Malnutrition at Hospital Admission - Contributors and Effect on Length of Stay: A Prospective Cohort Study From the Canadian Malnutrition Task Force

Journal of Parenteral and Enteral Nutrition

Volumn 40, Issue 4, 2016, Pages 487-497

  Allard, Johane P ^a   Keller, Heather ^b   Jeejeebhoy, Khursheed N ^c   Laporte, Manon ^d   Duerksen, Don R ^e   Gramlich, Leah ^f   Payette, Helene ^g   Bernier, Paule ^h   Vesnaver, Elisabeth ⁱ   Davidson, Bridget ^j   Teterina, Anastasia ^a   Lou, Wendy ^k  

^a UNIVERSITY HEALTH NETWORK   (Canada)

^b UNIVERSITY OF WATERLOO   (Canada)

^c ST MICHAEL'S HOSPITAL   (Canada)

^d Campbellton Regional Hospital   (Canada)

^e UNIVERSITY OF MANITOBA   (Canada)

^f UNIVERSITY OF ALBERTA   (Canada)

^g UNIVERSITÉ DE SHERBROOKE   (Canada)

^h MCGILL UNIVERSITY   (Canada)

ⁱ UNIVERSITY OF GUELPH   (Canada)

^j Canadian Nutrition Society   (Canada)

^k UNIVERSITY OF TORONTO   (Canada)

more..

Author keywords

hospital malnutrition; length of stay; malnutrition contributors; nutrition status; obesity

Indexed keywords

ADULT; AGED; ARTICLE; BODY MASS; CANADA; CANADIAN; CHARLSON COMORBIDITY INDEX; CLINICAL ASSESSMENT; COHORT ANALYSIS; DISEASE ASSOCIATION; FEMALE; FOOD INTAKE; GRIP STRENGTH; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MALNUTRITION; MEDICAL RECORD REVIEW; MIDDLE AGED; MULTICENTER STUDY; NUTRITIONAL STATUS; OBESITY; PREVALENCE; PRIORITY JOURNAL; PROSPECTIVE STUDY; SHOPPING; SOCIAL STATUS; EATING; HAND STRENGTH; INTENSIVE CARE UNIT; NUTRITIONAL ASSESSMENT; NUTRITIONAL SUPPORT; PROPORTIONAL HAZARDS MODEL;

AGED; BODY MASS INDEX; CANADA; COHORT STUDIES; EATING; FEMALE; HAND STRENGTH; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; MALNUTRITION; MIDDLE AGED; NUTRITION ASSESSMENT; NUTRITIONAL STATUS; NUTRITIONAL SUPPORT; OBESITY; PATIENT ADMISSION; PROPORTIONAL HAZARDS MODELS; PROSPECTIVE STUDIES;

EID: 84966706373     PISSN: 01486071     EISSN: 19412444     Source Type: Journal    
DOI: 10.1177/0148607114567902     Document Type: Article

References (66)

