Manage Abstracts

View, approve, edit, or delete Abstracts using the table below.

Return to Abstracts List
Entry ID
458
Reference Id
UaTgdVqx91BGHO8z
Approve Entries
CFDR Reviewer
Document Status
Published
Click to Edit
Name
Leila Goharian
Email
gareth.willowstribe@dietitians.ca
Language
English
Year
2022
Category
Research
Presentation Preference
Title
Prevalence of Malnutrition and its Association with Hospital Readmission 30 days Post-Discharge in Community Clients
Names, Organizational Affiliations, and Locations of all Authors
L. Goharian1, I. Verduyn2, J. Chan3, S. Sarbazi4, E. Huang5, S. Thoms6, L. Hung,7 S. Desai8
1Regional Education Practice, Vancouver Coastal Health Authority, Vancouver, B.C.; 2Raven Song Community Health Center, Vancouver Coastal Health Authority, Vancouver, B.C.; 3South Community Health Center, Vancouver Coastal Health Authority, Vancouver, B.C.; 4Richmond Community Health Center, Vancouver Coastal Health Center, Richmond, B.C.; 5Three Bridges Community Health Center, Vancouver, B.C.; 6Pacific Spirit Community Health Center, Vancouver, B.C.; 7School of Nursing, University of British Columbia, Vancouver, B.C., 8Centre for Health Evaluation & Outcome Sciences, Vancouver, B.C.
Introduction/Purpose
Little is known about the prevalence of malnutrition among clients receiving home care (HC) and ambulatory care (AC) services. The risk of hospital readmission in malnourished clients transitioning from hospital to home is not well established
Objective(s)/Process or Summary of Content
To determine the prevalence of malnutrition across Community Health Centres (CHC) in Vancouver and the association between hospital readmission and nutritional status.
Method(s)/Systemic Approach Used
A retrospective analysis of newly referred HC and AC clients across six CHCs between January and December 2019 was carried out. Nutritional status was assessed using the Mini Nutritional Assessment-Short Form (MNA-SF®) routinely administered by clinicians. The prevalence of malnutrition and at-risk of malnutrition (ARM) was calculated as the number of clients scoring between 0 -7 and 8-12 respectively divided by the total number of completed MNA-SF®. Ninety-five percent confidence intervals for the prevalence estimates were calculated using the Wilson method. A log-binomial regression model was used to estimate the relative risk of hospital readmission among nutritional status groups for clients referred from hospitals.
Results/Conclusions
A total of 3704 MNA-SF® were returned, of which 2402 (65%) had complete data. The estimated prevalence of malnutrition and at-risk of malnutrition among newly referred HC and AC clients was 21% (95% CI: 19% to 22%) and 55% (95% CI: 53% to 57%), respectively. The estimated risk of hospital readmission for malnourished clients was 2.7 times higher (95% CI: 1.9 to 3.9) and for ARM clients was 1.9 times higher (95% CI: 1.4 to 2.8) than that of clients with normal nutritional status.
Conclusions(s)/Recommendations
The prevalence of malnutrition and ARM among HC and AC clients is high in the Vancouver Community. Malnutrition and ARM are correlated with an increased risk of hospital readmission 30 days post-hospital discharge.
Significance to Dietetics
Additional and ongoing education are needed to increase malnutrition screening in HH and AC settings. More resources are needed to target nutrition interventions to help improve nutritional status and lower the risk of readmission.
Funded by
Vancouver Coastal Health Research Institute -Robert H. N. Ho
Original Work
Yes, I/we confirm that this abstract represents original work
Transfer of Copyright
I/We confirm the transfer of copyright to CFDR and DC
Co-Authors Review and Notification
Yes
Newsletter
PDF URL
Delete Entry Link

We Can’t Do This Without You.

Donate today or contact us.