Addressing Malnutrition Across the Continuum of Care: Which Patients Are Likely to Receive Oral Nutritional Supplements

Journal Title: Journal of Ageing Research and Healthcare - Year 2017, Vol 1, Issue 3

Abstract

Oral nutritional supplements (ONS) have been shown to improve patient outcomes in the hospital setting, but limited results from long-term care or community settings exist. Using electronic health records (EHRs) from 2009 to 2014 for both adult inpatients and outpatients, we compare the demographic and clinical characteristics of patients who received ONS (n = 1,251) with a non-ONS control group (n =25,513). Multivariable logistic regression modeling was used to describe and compare differences in baseline characteristics between the groups including age, sex, race, tobacco use, and comorbidities. We found that patients receiving ONS were older and sicker than control patients. Hospitalized ONS patients were more likely to be admitted from the emergency department and have a hospitalization within the last month prior to the index date. Our results suggest that there is a need for nutrition screening and incorporating nutrition status into the EHR as an important way to coordinate hospital and community medical care. ONS can be an important therapy for vulnerable populations in both the hospital and the community settings.

Authors and Affiliations

Jove Graham, Linlin Fan, Eric S. Meadows, Lillian Hang, Jamie Partridge, Scott Goates

Keywords

Related Articles

Antibiotic Resistance in the Elderly

This is a short communication article on antibiotic resistance in the elderly. The elderly is prone to infections and therefore the use of antibiotics in the elderly is common. Literature review was done using Medline, G...

Hand Grip Strength as A Potential Nutritional Assessment Tool in Long-Term Care Homes

Loss of muscle mass and functionality leads to increased risk for falls and onset of frailty, especially residents of long term care (LTC) homes. Hand grip strength (HGS) is emerging as a promising tool to measure muscle...

Facilitators and Barriers to Health Care Access among the Elderly in Tanzania: A Health System Perspective from Managers and Service Providers.

Tanzania is among the developing countries experiencing rapid growth of an ageing population, which has an implication in healthcare expenditure especially in resource poor settings where majority of elderly people canno...

Evaluation of the Impact of Clinical, Functional and Social Factors on the Readmission of Patients with Pluripathologies

Purpose Hospital readmission of patients with pluripathologies is frequent and costly. This study describes the impact of patients’ pluripathologies, functional capacity and social complexity on readmissions during a 12-...

A Cost Analysis of Systematic Vitamin D Supplementation in the Elderly Versus Supplementation Based on Assessed Requirements

Hypovitaminosis D is common among older people and treatment with vitamin D is associated with reduced risk of falls and fractures. This paper provides a cost analysis of assessing the vitamin D status of and providing t...

Download PDF file
  • EP ID EP261590
  • DOI 10.14302/issn.2474-7785.jarh-16-1398
  • Views 142
  • Downloads 0

How To Cite

Jove Graham, Linlin Fan, Eric S. Meadows, Lillian Hang, Jamie Partridge, Scott Goates (2017). Addressing Malnutrition Across the Continuum of Care: Which Patients Are Likely to Receive Oral Nutritional Supplements. Journal of Ageing Research and Healthcare, 1(3), 18-27. https://europub.co.uk/articles/-A-261590