1. Guigoz Y,. The Mini Nutritional Assessment (MNA) review of the literature-what does it tell us? J Nutr Health Aging. 2006; 10 (6): 466-485; discussion 85-87.
2. Pirlich M, Schutz T, Norman K, et al. The German hospital malnutrition study. Clin Nutr. 2006; 25 (4): 563-572.
3. Banks M, Ash S, Bauer J, Gaskill D,. Prevalence of malnutrition in adults in Queensland public hospitals and residential aged care facilities. Nutrition & Dietetics. 2007; 64 (3): 172-178.
4. Kondrup J, Sorensen JM,. The magnitude of the problem of malnutrition in Europe. Nestle Nutrition Workshop Series Clinical & Performance Program. 2009; 12: 1-14.
5. Waitzberg DL, Caiaffa WT, Correia MI,. Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients. Nutrition. 2001; 17 (7-8): 573-580.
6. Aghdassi E, McArthur M, Liu B, McGeer A, Simor A, Allard JP,. Dietary intake of elderly living in Toronto long-term care facilities: comparison to the dietary reference intake. Rejuvenation Res. 2007; 10 (3): 301-309.
7. Singh H, Watt K, Veitch R, Cantor M, Duerksen DR,. Malnutrition is prevalent in hospitalized medical patients: are housestaff identifying the malnourished patient? Nutrition. 2006; 22 (4): 350-354.
8. Villalon L, Laporte M, Carrier N,. Nutrition screening for seniors in health care facilities: a survey of health professionals. Can J Diet Pract Res. 2011; 72 (4): 162-169.
9. Choban PS, Flancbaum L,. The impact of obesity on surgical outcomes: a review. J Am Coll Surg. 1997; 185 (6): 593-603.
10. Wells JC,. Obesity as malnutrition: the role of capitalism in the obesity global epidemic. Am J Hum Biol. 2012; 24 (3): 261-276.
11. Pirlich M, Schutz T, Kemps M, et al. Social risk factors for hospital malnutrition. Nutrition. 2005; 21 (3): 295-300.
12. Amaral TF, Matos LC, Teixeira MA, Tavares MM, Alvares L, Antunes A,. Undernutrition and associated factors among hospitalized patients. Clin Nutr. 2010; 29 (5): 580-585.
13. Kondrup J, Johansen N, Plum LM, et al. Incidence of nutritional risk and causes of inadequate nutritional care in hospitals. Clin Nutr. 2002; 21 (6): 461-468.
14. Hernandez AV, Kaw R, Pasupuleti V, et al. Association between obesity and postoperative atrial fibrillation in patients undergoing cardiac operations: a systematic review and meta-analysis. Ann Thorac Surg. 2013; 96 (3): 1104-1116.
15. Markoff B, Amsterdam A,. Impact of obesity on hospitalized patients. Mt Sinai J Med. 2008; 75 (5): 454-459.
16. Stein PD, Goldman J,. Obesity and thromboembolic disease. Clin Chest Med. 2009; 30 (3): 489-493.
17. Finkelstein EA, Khavjou OA, Thompson H, et al. Obesity and severe obesity forecasts through 2030. Am J Prev Med. 2012; 42 (6): 563-570.
18. Wolf AM, Finer N, Allshouse AA, et al. PROCEED: Prospective Obesity Cohort of Economic Evaluation and Determinants: baseline health and healthcare utilization of the US sample. Diabetes Obes Metab. 2008; 10 (12): 1248-1260.
19. Anis AH, Zhang W, Bansback N, Guh DP, Amarsi Z, Birmingham CL,. Obesity and overweight in Canada: an updated cost-of-illness study. Obes Rev. 2010; 11 (1): 31-40.
20. Moffatt E, Shack LG, Petz GJ, Sauve JK, Hayward K, Colman R,. The cost of obesity and overweight in 2005: a case study of Alberta, Canada. Can J Public Health. 2011; 102 (2): 144-148.
21. Hogue CW Jr, Stearns JD, Colantuoni E, et al. The impact of obesity on outcomes after critical illness: a meta-analysis. Intensive Care Med. 2009; 35 (7): 1152-1170.
22. Lieffers JR, Bathe OF, Fassbender K, Winget M, Baracos VE,. Sarcopenia is associated with postoperative infection and delayed recovery from colorectal cancer resection surgery. Br J Cancer. 2012; 107 (6): 931-936.
23. Peng PD, van Vledder MG, Tsai S, et al. Sarcopenia negatively impacts short-term outcomes in patients undergoing hepatic resection for colorectal liver metastasis. HPB. 2011; 13 (7): 439-446.
