Effectiveness of multidisciplinary nutritional support in older hospitalised patients: A systematic review and meta-analyses

Clinical Nutrition ESPEN
Nanna M L RasmussenA M Beck

Abstract

Malnutrition is common in older hospitalised patients. As the aetiology is multifactorial, nutritional care should involve a multidisciplinary team. However, the knowledge of the effectiveness of this strategy is limited. This systematic review aims at investigating the effectiveness of multidisciplinary nutritional support on mortality, readmissions and quality of life (QoL) in patients aged 65 years and above during hospitalisation and after discharge compared to usual practise. We conducted a series of systematic literature search from 2013 to 2017, with additional studies hand-searched from reference lists of retrieved publications. Eligible studies were controlled trials with a multidisciplinary nutritional intervention during hospitalisation and after discharge in older (65+) patients. A intervention by more than one profession incorporating a nutritional component was defined as "Multidisciplinary". The nutritional intervention included use of oral nutritional supplements (ONS), improved nutritional care, and/or dietary counselling. For quality assessment of studies, "Cochrane Collaboration's tool for assessing risk of bias" was used. Conduction of meta-analyses were by combining data from homogenous trials. The search r...Continue Reading

Citations

Dec 27, 2019·Journal of Clinical Nursing·Debbie Ten CateUNKNOWN Basic Care Revisited Group (BCR)
Jul 7, 2019·Journal of Clinical Medicine·Dorothee VolkertRainer Wirth
Aug 25, 2019·Journal of Clinical Medicine·Emilie ReberZeno Stanga
Mar 4, 2020·Nutrición hospitalaria·Sara Celaya CifuentesPedro Abizanda Soler
Nov 26, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Heather H KellerManon Laporte
Mar 4, 2021·Journal of Multidisciplinary Healthcare·Gladys YinusaSue Baron
May 2, 2021·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Karin WindahlMarie Evans
May 12, 2021·The International Journal of Behavioral Nutrition and Physical Activity·Ellisiv Lærum-OnsagerAre Hugo Pripp
Jul 6, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Massar DabbousChristine Baldwin

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