Observational studyThe journal of nutrition, health & aging2017
Malnutrition in Hospitalised Older Adults: A Multicentre Observational Study of Prevalence, Associations and Outcomes.
Observational study in The journal of nutrition, health & aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it, 123 citations in OpenAlex.
- Pooled it
- Protein-enriched soup and weekly exercise improve muscle health: A randomized trial in mid-to-old age with inadequate protein intake.Journal of cachexia, sarcopenia and muscle · 2024Trial
- A comparison of two different refeeding protocols and its effect on hand grip strength and refeeding syndrome: a randomized controlled clinical trial.European geriatric medicine · 2021Trial
- Improving healthcare staff awareness of malnutrition in acute geriatric care: a European multicenter quality improvement project.European geriatric medicine · 2026Article
- Article
- Predictive performance of GLIM with different nutritional risk screening tools in 5-year adverse health outcomes among older hospitalized patients: a comparative study.BMC geriatrics · 2025Observational
- Factors associated with hypoalbuminemia and malnutrition risk in older inpatients: A detailed analysis of demographic and clinical characteristics.AIMS public health · 2025Article
- Prevalence of malnutrition and associated factors among the elderly population in Jiaxing City, China.Frontiers in nutrition · 2025Article
- Determinants of Malnourishment in the Institutionalized Older Population: The FRAGILESS Study.Nutrients · 2024Article
- Understanding mealtime behavioral problems in nursing home residents living with dementia: a group concept mapping approach.BMC geriatrics · 2024Article
- Pre-Admission Predictors of Walking Independence in Critically Ill Patients.Respiratory care · 2024Article
- The Association of Body Mass Index on Falls Risk and Mortality in Hospitalized Patients of Different Old-Age Categories Requiring Nutritional Support.Clinical nutrition research · 2024Article
- Nutritional status and nutritional intervention of older inpatients in China.The journal of nutrition, health & aging · 2024Article
- Article
- A Critical Review of Current Worldwide Definitions of Sarcopenia.Calcified tissue international · 2024Review
- Prevalence of mild cognitive impairment and its association with malnutrition in older Chinese adults in the community.Frontiers in public health · 2024Article
- Association Between Geriatric Nutrition Risk Index and 90-Day Mortality in Older Adults with Chronic Obstructive Pulmonary Disease: a Retrospective Cohort Study.International journal of chronic obstructive pulmonary disease · 2024Article
- Optimizing the Design of Clinical Trials to Evaluate the Efficacy of Function-Promoting Therapies.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- Handgrip Strength Test and Bioelectrical Impedance Analysis in SARS-CoV-2 Patients Admitted to Sub-Intensive Unit.Nutrients · 2023Article
- Intervention-related, contextual and personal factors affecting the implementation of an evidence-based digital system for prevention and treatment of malnutrition in elderly institutionalized patients: a qualitative study.BMC health services research · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMalnutrition is common in older adults and is associated with high costs and adverse outcomes. The prevalence, predictors and outcomes of malnutrition on admission to hospital are not clear for this population.
designProspective Cohort Study.
settingSix hospital sites (five public, one private).
participantsIn total, 606 older adults aged 70+ were included. All elective and acute admissions to any speciality were eligible. Day-case admissions and those moribund on admission were excluded. MEASUREMENTS: Socio-demographic and clinical data, including nutritional status (Mini-Nutritional Assessment - short form), was collected within 36 hours of admission. Outcome data was collected prospectively on length of stay, in-hospital mortality and new institutionalisation.
resultsThe mean age was 79.7; 51% were female; 29% were elective admissions; 67% were admitted to a medical specialty. Nutrition scores were available for 602/606; 37% had a 'normal' status, 45% were 'at-risk', and 18% were 'malnourished'. Malnutrition was more common in females, acute admissions, older patients and those who were widowed/ separated. Dementia, functional dependency, comorbidity and frailty independently predicted a) malnutrition and b) being at-risk of malnutrition, compared to normal status (p < .001). Malnutrition was associated with outcomes including an increased length of stay (p < .001), new institutionalisation (p =<0.001) and in-hospital mortality (p < .001).
conclusionsThese findings support the prioritisation of nutritional screening in clinical practice and public health policy, for all patients ≥70 on admission to hospital, and in particular for people with dementia, increased functional dependency and/or multi-morbidity, and those who are frail.
Indexed as
Identifiers
What OpenQuestion holds
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.