Evidence map›Paper›PMID 37108004›Full record

ArticleHealthcare (Basel, Switzerland)2023

Are Malnourished Inpatients Treated by Dietitians Active Participants in Their Nutrition Care? Findings of an Exploratory Study of Patient-Reported Measures across Nine Australian Hospitals.

Jack J Bell, Alita Rushton, Kai Elmas, Merrilyn D Banks, Rhiannon Barnes, Adrienne M Young

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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 · 2026
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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 3 institutions in 1 country.

Jack J BellAllied Health, The Prince Charles Hospital, Brisbane, QLD 4032, Australia.
Alita RushtonAllied Health, The Prince Charles Hospital, Brisbane, QLD 4032, Australia.ORCID 0000-0003-4133-0754
Kai ElmasAllied Health, The Prince Charles Hospital, Brisbane, QLD 4032, Australia.
Merrilyn D BanksDietetics and Food Services, Royal Brisbane and Women's Hospital, Brisbane, QLD 4029, Australia.
Rhiannon BarnesDietetics and Food Services, Royal Brisbane and Women's Hospital, Brisbane, QLD 4029, Australia.
Adrienne M YoungDietetics and Food Services, Royal Brisbane and Women's Hospital, Brisbane, QLD 4029, Australia.ORCID 0000-0002-4498-4342
The University of Queensland · AURoyal Brisbane and Women's Hospital · AUPrince Charles Hospital · AU

Funding

Allied Health Professions Office of Queensland Allied Health Expanded Scope Funding SchemeMedical Research Future Fund 2018 MRFF Next Generation Clinical Researchers Program 2019/MRF1168080
6 · The paper itself

Abstract

backgroundInpatient malnutrition is a key determinant of adverse patient and healthcare outcomes. The engagement of patients as active participants in nutrition care processes that support informed consent, care planning and shared decision making is recommended and has expected benefits. This study applied patient-reported measures to identify the proportion of malnourished inpatients seen by dietitians that reported engagement in key nutrition care processes.

methodsA subset analysis of a multisite malnutrition audit limited to patients with diagnosed malnutrition who had at least one dietitian chart entry and were able to respond to patient-reported measurement questions.

resultsData were available for 71 patients across nine Queensland hospitals. Patients were predominantly older adults (median 81 years, IQR 15) and female (n = 46) with mild/moderate (n = 50) versus severe (n = 17) or unspecified severity (n = 4) malnutrition. The median length of stay at the time of audit was 7 days (IQR 13). More than half of the patients included had two or more documented dietitian reviews. Nearly all patients (n = 68) received at least one form of nutrition support. A substantial number of patients reported not receiving a malnutrition diagnosis (n = 37), not being provided information about malnutrition (n = 30), or not having a plan for ongoing nutrition care or follow-up (n = 31). There were no clinically relevant trends between patient-reported measures and the number of dietitian reviews or severity of malnutrition.

conclusionsMalnourished inpatients seen by dietitians across multiple hospitals almost always receive nutritional support. Urgent attention is required to identify why these same patients do not routinely report receiving malnutrition diagnostic advice, receiving information about being at risk of malnutrition, and having a plan for ongoing nutrition care, regardless of how many times they are seen by dietitians.

Indexed as

dietitianengagementhospitalsmalnutritionnutrition therapyparticipation

Identifiers

PMID37108004
PMCPMC10138321
OpenAlexW4366414883

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.