24. Leibovitz E, Giryes S, Makhline R, Zikri Ditch M, Berlovitz Y, Boaz M,. Malnutrition risk in newly hospitalized overweight and obese individuals: Mr NOI. Eur J Clin Nutr. 2013; 67 (6): 620-624.
25. Caccialanza R, Klersy C, Cereda E, et al. Nutritional parameters associated with prolonged hospital stay among ambulatory adult patients. CMAJ. 2010; 182 (17): 1843-1849.
26. Lim SL, Ong KC, Chan YH, Loke WC, Ferguson M, Daniels L,. Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin Nutr. 2012; 31 (3): 345-350.
27. Kirkland LL, Kashiwagi DT, Brantley S, Scheurer D, Varkey P,. Nutrition in the hospitalized patient. J Hosp Med. 2013; 8 (1): 52-58.
28. Norman K, Pichard C, Lochs H, Pirlich M,. Prognostic impact of disease-related malnutrition. Clin Nutr. 2008; 27 (1): 5-15.
29. Sorensen J, Kondrup J, Prokopowicz J, et al. EuroOOPS: an international, multicentre study to implement nutritional risk screening and evaluate clinical outcome. Clin Nutr. 2008; 27 (3): 340-349.
30. Holmes S,. The effects of undernutrition in hospitalised patients. Nurs Stand. 2007; 22 (12): 35-38.
31. Leandro-Merhi VA, de Aquino JLB, Sales Chagas JF,. Nutrition status and risk factors associated with length of hospital stay for surgical patients. JPEN J Parenter Enteral Nutr. 2011; 35 (2): 241-248.
32. Correia MITD, Waitzberg DL,. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr. 2003; 22 (3): 235-239.
33. Kyle UG, Schneider SM, Pirlich M, Lochs H, Hebuterne X, Pichard C,. Does nutritional risk, as assessed by Nutritional Risk Index, increase during hospital stay? A multinational population-based study. Clin Nutr. 2005; 24 (4): 516-524.
34. Charlson ME, Pompei P, Ales KL, MacKenzie CR,. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987; 40 (5): 373-383.
35. Detsky AS, McLaughlin JR, Baker JP, et al. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr. 1987; 11 (1): 8-13.
36. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000; 894:i-xii, 1-253.
37. Haute Autorité de Santé. Clinical Practice Guidelines. Nutritional Support Strategy for Protein-Energy Malnutrition in the Elderly. Saint Denis, France: Haute Autorité de Santé; 2007.
38. Matos LC, Tavares MM, Amaral TF,. Handgrip strength as a hospital admission nutritional risk screening method. Eur J Clin Nutr. 2007; 61 (9): 1128-1135.
39. Schindler K, Pernicka E, Laviano A, et al. How nutritional risk is assessed and managed in European hospitals: a survey of 21,007 patients findings from the 2007-2008 cross-sectional nutritionDay survey. Clin Nutr. 2010; 29 (5): 552-559.
40. Agresti A,. Categorical Data Analysis. 3rd ed. Hoboken, NJ: Wiley; 2013.
41. Klein JP, Moeschberger ML,. Survival Analysis: Techniques for Censored and Truncated Data. 2nd ed. New York: Springer; 2003.
42. Bohannon RW, Peolsson A, Massy-Westropp N, Desrosiers J, Bear-Lehman J,. Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy. 2006; 92 (1): 11-15.
43. Sacks GS, Dearman K, Replogle WH, Cora VL, Meeks M, Canada T,. Use of subjective global assessment to identify nutrition-associated complications and death in geriatric long-term care facility residents. J Am Coll Nutr. 2000; 19 (5): 570-577.
44. Baccaro F, Moreno JB, Borlenghi C, et al. Subjective global assessment in the clinical setting. JPEN J Parenter Enteral Nutr. 2007; 31 (5): 406-409.
45. Baker JP, Detsky AS, Wesson DE, et al. Nutritional assessment: a comparison of clinical judgement and objective measurements. N Engl J Med. 1982; 306 (16): 969-972.
46. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M,. ESPEN guidelines for nutrition screening 2002. Clin Nutr. 2003; 22 (4): 415-421.
