ArticleEuropean journal of clinical nutrition2020
A retrospective study of the incidence and characteristics of long-stay adult inpatients with hospital-acquired malnutrition across five Australian public hospitals.
Article in European journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Prevalence of hospital-acquired malnutrition and modifiable determinants of nutritional deterioration during inpatient admissions: A systematic review of the evidence.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2022Pooled it
- 'It's Not About the Food'-Understanding the Lived Experience of Patients Who Developed Hospital-Acquired Malnutrition (HAM) and That of Their Carers.Healthcare (Basel, Switzerland) · 2026Article
- Addressing Malnutrition in Australian Hospitals: A Scoping Review to Inform Systems Thinking.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- Patients' perception and needs of spiritual care: A qualitative study in the context of prolonged hospitalizations.PloS one · 2026Article
- Comparison of Readmission, Discharge Location and Mortality over Three Years Post-Discharge Between Patients Diagnosed with Hospital-Acquired Malnutrition and Those Malnourished on Admission-A Retrospective Matched Case-Control Study in Five Facilities.Healthcare (Basel, Switzerland) · 2025Article
- Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management.Nutrients · 2022Review
- Article
- Profiling Malnutrition Prevalence among Australian Rural In-Patients Using a Retrospective Census of Electronic Medical Files over a 12-Month Period.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesWhile malnutrition is prevalent in hospitals, little is known about patients who first become malnourished during the hospital stay. This study aimed to determine the incidence and describe the characteristics of patients who developed hospital-acquired malnutrition (HAM) across five Australian public hospitals. SUBJECTS/
methodsA retrospective clinical audit of hospital data was conducted. Adult patients (aged ≥ 18 years) with a length of stay (LOS) > 14 days in a Metro South Health hospital between July 2015 and January 2019 were eligible. Demographic and clinical data were sourced from hospital data and medical records. Dietitians reviewed the medical records of patients clinically coded with malnutrition to determine HAM incidence. Univariate and logistic regression analyses were used to determine patient descriptors associated with HAM, compared with those not malnourished or those malnourished on admission.
resultsA total of 17,717 patients were eligible (45% F, 63 ± 20 years, LOS 24 (15-606) days). HAM incidence in long-stay patients was 1%, with an overall malnutrition prevalence of 18%. Patients with HAM had an ~26 days longer LOS than patients who were malnourished on admission or not malnourished (p < 0.001). Longer LOS; patient inter-hospital transfer from or to another hospital; or experiencing cognitive impairment, pressure injury or a fall while in hospital were associated with HAM (OR 1.006-3.6, p < 0.05).
conclusionsIncidence of HAM, defined as malnutrition first diagnosed >14 days after admission, was in the low end of the published range. HAM was significantly associated with long LOS, transferring between hospitals and developing a cognitive impairment, pressure injury or fall during admission.
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