ArticleJPEN. Journal of parenteral and enteral nutrition2018
Malnutrition, Critical Illness Survivors, and Postdischarge Outcomes: A Cohort Study.
Article in JPEN. Journal of parenteral and enteral nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06564168 (Nutritional Status of Critically Ill Diabetic Patients With Type 2 Diabetes Mellitus.), which is not on this map. Cited by 24 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Nutritional Status of Critically Ill Diabetic Patients With Type 2 Diabetes Mellitus.
Who cites it
24 citing papers in PubMed, 65 citations in OpenAlex.
- Nutrition Support in Patients With Delirium: A Retrospective Case Series.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- Malnutrition as a critical predictor of in-hospital outcomes and resource utilization in heart failure: a 6-year nationwide analysis.BMC cardiovascular disorders · 2026Article
- The geriatric nutritional risk index predicts short-term mortality in older patients with urosepsis: a retrospective cohort study with external validation.Frontiers in nutrition · 2026Article
- Nutrition-impacting symptoms in survivors of critical illness: A descriptive cohort study.JPEN. Journal of parenteral and enteral nutrition · 2025Article
- Exploring Patient Mealtime Experience in an Acute Care Setting Using the Modified Austin Health Patient Mealtime Experience Tool.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Transition from Enteral to Oral Nutrition in Intensive Care and Post Intensive Care Patients: A Scoping Review.Nutrients · 2025Article
- The relationship between improved elderly nutritional risk index and short-term all-cause mortality in patients with urinary sepsis: a retrospective cohort study.Frontiers in nutrition · 2025Article
- The Evolution in Non-Alcoholic Fatty Liver Disease Patients' Profile and the Associated Sustainable Challenges: A Multidisciplinary Perspective.Nutrients · 2024Review
- Navigating sarcopenia in COVID-19 patients and survivors: Understanding the long-term consequences, transitioning from hospital to community with mechanisms and interventions for future preparedness.Aging medicine (Milton (N.S.W)) · 2024Review
- Nutrition Care after Hospital Discharge in Singapore: Evidence-Based Best-Practice Recommendations.Nutrients · 2023Article
- Wasting and associated factors among critically ill children admitted to pediatric intensive care unit in Ethiopia.BMC nutrition · 2022Article
- Modified Nutrition Risk in Critically ill is an effective nutrition risk screening tool in severely burned patients, compared with Nutrition Risk Screening 2002.Frontiers in nutrition · 2022Article
- Nutrition Therapy Cost-Effectiveness Model Indicating How Nutrition May Contribute to the Efficiency and Financial Sustainability of the Health Systems.JPEN. Journal of parenteral and enteral nutrition · 2021Article
- The value of admission Troponin I to predict outcomes in suspected infections in elderly patients admitted in Internal Medicine: results from the SOFA-T collaboration, a multi-center study.Internal and emergency medicine · 2021Article
- Nutritional Risk at intensive care unit admission and outcomes in survivors of critical illness.Clinical nutrition (Edinburgh, Scotland) · 2021Article
- Metabolism of Proteins and Amino Acids in Critical Illness: From Physiological Alterations to Relevant Clinical Practice.Journal of multidisciplinary healthcare · 2021Review
- Article
- Optimizing Nitrogen Balance Is Associated with Better Outcomes in Neurocritically Ill Patients.Nutrients · 2020Article
- Association between disease-related malnutrition and innate immunity gene expression in critically ill patients at intensive care unit admission.Central-European journal of immunology · 2020Article
- Identifying Critically Ill Patients at Risk of Malnutrition and Underfeeding: A Prospective Study at an Academic Hospital.Advanced pharmaceutical bulletin · 2019Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundWe hypothesized that preexisting malnutrition in patients who survived critical care would be associated with adverse outcomes following hospital discharge.
methodsWe performed an observational cohort study in 1 academic medical center in Boston. We studied 23,575 patients, aged ≥18 years, who received critical care between 2004 and 2011 and survived hospitalization.
resultsThe exposure of interest was malnutrition determined at intensive care unit (ICU) admission by a registered dietitian using clinical judgment and on data related to unintentional weight loss, inadequate nutrient intake, and wasting of muscle mass and/or subcutaneous fat. The primary outcome was 90-day postdischarge mortality. Secondary outcome was unplanned 30-day hospital readmission. Adjusted odds ratios were estimated by logistic regression models adjusted for age, race, sex, Deyo-Charlson Index, surgical ICU, sepsis, and acute organ failure. In the cohort, the absolute risk of 90-day postdischarge mortality was 5.9%, 11.7%, 15.8%, and 21.9% in patients without malnutrition, those at risk of malnutrition, nonspecific malnutrition, and protein-energy malnutrition, respectively. The odds of 90-day postdischarge mortality in patients at risk of malnutrition, nonspecific malnutrition, and protein-energy malnutrition fully adjusted were 1.77 (95% confidence interval [CI], 1.23-2.54), 2.51 (95% CI, 1.36-4.62), and 3.72 (95% CI, 2.16-6.39), respectively, relative to patients without malnutrition. Furthermore, the presence of malnutrition is a significant predictor of the odds of unplanned 30-day hospital readmission.
conclusionsIn patients treated with critical care who survive hospitalization, preexisting malnutrition is a robust predictor of subsequent mortality and unplanned hospital readmission.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.