Evidence map›Paper›PMID 39511468›Full record

ArticleBMC geriatrics2024

What is the level of nutrition care provided to older adults attending emergency departments? A scoping review.

Cerenay Sarier, Mairéad Conneely, Sheila Bowers, Liz Dore, Rose Galvin, Anne Griffin

Abstract readScoping Review
In one paragraph

Article in BMC geriatrics, 2024. 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
–field-weighted citation impact
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.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. 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

6 authors.

Cerenay SarierSchool of Allied Health, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland.
Mairéad ConneelySchool of Allied Health, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland.
Sheila BowersDepartment of Clinical Nutrition & Dietetics, University of Limerick Hospital Group, Dooradoyle, Limerick, Ireland.
Liz DoreHealth Research Methods, Glucksman Library, University of Limerick, Librarian, Ireland.
Rose GalvinSchool of Allied Health, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland.
Anne GriffinSchool of Allied Health, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland. anne.griffin@ul.ie.

Funding

Faculty of Education and Health Science, University of Limerick Early Career Seed FundHealth Research Board (HRB) of Ireland Gran CDA-2018-005
6 · The paper itself

Abstract

backgroundOlder adults often experience adverse health outcomes including malnutrition following discharge from emergency departments (ED). Discharge to community care is a transitionary time where nutritional vulnerability could be mitigated with the instigation of targeted nutrition care pathways in ED settings. AIMS AND

objectivesThis scoping review aimed to establish and describe the level of nutrition care provided to older adults admitted and subsequently discharged from EDs. RESEARCH

designSystematic searches of nine academic and grey literature databases (Medline (Ovid), Pubmed, CINAHL Complete (EBSCOhost), EMBASE, Cochrane Library and Scopus), grey literature sources (DART-Europe E-theses portal, Open Grey, and Trip Medical database) and four websites (Google, Google Scholar, NICE and LENUS) for relevant professional and organisational publications of research, policy, practice, and guidelines between January 2011 to 2023 were completed. Eligible studies included a population of older adults (≥ 65 years) with an ED attendance and subsequent community discharge, and where nutrition screening had identified malnutrition. Data were extracted on the level of nutrition and dietetic care initiated for older adults in the ED according to the Nutrition Care Process Model and summarised descriptively.

resultsOverall, 22 studies were included in the review. Nutrition status was screened on admission to the ED using validated tools: Mini Nutritional Assessment-Short Form (n = 13), Malnutrition Universal Screening Tool (n = 2), Short Nutritional Assessment Questionnaire (n = 2), NRS-2002 (n = 1) and the Mini Nutritional Assessment - Full Form (n = 1). A full nutrition assessment was reported by 5 studies. Only one study referred to documentation of malnutrition in healthcare records. Subsequent nutrition intervention after discharge from the ED for older adults was not described in any study.

conclusionWhile there is evidence to support malnutrition screening is taking place in EDs, there is a lack of information about subsequent nutrition care including assessment and therapy interventions. This points to the need for comprehensive exploration of nutrition care pathways, practice, policy, and research to inform models of integrated care for older persons.

Indexed as

Emergency Service, HospitalMalnutritionAgedAged, 80 and overHumansNutritional StatusNutrition AssessmentNutrition TherapyPatient DischargeCare pathwaysEmergency departmentMalnutritionNutrition careOlder adults

Identifiers

PMID39511468
PMCPMC11542468

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.