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Cited by 45Nutrition and Health in AgingClinical Nutrition and GastroenterologyDietetics, Nutrition, and Education

Investigation of the benefits of early malnutrition screening with telehealth follow up in elderly acute medical admissions

Sharma, Y, Thompson, C H, Kaambwa, B, Shahi, R, Hakendorf, P, Miller, M·2017·QJM: An International Journal of Medicine
DOI 10.1093/qjmed/hcx095
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Abstract

Background The benefit of providing early nutrition intervention and its continuation post-discharge in older hospitalized patients is unclear. This study examined efficacy of such an intervention in older patients discharged from acute care. Methods In this randomized controlled trial, 148 malnourished patients were randomized to receive either a nutrition intervention for 3 months or usual care. Intervention included an individualized nutrition care plan plus monthly post-discharge telehealth follow-up whereas control patients received intervention only upon referral by their treating clinicians. Nutrition status was determined by the Patient Generated Subjective Global Assessment (PG-SGA) tool. Clinical outcomes included changes in length of hospital stay, complications during hospitalization, Quality of life (QoL), mortality and re-admission rate. Results Fifty-four males and 94 females (mean age, 81.8 years) were included. Both groups significantly improved PG-SGA scores from baseline. There was no between-group differences in the change in PG-SGA scores and final PG-SGA scores were similar at 3 months 6.9 (95% CI 5.6-8.3) vs. 5.8 (95% CI 4.8-6.9) (P = 0.09), in control and intervention groups, respectively. Median total length of hospital stay was 6 days shorter in the intervention group (11.4 (IQR 16.6) vs. 5.4 (IQR 8.1) (P = 0.01). There was no significant difference in complication rate during hospitalization, QoL and mortality at 3-months or readmission rate at 1, 3…

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Crossref · 10.1093/qjmed/hcx095

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  • Readmission rates were not reduced after three months in one of the largest trials, in geriatric patients, or in older patients.

    “While readmission rates as an indicator of clinical course e.g. were not reduced after three months in one of the largest trials to date (level of evidence: 1þþ) [9] in geriatric patients (level of evidence: 1þ) [131] or in older patients (level of evidence: 1-) [132]”

    From ESPEN guideline on nutritional support for polymorbid medical inpatients (2023) · cites this paper as [132]

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Authors
Sharma, Y., Thompson, C. H., Kaambwa, B., Shahi, R., Hakendorf, P., & Miller, M.
Affiliations
  • Flinders University (AU)
  • The University of Adelaide (AU)
  • Monash University (AU)
  • Flinders Medical Centre (AU)
ORCID
Venue
QJM: An International Journal of Medicine
Publisher
Oxford University Press (OUP)
Published
2017-05-04
Volume
110
Issue
10
Pages
639-647
ISSN
  • 0033-5622 (ISSN-L)
  • 1460-2725
  • 1460-2393
DOI
10.1093/qjmed/hcx095
OpenAlex
W2610695436
Cited by
45
References
2
Citations by year
2026: 6 · 2025: 4 · 2024: 6 · 2023: 4 · 2022: 8 · 2021: 7 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 1
FWCI
2.03
Type
journal article
Language
en
Open access
closed
Locations
  • QJM (publishedVersion)
  • PubMed (publishedVersion)
  • Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
Keywords
malnutrition screening, older adults, acute medical admissions, telehealth follow-up, Patient-Generated Subjective Global Assessment, length of hospital stay, hospital readmission, mortality, quality of life, hospitalized patients
MeSH terms
Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Length of Stay, Male, Mass Screening, Nutritional Status, Patient Discharge, Patient Readmission, Quality of Life, Severity of Illness Index, South Australia, Logistic Models, Telemedicine, Malnutrition, Nutrition Therapy

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