Journal article
Hospital-acquired malnutrition: point prevalence, risk identifiers and utility of a digital Dashboard to identify high-risk, long-stay patients in five Australian facilities
Journal of human nutrition and dietetics, Vol.37(6), pp.1538-1546
01/10/2024
PMID: 39350720
Appears in Recent Faculty of Health Publications
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Source: InCites
Abstract
Background: There are limited hospital-acquired malnutrition (HAM) studies among the plethora of malnutrition literature, and a few studies utilise electronic medical records to assist with malnutrition care. This study therefore aimed to determine the point prevalence of HAM in long-stay adult patients across five facilities, whether any descriptors could assist in identifying these patients and whether a digital Dashboard accurately reflected 'real-time' patient nutritional status.
Methods: HAM was defined as malnutrition first diagnosed >14 days after hospital admission. Eligible patients were consenting adult (≥18 years) inpatients with a length of stay (LOS) >14 days. Palliative, mental health and intensive care patients were excluded. Descriptive, clinical and nutritional data were collected, including nutritional status, and whether a patient had hospital-acquired malnutrition to determine point prevalence. Descriptive Fisher's exact and analysis of variance (ANOVA) tests were used.
Results: Eligible patients (n = 134) were aged 68 ± 16 years, 52% were female and 92% were acute admissions. HAM and malnutrition point prevalence were 4.5% (n = 6/134) and 19% (n = 26/134), respectively. Patients with HAM had 72 days greater LOS than those with malnutrition present on admission (p < 0.001). A high proportion of HAM patients were inpatients at a tertiary facility and longer-stay wards. The Dashboard correctly reflected recent ward dietitian assessments in 94% of patients at one facility (n = 29/31).
Conclusions: HAM point prevalence was 4.5% among adult long-stay patients. Several descriptors may be suitable to screen for at-risk patients in future studies. Digital Dashboards have the potential to explore factors related to HAM.
Details
- Title
- Hospital-acquired malnutrition: point prevalence, risk identifiers and utility of a digital Dashboard to identify high-risk, long-stay patients in five Australian facilities
- Creators
- Michelle Palmer - Logan HospitalBreanne Hosking - Logan HospitalFiona Naumann - Logan HospitalSally Courtice - Nutrition and Dietetics, QEII Hospital, Coopers Plains, Queensland, AustraliaAmanda Henderson - Princess Alexandra HospitalRachel M Stoney - Redland HospitalLynda J Ross - Queensland University of TechnologyAngela Vivanti - Princess Alexandra Hospital
- Publication Details
- Journal of human nutrition and dietetics, Vol.37(6), pp.1538-1546
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Grant note
- Metro South Health Research Support Scheme
- Identifiers
- 991013225812802368
- Copyright
- © 2024 The British Dietetic Association Ltd.
- Academic Unit
- Faculty of Health
- Language
- English
- Resource Type
- Journal article