Evidence map›Paper›PMID 29588529›Full record

ArticleEuropean journal of clinical nutrition2018

Malnutrition risk is associated with hypoglycemia among general population admitted to internal medicine units. Results from the MENU study.

Eyal Leibovitz, Henriett Adler, Sami Giryes, Meital Ditch, Noa Felner Burg, Mona Boaz

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Article in European journal of clinical nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 27 citations in OpenAlex.

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  14. Challenges and Strategies for Inpatient Diabetes Management in Older Adults.Diabetes spectrum : a publication of the American Diabetes Association · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Eyal LeibovitzDepartment of Internal Medicine "A", Yoseftal Hospital, Eilat, Israel. eyalle2@clalit.co.il.
Henriett AdlerThe Department of Internal Medicine F, Wolfson Medical Center, Holon, Israel.
Sami GiryesThe Department of Internal Medicine B, Rambam Healthcare Campus, Haifa, Israel.
Meital DitchThe Department of Internal Medicine A, Kaplan Medical Center, Rehovot, Israel.
Noa Felner BurgThe Department of Internal Medicine F, Wolfson Medical Center, Holon, Israel.
Mona BoazThe Department of Nutrition Sciences, Ariel University, Ariel, Israel.
Wolfson Medical Center · ILAriel University · ILKaplan Medical Center · ILRambam Health Care Campus · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesTo examine the association between increased malnutrition risk upon admission, and the incidence of hypoglycemia among adult patients admitted to internal medicine units in Israel. SUBJECTS/

methodsThis was a cross-sectional study, and included were all adult patients admitted to internal medicine units, regardless of reason for admission. The NRS2002 was used to for nutritional screening. All glucose measurements were obtained using an institutional blood glucose-monitoring system, which consisted of a point of care, automated glucometer, and an interactive database. Patients were categorized as hypoglycemic if they had at least one documented hypoglycemia (= <70 mg/dL) event during the hospitalization period. Blood chemistry measured at admission was also recorded.

resultsIncluded were 876 patients (mean age 70.0 ± 17.3, 50.6% were males). Rate of positive malnutrition screen was 39.7% of the population. A total of 5.4% of the study population had at least one hypoglycemic event during hospitalization. Rate of diabetes mellitus did not differ between patients with or without hypoglycemia. A greater proportion of patients with hypoglycemia were at increased malnutrition risk compared to patients without documented hypoglycemic events (56.8% vs. 38.9%, p = 0.018). Patients who had hypoglycemia had higher NRS2002 scores for pre-hospitalization unintentional weight loss and reduced food consumed. In logistic regression analysis, increased malnutrition risk was associated with hypoglycemia occurrence (OR 1.982, 95% confidence interval 1.056-3.718, p = 0.033). Age, sex, and diabetes mellitus status did not affect the rate of hypoglycemia.

conclusionsOur data suggest increased malnutrition risk as measured by the NRS2002 almost doubled the risk for hypoglycemia during the hospitalization.

Indexed as

HospitalizationAgedAged, 80 and overBiomarkersBlood GlucoseCross-Sectional StudiesFemaleHumansHypoglycemiaIncidenceIsraelMaleMalnutritionMiddle AgedRisk FactorsBiomarkersBlood Glucose

Identifiers

PMID29588529
OpenAlexW2794461723

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Registered trials

None linked

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.