Addressing Malnutrition Across the Continuum of Care: Which Patients Are Likely to Receive Oral Nutritional Supplements
Journal Title: Journal of Ageing Research and Healthcare - Year 2017, Vol 1, Issue 3
Abstract
Oral nutritional supplements (ONS) have been shown to improve patient outcomes in the hospital setting, but limited results from long-term care or community settings exist. Using electronic health records (EHRs) from 2009 to 2014 for both adult inpatients and outpatients, we compare the demographic and clinical characteristics of patients who received ONS (n = 1,251) with a non-ONS control group (n =25,513). Multivariable logistic regression modeling was used to describe and compare differences in baseline characteristics between the groups including age, sex, race, tobacco use, and comorbidities. We found that patients receiving ONS were older and sicker than control patients. Hospitalized ONS patients were more likely to be admitted from the emergency department and have a hospitalization within the last month prior to the index date. Our results suggest that there is a need for nutrition screening and incorporating nutrition status into the EHR as an important way to coordinate hospital and community medical care. ONS can be an important therapy for vulnerable populations in both the hospital and the community settings.
Authors and Affiliations
Jove Graham, Linlin Fan, Eric S. Meadows, Lillian Hang, Jamie Partridge, Scott Goates
Keywords
Related Articles
- EP ID EP261590
- DOI 10.14302/issn.2474-7785.jarh-16-1398
- Views 135
- Downloads 0
Exploring Factors that Contribute to Regular Participation and Practice in Cognitive Stimulation Training for Mild Cognitive Impairment: A Qualitative Study
Background and Objective: Cognitive stimulation training was effective in reducing risk of cognitive decline and dementia in patients with mild cognitive impairment. The present study aimed to explore factors that contr...
Addressing Malnutrition Across the Continuum of Care: Which Patients Are Likely to Receive Oral Nutritional Supplements
Oral nutritional supplements (ONS) have been shown to improve patient outcomes in the hospital setting, but limited results from long-term care or community settings exist. Using electronic health records (EHRs) from 200...
Evaluation of the Impact of Clinical, Functional and Social Factors on the Readmission of Patients with Pluripathologies
Purpose Hospital readmission of patients with pluripathologies is frequent and costly. This study describes the impact of patients’ pluripathologies, functional capacity and social complexity on readmissions during a 12-...
New Knowledge and Research Needs for End-of-Life Care Among Elderly Persons in Long-Term Care Settings
Given the aging of the population, an increase in the number of persons in need of long-term care and end-of-life care can be expected in the coming years. The scientific literature underlines the lack of end-of-life car...
Hand Grip Strength as A Potential Nutritional Assessment Tool in Long-Term Care Homes
Loss of muscle mass and functionality leads to increased risk for falls and onset of frailty, especially residents of long term care (LTC) homes. Hand grip strength (HGS) is emerging as a promising tool to measure muscle...