ArticleJPEN. Journal of parenteral and enteral nutrition2021
How a Malnutrition Quality Improvement Initiative Furthers Malnutrition Measurement and Care: Results From a Hospital Learning Collaborative.
Article in JPEN. Journal of parenteral and enteral nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Diagnostic and application guidelines for malnutrition in adult patients (2025 edition).Asia Pacific journal of clinical nutrition · 2025Guideline
- Artificial Intelligence-Based Hospital Malnutrition Screening: Validation of a Novel Machine Learning Model.Applied clinical informatics · 2025Article
- A Nomogram for Predicting the Risk of Death in Patients with Prolonged Hospital Stays in Internal Medicine Wards: A Retrospective Study.International journal of general medicine · 2025Article
- Malnutrition in hospitalized adults in the United States, 2016-2019.Journal of hospital medicine · 2024Article
- Prevalence Rates and Characteristics of Malnutrition, Frailty, and Other Nutrition and Muscle Mass-Related Conditions Document Potential Quality of Care Gap for Medicare Patients in US Skilled Nursing Facilities.Geriatrics (Basel, Switzerland) · 2022Article
- Malnutrition Increases Hospital Length of Stay and Mortality among Adult Inpatients with COVID-19.Nutrients · 2022Article
- Implementation of malnutrition quality improvement reveals opportunities for better nutrition care delivery for hospitalized patients.JPEN. Journal of parenteral and enteral nutrition · 2022Article
- Good nutrition across the lifespan is foundational for healthy aging and sustainable development.Frontiers in nutrition · 2022Article
- The breath print represents a novel biomarker of malnutrition in pulmonary arterial hypertension: A proof of concept study.JPEN. Journal of parenteral and enteral nutrition · 2021Article
- Perspectives of Registered Dietitian Nutritionists on Adoption of Telehealth for Nutrition Care during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2021Article
- Opportunities to Improve Quality Outcomes: Integrating Nutrition Care Into Medicare Advantage to Address Malnutrition and Support Social Determinants of Health.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMalnutrition in hospitalized patients can adversely affect health outcomes and increase the cost of care. Real-world strategies are needed for prompt identification and treatment of patients at risk of malnutrition.
objectivesThe aim of this quality improvement (QI) study was to measure the impact of a nutrition-focused program on the malnutrition care processes of participating hospitals. Secondary objectives were to determine whether improvements in these nutrition-related processes reduced hospital readmissions and length of stay (LOS) in patients ≥65 years.
methodsA group of 27 US hospitals ("The Collaborative") implemented the Malnutrition Quality Improvement Initiative (MQii), as guided by a Malnutrition QI Toolkit and 4 electronic clinical quality measures (eCQMs), including (1) nutrition screening; (2) nutrition assessment following detection of malnutrition risk; (3) nutrition care plan for patients identified as malnourished after completed nutrition assessment; and (4) documentation of malnutrition diagnoses. Multivariate analyses identified the variables best correlated with patient outcomes.
resultsImprovements were observed for all 4 eCQMs. The greatest improvements were achieved as a result of timely nutrition assessment (P = .06) and malnutrition diagnosis (P = .02). Patients ≥65 years with a malnutrition diagnosis and nutrition care plan had a 24% lower likelihood of 30-day readmission but a longer mean LOS than did those without a care plan.
conclusionsIn this study, the implementation of MQii practices significantly improved the identification of malnutrition. The prompt identification and treatment of patients at malnutrition risk can improve patient care and health, as well as reduce costly readmissions.
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