The DOI matches its Crossref record; 62 of the 69 references it cites were found in a registry or an index.
Prevalence of hospital-acquired malnutrition and modifiable determinants of nutritional deterioration during inpatient admissions: a systematic review of the evidence
Open accessAbstract
Background: Malnutrition affects between 20% and 50% of hospital inpatients on admission, with further declines expected during hospitalisation. This review summarises the existing literature on hospital‐acquired malnutrition that examines the magnitude of nutritional deterioration amongst adult inpatients and identifies preventable barriers to optimising nutrition support during episodes of care. Methods: A systematic review was conducted to answer the question: Among adult hospital inpatients, the presence of which modifiable factors contribute to hospital‐acquired malnutrition? A database search was conducted between the 24 April and 30 June 2020 using CINAHL, MEDLINE, Scopus and PubMed databases according to a protocol registered with PROSPERO (CD42020182728). In addition, issues of the 10 top clinical nutrition journals published during the period of from 1 April 2015 to 30 March 2020 were hand‐searched. Results: Fifteen articles were eligible for inclusion from a total of 5944 retrieved abstracts. A narrative synthesis of evidence was completed because of the high level of heterogeneity in methodologies. Nutritional deterioration is common among previously well‐nourished and nutritionally compromised patients, with studies reporting that 10%–65% of patients experienced nutritional decline. Frequently reported barriers were mealtime interruptions, meal dissatisfaction, procedure‐related fasting, effects of illness or treatment, chewing difficulties, poor appetite and malnutrition as a low clinical priority. Conclusions: The findings of this review support the need for routine nutritional risk screening throughout each hospital admission with hospital‐acquired malnutrition affecting up to 65% of inpatients. Clear establishment of the roles and responsibilities of each member within multidisciplinary healthcare teams in the provision of nutrition care and cost–benefit analyses are recommended to demonstrate the effectiveness of changes to models of care.
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“Malnutrition prevalence estimates range from 20% to 60% for hospitalized patients.”
From Malnutrition and Cachexia in Inpatients With Acute Cardiac Conditions: A Scientific Statement From the American Heart Association (2026) · cites this paper as [8]
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“The malnutrition prevalence estimates ranging from 20% to 60% for hospitalized patients are probably underestimates resulting from limitations in documentation, coding, and diagnostic criteria.8”
From Malnutrition and Cachexia in Inpatients With Acute Cardiac Conditions: A Scientific Statement From the American Heart Association (2026) · cites this paper as [8]
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BackgroundPERSEPSI PERAWAT TERHADAP INSTRUMEN SKRINING MST DAN SNST DI RSUD CIDERES
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Metadata
- Authors
- Cass, A. R., & Charlton, K. E.
- Affiliations
- University of Wollongong (AU)
- Corresponding author
- Charlton, Karen E.
- ORCID
- Charlton, Karen E.
- Venue
- Journal of Human Nutrition and Dietetics
- Publisher
- Wiley
- Published
- 2022-04-26
- Volume
- 35
- Issue
- 6
- Pages
- 1043-1058
- ISSN
- 0952-3871 (ISSN-L)
- 1365-277X
- PMC
- PMC9790482
- OpenAlex
- W4224979341
- Cited by
- 177
- References
- 69
- Citations by year
- 2026: 40 · 2025: 70 · 2024: 38 · 2023: 21 · 2022: 8
- FWCI
- 4.71
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Human Nutrition and Dietetics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Online (University of Wollongong) (submittedVersion)
- Funders
- University of Wollongong
- Topics
- Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Nursing › Nutrition and Dietetics › Dietetics, Nutrition, and Education
- Keywords
- hospital-acquired malnutrition, nutritional deterioration, inpatient nutrition, nutritional risk screening, modifiable risk factors, chewing difficulty, appetite loss
- MeSH terms
- Adult, Hospitalization, Hospitals, Humans, Inpatients, Nutritional Status, Nutrition Assessment, Prevalence, Malnutrition
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