Evidence map›Paper›PMID 33825280›Full record

ArticleHealth & social care in the community2021

Using malnutrition and food insecurity screening to identify broader health-related social needs amongst older adults receiving emergency department care in the Southeastern United States: A cross-sectional study.

Aileen F Aylward, Jessa Engelberg Anderson, Andrea Morris, Montika Bush, Brenda Schmitthenner, Rayad Bin Shams, Folafunmi Omofoye, Santosh Bodepudi, Heidi Roche, Julia Cimpian and 2 more

Open access · greenAbstract read
In one paragraph

Article in Health & social care in the community, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Effects of a Geriatric Emergency Department Multidisciplinary Intervention on Functional Status and Quality of Life: A Pre/Post Cohort Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Trial
  2. Patient-Reported Outcome Measures in the Emergency Department: A Scoping Review.Journal of the American College of Emergency Physicians open · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Article
  8. Article
  9. Article
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

12 authors at 4 institutions in 1 country.

Aileen F AylwardDepartment of Emergency Medicine, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0002-8829-5178
Jessa Engelberg AndersonWest Health Institute, San Diego, CA, USA.
Andrea MorrisWest Health Institute, San Diego, CA, USA.
Montika BushDepartment of Emergency Medicine, University of North Carolina, Chapel Hill, NC, USA.
Brenda SchmitthennerGary and Mary West Foundation, CA, USA.
Rayad Bin ShamsDepartment of Emergency Medicine, University of North Carolina, Chapel Hill, NC, USA.
Folafunmi OmofoyeUniversity of North Carolina School of Medicine, Chapel Hill, NC, USA.
Santosh BodepudiUniversity of North Carolina School of Medicine, Chapel Hill, NC, USA.
Heidi RocheUniversity of North Carolina School of Medicine, Chapel Hill, NC, USA.
Julia CimpianUniversity of North Carolina School of Medicine, Chapel Hill, NC, USA.
Liane WardlowWest Health Institute, San Diego, CA, USA.
Timothy F Platts-MillsQuantworks, Inc, Carrboro, NC, USA.
University of North Carolina at Chapel Hill · USWest Health · USMary Kay Foundation · USSkyworks Solutions (United States) · US

Funding

UNC-CH Summer Research Training in Aging for Medical StudentsT35AG038047 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JAN BUSBY-WHITEHEAD · 2010 to 2026
$1.4M
NIA NIH HHS T35 AG038047
6 · The paper itself

Abstract

Unmet health-related social needs are common amongst older US adults and impact both quality of life and health outcomes. One of the ways that unmet health-related social needs impact health is through malnutrition, an imbalance in a person's intake of energy and/or nutrients. Lack of reliable access to a sufficient quantity of nutritious food is a specific health-related social need that can be assessed rapidly and, when unmet, is a direct risk factor for malnutrition and may be indicative of a broader range of unmet health-related social needs. We conducted a cross-sectional study to characterise malnutrition and food insecurity amongst older adults receiving emergency department (ED) care using brief, validated measures and to assess the burden of a broader range of health-related social needs amongst these patients. Patients were asked about their need for and willingness to receive a range of social services. The study was conducted in an academic ED serving a racially and socioeconomically diverse population in the Southeastern United States. A convenience sample of noncritically ill adults aged 60 years and older was approached between November 2018 and April 2019. Study patients (n = 127) were predominantly non-Hispanic white (67%), community dwelling (91%) and urban residents (66%) with 28% screening positive for malnutrition risk, 16% for food insecurity and 5% for both. Of those at risk for malnutrition, 25 (69%) reported ≥2 unmet health-related social needs and 14 (38%) were receptive to social services. Amongst food insecure patients, 18 (90%) reported additional unmet health-related social needs and 13 (65%) were receptive to receiving social services. In conclusion, a brief set of questions can identify subgroups of older ED patients who are food insecure or at risk for malnutrition. Individuals who screen positive for food insecurity have a high burden of unmet health-related social needs.

Indexed as

Food InsecurityMalnutritionAdultAgedCross-Sectional StudiesEmergency Service, HospitalHumansMiddle AgedQuality of LifeSoutheastern United StatesUnited Statesemergency carehealth and social servicesolder peopleolder people's services

Identifiers

PMID33825280
PMCPMC10231411
OpenAlexW3145112503

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.