Cited by 183Clinical Nutrition and GastroenterologyNutrition and Health in AgingDialysis and Renal Disease Management

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A systematic review and meta-analysis of the impact of oral nutritional supplements on hospital readmissions

Stratton, Rebecca J., Hébuterne, X., Elia, M.·2013·Ageing Research Reviews

DOI 10.1016/j.arr.2013.07.002

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Abstract

The adverse effects of disease-related malnutrition (DRM) on health care use and costs are well substantiated. However, the impact of managing DRM with nutritional support on health care use, including hospital (re)admissions requires exploration. This systematic review (9 RCT, N=1190) examined the effects of oral nutritional supplements (ONS) on hospital (re)admissions. Meta-analysis of 6 RCT (N=852) with data on the proportion of patients (re)admitted to hospital showed significant reductions with ONS vs. routine care (OR 0.59, 95% CI 0.43-0.80, P=0.001), including 5 RCT (N=826) that recorded readmissions (OR 0.59, 95% CI 0.43-0.80, P=0.001). The significant reduction in (re)admissions was found in meta-analyses of ONS trials in various settings and in patients with DRM or of varied nutritional status. A larger meta-analysis (8 RCT, N=999) that combined other (re)admissions data using standardised differences also showed a significant reduction with ONS (effect size -0.23, 95% CI -0.36 to -0.10, P=0.001). Most of these trials (75%) were in older people aged ≥65 years (6 RCT, N=834, effect size -0.18, 95% CI -0.31 to -0.04, P=0.011). This systematic review shows that ONS significantly reduce hospital (re)admissions, particularly in older patient groups, with economic implications for health care.

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Authors: Stratton, R. J., Hébuterne, X., & Elia, M.
Affiliations: University of Southampton (GB)
Université Nice Sophia Antipolis (FR)
Corresponding author: Stratton, Rebecca J.
ORCID: Stratton, Rebecca J.
Hébuterne, X.
Elia, M.
Venue: Ageing Research Reviews
Publisher: Elsevier BV
Published: 2013-09
Volume: 12
Issue: 4
Pages: 884-897
ISSN: 1568-1637 (ISSN-L)
DOI: 10.1016/j.arr.2013.07.002
OpenAlex: W1993654396
Cited by: 183
References: 38
Citations by year: 2026: 8 · 2025: 10 · 2024: 7 · 2023: 7 · 2022: 18 · 2021: 24 · 2020: 19 · 2019: 16 · 2018: 21 · 2017: 17 · 2016: 8 · 2015: 16 · 2014: 12
FWCI: 1.36
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Ageing Research Reviews (publishedVersion)
PubMed (publishedVersion)
Funders: Javna Agencija za Raziskovalno Dejavnost RS
Topics: Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
Keywords: oral nutritional supplements, disease-related malnutrition, hospital readmission, nutritional support, older adults, health care utilization, health care costs
MeSH terms: Administration, Oral, Aged, Humans, Nutritional Status, Patient Readmission, Randomized Controlled Trials as Topic, Treatment Outcome, Dietary Supplements, Malnutrition

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A systematic review and meta-analysis of the impact of oral nutritional supplements on hospital readmissions

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