ArticleNutrients2025
An 11-Year Retrospective Analysis of the Prevalence of Malnutrition Diagnosis at Discharge in a Multi-Site Hospital: The Impact of Introducing a Clinical Nutrition Service.
Article in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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1 citing paper in PubMed.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNutritional therapy improves prognosis by reducing morbidity and mortality in malnourished hospitalised patients. To determine the occurrence of hospital malnutrition, it is essential to verify healthcare organisations' ability to identify at-risk patients, considering that malnutrition is often hard to recognise without adequate screening.
methodsThe aim of this study is to analyse the temporal evolution in hospitalised patients' malnutrition, documented as diagnosis discharge letters, over an 11-year period (2014-2024) in four acute care hospitals, with a combined mean of 38,000 inpatients per year. Binomial regression and interrupted time series analysis were used to evaluate temporal evolution in the identification of malnutrition, particularly in relation to the introduction of a nutritional service in 2017.
resultsMalnutrition diagnoses increased steadily across hospitals and within internal medicine and surgery departments. Interrupted time series analysis showed a significant rise in diagnostic odds post-intervention, especially in internal medicine. A plateau was observed in the last 3 years, with a mean prevalence of malnutrition of 18.2% for internal medicine (95% CI: 13.6-22.9) and 4.1% for surgery (95% CI: 0.5-7.6). Without the nutritional service, these results likely only would have been reached by 2031 in internal medicine and 2024 in surgery, suggesting an advancement of about eight years in medical wards.
conclusionsThe introduction of a nutritional team has probably accelerated and improved the ability to quickly identify and therefore treat malnourished inpatients.
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