Nutritional screening and dietitian consultation rates in a geriatric evaluation and management unit

Elsa Dent, Olivia Wright, Emiel O Hoogendijk, Ruth E Hubbard

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

AIM: Nutritional screening may not always lead to intervention. The present study aimed to determine: (i) the rate of nutritional screening in hospitalised older adults; (ii) whether nutritional screening led to dietitian consultation and (iii) factors associated with malnutrition.

METHODS: In this prospective study of patients aged ≥70 years admitted to a Geriatric Evaluation and Management Unit (GEMU), malnutrition was screened for using the Mini Nutritional Assessment Short Form (MNA-SF) and identified using the Mini Nutritional Assessment (MNA).

RESULTS: Of the 172 patients participating in the study, 53 (30.8%) patients were malnourished, and 84 (48.8%) were at risk of malnutrition. Mean (SD) age was 85.2 (6.4 years), with 131 patients (76.2%) female. Nutritional screening was performed for all patients; however, it was incomplete in 59 (34.3%) because of omission of the anthropometric measurement. Overall, 62 (36.0%) of the total number of patients were seen by the dietitian, which included 26 (49%) of malnourished patients, 27 (32%) of at-risk patients and 9 (26%) of the well-nourished patients. No patients lost >1% of body weight during GEMU stay. Malnourished patients were more likely to be frail, have poor appetite, depression, and have lower levels of: albumin, cognition, physical function, grip strength and quality of life.

CONCLUSIONS: The full benefits of nutritional screening by MNA-SF may not be realised if it does not result in malnourished patients receiving a dietitian consultation. However, it is possible that enrichment of the foodservice with high protein/high-energy options minimised patient weight loss in the GEMU.

Original languageEnglish
Pages (from-to)11-16
Number of pages6
JournalJournal of Human Nutrition and Dietetics
Volume75
Issue number1
DOIs
Publication statusPublished - Feb 2018

Cite this

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title = "Nutritional screening and dietitian consultation rates in a geriatric evaluation and management unit",
abstract = "AIM: Nutritional screening may not always lead to intervention. The present study aimed to determine: (i) the rate of nutritional screening in hospitalised older adults; (ii) whether nutritional screening led to dietitian consultation and (iii) factors associated with malnutrition.METHODS: In this prospective study of patients aged ≥70 years admitted to a Geriatric Evaluation and Management Unit (GEMU), malnutrition was screened for using the Mini Nutritional Assessment Short Form (MNA-SF) and identified using the Mini Nutritional Assessment (MNA).RESULTS: Of the 172 patients participating in the study, 53 (30.8{\%}) patients were malnourished, and 84 (48.8{\%}) were at risk of malnutrition. Mean (SD) age was 85.2 (6.4 years), with 131 patients (76.2{\%}) female. Nutritional screening was performed for all patients; however, it was incomplete in 59 (34.3{\%}) because of omission of the anthropometric measurement. Overall, 62 (36.0{\%}) of the total number of patients were seen by the dietitian, which included 26 (49{\%}) of malnourished patients, 27 (32{\%}) of at-risk patients and 9 (26{\%}) of the well-nourished patients. No patients lost >1{\%} of body weight during GEMU stay. Malnourished patients were more likely to be frail, have poor appetite, depression, and have lower levels of: albumin, cognition, physical function, grip strength and quality of life.CONCLUSIONS: The full benefits of nutritional screening by MNA-SF may not be realised if it does not result in malnourished patients receiving a dietitian consultation. However, it is possible that enrichment of the foodservice with high protein/high-energy options minimised patient weight loss in the GEMU.",
author = "Elsa Dent and Olivia Wright and Hoogendijk, {Emiel O} and Hubbard, {Ruth E}",
note = "{\circledC} 2017 Dietitians Association of Australia.",
year = "2018",
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language = "English",
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pages = "11--16",
journal = "Journal of Human Nutrition and Dietetics",
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Nutritional screening and dietitian consultation rates in a geriatric evaluation and management unit. / Dent, Elsa; Wright, Olivia; Hoogendijk, Emiel O; Hubbard, Ruth E.

