Wright, C. (Masters by Coursework Student), Matthews, C. (Masters by Coursework Student), Lee, G. (Masters by Coursework Student), Tang, X. (Associate Investigator) & Eso, A. (Associate Investigator)
1/01/14 → 31/12/27
Project: Research
Oncology Nutrition Research
Isenring, E. (Project Lead), Marshall, S. (Senior Research Fellow), Van der Meij, B. (Senior Research Fellow), Rigby, R. (Associate Investigator), Teleni, L. (HDR Student), Crichton, M. (HDR Student) & Tang, X. (Admin)
1/01/14 → …
Project: Research

Eloisa Lopez - Masters of Nutrition and Dietetic Practice research project
Marshall, S. (Secondary Supervisor)
25 Sept 2018 → 1 May 2019
Activity: Professional Development, Mentorship, Supervision and Other Activities › Non-HDR Student Supervision

Cite this

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title = "Malnutrition point-prevalence from 2012 to 2019 and associated health-outcomes in adult patients in rural hospitals",

abstract = "Background and aims: Malnutrition negatively impacts hospitalised patients and the healthcare system. In adult patients admitted to three rural hospitals in northern New South Wales, Australia, the aims of this study were to: 1) report point-prevalence of malnutrition from 2012 to 2019; and 2) determine if there was an association between nutrition status and health-related outcomes. Methods: The point-prevalence of malnutrition was determined by three (2012, 2014, and 2019) cross-sectional studies which assessed nutrition status with the Subjective Global Assessment (SGA) tool. Health-related outcomes, assessed by a prospective cohort study in 2014, were length of stay, in-hospital mortality, hospital readmission, infection, falls, fractures, and pressure wounds. Results: Malnutrition point prevalence was 39% in 2012 (n=62), 48% in 2014 (n=128), and 28% in 2019 (n=96); where the prevalence in 2019 was significantly lower than in 2014 (p<0.017). The 2019 (median age 70 years) sample was younger than the 2012 (median age 80 years) and 2014 (median age 78 years) samples (p<0.05). Mortality rate was higher in the malnourished participants (p=0.059); and severe malnutrition may predict mortality (OR: 3.47 (95%CI: 0.94, 12.78] p=0.061). Conclusions: Nutrition status did not predict other health-related outcomes. The rate of malnutrition in rural hospitals in Australia was consistently high and is increased risk of in-hospital mortality. ",

author = "Eloisa Lopez and Mark Banbury and Elisabeth Isenring and Skye Marshall",

year = "2019",

month = dec,

day = "1",

doi = "10.14283/jarcp.2019.16",

language = "English",

volume = "8",

pages = "91--97",

journal = "JARCP: The Journal of Aging Research and Clinical Practice",

issn = "2273-421X",

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TY - JOUR

T1 - Malnutrition point-prevalence from 2012 to 2019 and associated health-outcomes in adult patients in rural hospitals

AU - Lopez, Eloisa

AU - Banbury, Mark

AU - Isenring, Elisabeth

AU - Marshall, Skye

PY - 2019/12/1

Y1 - 2019/12/1

N2 - Background and aims: Malnutrition negatively impacts hospitalised patients and the healthcare system. In adult patients admitted to three rural hospitals in northern New South Wales, Australia, the aims of this study were to: 1) report point-prevalence of malnutrition from 2012 to 2019; and 2) determine if there was an association between nutrition status and health-related outcomes. Methods: The point-prevalence of malnutrition was determined by three (2012, 2014, and 2019) cross-sectional studies which assessed nutrition status with the Subjective Global Assessment (SGA) tool. Health-related outcomes, assessed by a prospective cohort study in 2014, were length of stay, in-hospital mortality, hospital readmission, infection, falls, fractures, and pressure wounds. Results: Malnutrition point prevalence was 39% in 2012 (n=62), 48% in 2014 (n=128), and 28% in 2019 (n=96); where the prevalence in 2019 was significantly lower than in 2014 (p<0.017). The 2019 (median age 70 years) sample was younger than the 2012 (median age 80 years) and 2014 (median age 78 years) samples (p<0.05). Mortality rate was higher in the malnourished participants (p=0.059); and severe malnutrition may predict mortality (OR: 3.47 (95%CI: 0.94, 12.78] p=0.061). Conclusions: Nutrition status did not predict other health-related outcomes. The rate of malnutrition in rural hospitals in Australia was consistently high and is increased risk of in-hospital mortality.

AB - Background and aims: Malnutrition negatively impacts hospitalised patients and the healthcare system. In adult patients admitted to three rural hospitals in northern New South Wales, Australia, the aims of this study were to: 1) report point-prevalence of malnutrition from 2012 to 2019; and 2) determine if there was an association between nutrition status and health-related outcomes. Methods: The point-prevalence of malnutrition was determined by three (2012, 2014, and 2019) cross-sectional studies which assessed nutrition status with the Subjective Global Assessment (SGA) tool. Health-related outcomes, assessed by a prospective cohort study in 2014, were length of stay, in-hospital mortality, hospital readmission, infection, falls, fractures, and pressure wounds. Results: Malnutrition point prevalence was 39% in 2012 (n=62), 48% in 2014 (n=128), and 28% in 2019 (n=96); where the prevalence in 2019 was significantly lower than in 2014 (p<0.017). The 2019 (median age 70 years) sample was younger than the 2012 (median age 80 years) and 2014 (median age 78 years) samples (p<0.05). Mortality rate was higher in the malnourished participants (p=0.059); and severe malnutrition may predict mortality (OR: 3.47 (95%CI: 0.94, 12.78] p=0.061). Conclusions: Nutrition status did not predict other health-related outcomes. The rate of malnutrition in rural hospitals in Australia was consistently high and is increased risk of in-hospital mortality.

U2 - 10.14283/jarcp.2019.16

DO - 10.14283/jarcp.2019.16

M3 - Article

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JO - JARCP: The Journal of Aging Research and Clinical Practice

JF - JARCP: The Journal of Aging Research and Clinical Practice

ER -

Malnutrition point-prevalence from 2012 to 2019 and associated health-outcomes in adult patients in rural hospitals

Abstract

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Related Projects

Ageing Nutrition: Research Across the Care Continuum

Research by Master of Nutrition and Dietetic Practice Students

Oncology Nutrition Research

Related Activities

Eloisa Lopez - Masters of Nutrition and Dietetic Practice research project

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