Observational studyClinical interventions in aging2018
Nutritional variables predict chances of returning home and activities of daily living in post-acute geriatric care.
Observational study in Clinical interventions in aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Specialized High-Protein Oral Nutrition Supplement Improves Home Nutrient Intake of Malnourished Older Adults Without Decreasing Usual Food Intake.JPEN. Journal of parenteral and enteral nutrition · 2019Trial
- Prognostic nutritional index (PNI) is a predictor of adverse outcomes following open ventral hernia repair.Surgical endoscopy · 2026Article
- Relapse Burden of Severe Acute Malnutrition Post-Recovery Using SPHERE Performance Indicators: A Systematic Review and Meta-Analysis.Health science reports · 2025Review
- Decline in oral function contributes to decreased activities of daily living at discharge in elderly patients with heart failure.PloS one · 2025Article
- The impact of changes in physical activity on functional recovery for older inpatients in post-acute rehabilitation units.European geriatric medicine · 2024Article
- Measures for Identifying Malnutrition in Geriatric Rehabilitation: A Scoping Review.Nutrients · 2024Article
- Clinical Interventions to Improve Nutritional Care in Older Adults and Patients in Primary Healthcare - A Scoping Review of Current Practices of Health Care Practitioners.Clinical interventions in aging · 2022Article
- Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia.Nutrients · 2021Article
- Observational
- Association of Anemia with Activities of Daily Living in Chinese Female Centenarian.The journal of nutrition, health & aging · 2020Article
- Assignment of Dental Hygienists Improves Outcomes in Japanese Rehabilitation Wards: A Retrospective Cohort Study.The journal of nutrition, health & aging · 2020Article
- Impact of Energy intake at One Week after Hospitalization on Prognosis for Older Adults with Pneumonia.The journal of nutrition, health & aging · 2020Observational
- Energy Intake at Admission for Improving Activities of Daily Living and Nutritional Status among Convalescent Stroke Patients.Neurologia medico-chirurgica · 2019Article
- 30-Day Potentially Preventable Hospital Readmissions In Older Patients: Clinical Phenotype And Health Care Related Risk Factors.Clinical interventions in aging · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known about the association between malnutrition and the chances of returning home from post-acute facilities in older adult patients. This study aimed to understand whether malnutrition and malnutrition-related factors would be determinants for returning home and activities of daily living (ADL) at discharge after post-acute care.
methodsPatients aged ≥65 years living at home before the onset of an acute disease and admitted to a post-acute ward were enrolled (n=207) in this prospective observational study. Malnutrition was defined based on the criteria of the European Society for Clinical Nutrition and Metabolism. Nutritional parameters included the nutritional intake at the time of admission and oral conditions evaluated by the Oral Health Assessment Tool (OHAT). The Barthel Index was used to assess daily activities. A Cox regression analysis of the length of stay was performed. Multivariable linear regression analyses to determine associations between malnutrition, returning home, and ADL at discharge were performed, after adjusting the variables of acute care setting.
resultsThe mean patient age was 84.7±6.7 years; 38% were men. European Society for Clinical Nutrition and Metabolism-defined malnutrition was observed in 129 (62.3%) patients, and 118 (57.0%) of all patients returned home. Multivariable regression analyses showed that malnutrition was a negative predictor of returning home (hazard ratio: 0.517 [0.351-0.761],
conclusionMalnutrition and nutritional intake are associated with returning home and ADL at discharge, respectively, after post-acute care. Further studies investigating the effects of a nutritional intervention for post-acute patients would be necessary.
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