In: Journal of Human Nutrition and Dietetics, Vol. 75, No. 1, 02.2018, p. 11-16.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Nutritional screening and dietitian consultation rates in a geriatric evaluation and management unit

AU - Dent, Elsa

AU - Wright, Olivia

AU - Hoogendijk, Emiel O

AU - Hubbard, Ruth E

N1 - © 2017 Dietitians Association of Australia.

PY - 2018/2

Y1 - 2018/2

N2 - AIM: Nutritional screening may not always lead to intervention. The present study aimed to determine: (i) the rate of nutritional screening in hospitalised older adults; (ii) whether nutritional screening led to dietitian consultation and (iii) factors associated with malnutrition.METHODS: In this prospective study of patients aged ≥70 years admitted to a Geriatric Evaluation and Management Unit (GEMU), malnutrition was screened for using the Mini Nutritional Assessment Short Form (MNA-SF) and identified using the Mini Nutritional Assessment (MNA).RESULTS: Of the 172 patients participating in the study, 53 (30.8%) patients were malnourished, and 84 (48.8%) were at risk of malnutrition. Mean (SD) age was 85.2 (6.4 years), with 131 patients (76.2%) female. Nutritional screening was performed for all patients; however, it was incomplete in 59 (34.3%) because of omission of the anthropometric measurement. Overall, 62 (36.0%) of the total number of patients were seen by the dietitian, which included 26 (49%) of malnourished patients, 27 (32%) of at-risk patients and 9 (26%) of the well-nourished patients. No patients lost >1% of body weight during GEMU stay. Malnourished patients were more likely to be frail, have poor appetite, depression, and have lower levels of: albumin, cognition, physical function, grip strength and quality of life.CONCLUSIONS: The full benefits of nutritional screening by MNA-SF may not be realised if it does not result in malnourished patients receiving a dietitian consultation. However, it is possible that enrichment of the foodservice with high protein/high-energy options minimised patient weight loss in the GEMU.

AB - AIM: Nutritional screening may not always lead to intervention. The present study aimed to determine: (i) the rate of nutritional screening in hospitalised older adults; (ii) whether nutritional screening led to dietitian consultation and (iii) factors associated with malnutrition.METHODS: In this prospective study of patients aged ≥70 years admitted to a Geriatric Evaluation and Management Unit (GEMU), malnutrition was screened for using the Mini Nutritional Assessment Short Form (MNA-SF) and identified using the Mini Nutritional Assessment (MNA).RESULTS: Of the 172 patients participating in the study, 53 (30.8%) patients were malnourished, and 84 (48.8%) were at risk of malnutrition. Mean (SD) age was 85.2 (6.4 years), with 131 patients (76.2%) female. Nutritional screening was performed for all patients; however, it was incomplete in 59 (34.3%) because of omission of the anthropometric measurement. Overall, 62 (36.0%) of the total number of patients were seen by the dietitian, which included 26 (49%) of malnourished patients, 27 (32%) of at-risk patients and 9 (26%) of the well-nourished patients. No patients lost >1% of body weight during GEMU stay. Malnourished patients were more likely to be frail, have poor appetite, depression, and have lower levels of: albumin, cognition, physical function, grip strength and quality of life.CONCLUSIONS: The full benefits of nutritional screening by MNA-SF may not be realised if it does not result in malnourished patients receiving a dietitian consultation. However, it is possible that enrichment of the foodservice with high protein/high-energy options minimised patient weight loss in the GEMU.

U2 - 10.1111/1747-0080.12391

DO - 10.1111/1747-0080.12391

M3 - Article

VL - 75

SP - 11

EP - 16

JO - Journal of Human Nutrition and Dietetics

JF - Journal of Human Nutrition and Dietetics

SN - 0952-3871

IS - 1

ER -