47. Cooper BA, Bartlett LH, Aslani A, Allen BJ, Ibels LS, Pollock CA,. Validity of subjective global assessment as a nutritional marker in end-stage renal disease. Am J Kidney Dis. 2002; 40 (1): 126-132.
48. Pham NV, Cox-Reijven PL, Greve JW, Soeters PB,. Application of subjective global assessment as a screening tool for malnutrition in surgical patients in Vietnam. Clin Nutr. 2006; 25 (1): 102-108.
49. Campbell KL, Ash S, Bauer JD, Davies PS,. Evaluation of nutrition assessment tools compared with body cell mass for the assessment of malnutrition in chronic kidney disease. J Ren Nutr. 2007; 17 (3): 189-195.
50. Raslan M, Gonzalez MC, Torrinhas RS, Ravacci GR, Pereira JC, Waitzberg DL,. Complementarity of Subjective Global Assessment (SGA) and Nutritional Risk Screening 2002 (NRS 2002) for predicting poor clinical outcomes in hospitalized patients. Clin Nutr. 2011; 30 (1): 49-53.
51. Schiesser M, Muller S, Kirchhoff P, Breitenstein S, Schafer M, Clavien PA,. Assessment of a novel screening score for nutritional risk in predicting complications in gastro-intestinal surgery. Clin Nutr. 2008; 27 (4): 565-570.
52. Wakahara T, Shiraki M, Murase K, et al. Nutritional screening with Subjective Global Assessment predicts hospital stay in patients with digestive diseases. Nutrition. 2007; 23 (9): 634-639.
53. Kyle UG, Genton L, Pichard C,. Hospital length of stay and nutritional status. Curr Opin Clin Nutr Metab Care. 2005; 8 (4): 397-402.
54. Raslan M, Gonzalez MC, Dias MC, et al. Comparison of nutritional risk screening tools for predicting clinical outcomes in hospitalized patients. Nutrition. 2010; 26 (7-8): 721-726.
55. Sullivan DH, Sun S, Walls RC,. Protein-energy undernutrition among elderly hospitalized patients: a prospective study. JAMA. 1999; 281 (21): 2013-2019.
56. Kruizenga HM, Van Tulder MW, Seidell JC, Thijs A, Ader HJ, Van Bokhorst-de van der Schueren MA,. Effectiveness and cost-effectiveness of early screening and treatment of malnourished patients. Am J Clin Nutr. 2005; 82 (5): 1082-1089.
57. Milne AC, Avenell A, Potter J,. Meta-analysis: protein and energy supplementation in older people. Ann Intern Med. 2006; 144 (1): 37-48.
58. Humphreys J, de la, Maza P, Hirsch S, Barrera G, Gattas V, Bunout D,. Muscle strength as a predictor of loss of functional status in hospitalized patients. Nutrition. 2002; 18 (7-8): 616-620.
59. Klidjian AM, Foster KJ, Kammerling RM, Cooper A, Karran SJ,. Relation of anthropometric and dynamometric variables to serious postoperative complications. Br Med J. 1980; 281 (6245): 899-901.
60. Vaz M, Thangam S, Prabhu A, Shetty PS,. Maximal voluntary contraction as a functional indicator of adult chronic undernutrition. Br J Nutr. 1996; 76 (1): 9-15.
61. Webb AR, Newman LA, Taylor M, Keogh JB,. Hand grip dynamometry as a predictor of postoperative complications reappraisal using age standardized grip strengths. JPEN J Parenter Enteral Nutr. 1989; 13 (1): 30-33.
62. Lopes J, Russell DM, Whitwell J, Jeejeebhoy KN,. Skeletal muscle function in malnutrition. Am J Clin Nutr. 1982; 36 (4): 602-610.
63. Windsor JA, Hill GL,. Grip strength: a measure of the proportion of protein loss in surgical patients. Br J Surg. 1988; 75 (9): 880-882.
64. Klidjian AM, Archer TJ, Foster KJ, Karran SJ,. Detection of dangerous malnutrition. JPEN J Parenter Enteral Nutr. 1982; 6 (2): 119-121.
65. Mahalakshmi VN, Ananthakrishnan N, Kate V, Sahai A, Trakroo M,. Handgrip strength and endurance as a predictor of postoperative morbidity in surgical patients: can it serve as a simple bedside test? Int Surg. 2004; 89 (2): 115-121.
66. Newman AB, Kupelian V, Visser M, et al. Strength, but not muscle mass, is associated with mortality in the health, aging and body composition study cohort. J Gerontol A Biol Sci Med Sci. 2006; 61 (1): 72-77.