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Lengfelder L, Mahlke S, Moore L, et al. Prevalence and impact of malnutrition on length of stay, readmission, and discharge destination. JPEN J Parenter Enteral Nutr. 2021;doi: 10.1002/jpen.2322.
Lengfelder, L., Mahlke, S., Moore, L., Zhang, X., Williams, G., & Lee, J. (2021). Prevalence and impact of malnutrition on length of stay, readmission, and discharge destination. JPEN. Journal of parenteral and enteral nutrition, . https://doi.org/10.1002/jpen.2322
Lengfelder, Lucy, et al. "Prevalence and impact of malnutrition on length of stay, readmission, and discharge destination." JPEN. Journal of parenteral and enteral nutrition vol. (2021). doi: https://doi.org/10.1002/jpen.2322
Lengfelder L, Mahlke S, Moore L, Zhang X, Williams G, Lee J. Prevalence and impact of malnutrition on length of stay, readmission, and discharge destination. JPEN J Parenter Enteral Nutr. 2021 Dec 29; doi: 10.1002/jpen.2322. Epub 2021 Dec 29. PMID: 34967019.
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JPEN J Parenter Enteral Nutr. 2021 Dec 29; doi: 10.1002/jpen.2322. Epub 2021 Dec 29.

Prevalence and impact of malnutrition on length of stay, readmission, and discharge destination.

JPEN. Journal of parenteral and enteral nutrition

Lucy Lengfelder, Sarah Mahlke, Lynn Moore, Xu Zhang, George Williams, Jenny Lee

Affiliations

  1. Memorial Hermann Health System.
  2. Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center.
  3. Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center.

PMID: 34967019 DOI: 10.1002/jpen.2322

Abstract

BACKGROUND: Studies indicate one in three hospitalized patients are malnourished upon admission, however, the documented malnutrition rate in acute care hospitals is often lower. This study measured prevalence of malnutrition upon admission and correlated the relationship among malnutrition status, length of stay (LOS), discharge disposition, and readmission rate.

MATERIALS AND METHODS: A prospective observational cohort study was performed across nine tertiary care hospitals in Houston, Texas. Registered Dietitians screened patients age ≥18 within 24 hours of admission for 2 consecutive days per hospital. Malnourished patients were diagnosed using a modified version of 2012 Consensus Statement from the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition. Data collected included demographics, LOS, discharge disposition, and 30-day re-admission status.

RESULTS: In 416 patients, 31.7% were malnourished upon admission. Malnourished patients were significantly older (67.8 vs 57.6 years, P<.001) and had a lower BMI (26.2 vs 32.4 kg/m

CONCLUSION: The study successfully utilized the modified AND-ASPEN criteria to show that approximately one in three patients presented with malnutrition upon admission. Malnourished patients were more likely to have longer LOS and more likely to be readmitted within 30 days. This article is protected by copyright. All rights reserved.

This article is protected by copyright. All rights reserved.

Keywords: AND-ASPEN; Malnutrition; discharge disposition; length of stay; prevalence; readmission

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