Prevalence of malnutrition and impact on 30-day hospital readmission in adults receiving home care and ambulatory care: A descriptive cohort study.

IF 3.2 3区医学 Q2 NUTRITION & DIETETICS Journal of Parenteral and Enteral Nutrition Pub Date : 2024-07-09 DOI:10.1002/jpen.2670

Leila Goharian, Heather Keller, S Desai

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Abstract

Background: Little is known about the prevalence of malnutrition among patients receiving home care (HC) and ambulatory care (AC) services. Further, the risk of hospital readmission in malnourished patients transitioning from hospital to HC or AC is also not well established. This study aims to address these two gaps.

Methods: A descriptive cohort study of newly referred HC and AC patients between January and December 2019 was conducted. Nutrition status was assessed by clinicians using the Mini Nutritional Assessment-Short Form (MNA-SF). Prevalence of malnutrition and at risk of malnutrition (ARM) was calculated, and a log-binomial regression model was used to estimate the relative risk of hospital readmission within 30 days of discharge for those who were malnourished and referred from hospital.

Results: A total of 3704 MNA-SFs were returned, of which 2402 (65%) had complete data. The estimated prevalence of malnutrition and ARM among newly referred HC and AC patients was 21% (95% CI: 19%-22%) and 55% (95% CI: 53%-57%), respectively. The estimated risk of hospital readmission for malnourished patients was 2.7 times higher (95% CI: 1.9%-3.9%) and for ARM patients was 1.9 times higher (95% CI: 1.4%-2.8%) than that of patients with normal nutrition status.

Conclusion: The prevalence of malnutrition and ARM among HC and AC patients is high. Malnutrition and ARM are correlated with an increased risk of hospital readmission 30 days posthospital discharge.

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接受家庭护理和非住院护理的成年人营养不良的普遍程度及其对 30 天再入院治疗的影响：一项描述性队列研究。

背景：人们对接受家庭护理（HC）和非住院护理（AC）服务的患者中营养不良的发生率知之甚少。此外，营养不良患者从医院转到家庭护理或非住院护理服务后再次入院的风险也没有得到很好的证实。本研究旨在弥补这两方面的不足：本研究对 2019 年 1 月至 12 月间新转诊的 HC 和 AC 患者进行了描述性队列研究。营养状况由临床医生使用迷你营养评估简表（MNA-SF）进行评估。计算了营养不良和营养不良风险（ARM）的患病率，并使用对数二项式回归模型估算了营养不良的转诊患者在出院后30天内再次入院的相对风险：共收回 3704 份 MNA-SF，其中 2402 份（65%）数据完整。在新转诊的HC和AC患者中，营养不良和ARM的估计患病率分别为21%（95% CI：19%-22%）和55%（95% CI：53%-57%）。与营养状况正常的患者相比，营养不良患者的再入院风险估计值高出2.7倍（95% CI：1.9%-3.9%），ARM患者的再入院风险估计值高出1.9倍（95% CI：1.4%-2.8%）：结论：HC和AC患者中营养不良和ARM的发病率很高。营养不良和ARM与出院后30天再入院的风险增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Parenteral and Enteral Nutrition 医学-营养学

CiteScore

7.80

自引率

8.80%

发文量

161

审稿时长

6-12 weeks

期刊介绍： The Journal of Parenteral and Enteral Nutrition (JPEN) is the premier scientific journal of nutrition and metabolic support. It publishes original peer-reviewed studies that define the cutting edge of basic and clinical research in the field. It explores the science of optimizing the care of patients receiving enteral or IV therapies. Also included: reviews, techniques, brief reports, case reports, and abstracts.