A systematic review and meta-analysis of the impact of oral nutritional supplements on hospital readmissions.
作者： Rebecca J. Stratton , X. Hébuterne , M. Elia
DOI: 10.1016/J.ARR.2013.07.002
关键词:
摘要: The adverse effects of disease-related malnutrition (DRM) on health care use and costs are well substantiated. However, the impact managing DRM with nutritional support use, including hospital (re)admissions requires exploration. This systematic review (9 RCT, N=1190) examined oral supplements (ONS) (re)admissions. Meta-analysis 6 RCT (N=852) data proportion patients (re)admitted to showed significant reductions ONS vs. routine (OR 0.59, 95% CI 0.43-0.80, P=0.001), 5 (N=826) that recorded readmissions P=0.001). reduction in was found meta-analyses trials various settings or varied status. A larger meta-analysis (8 N=999) combined other using standardised differences also a (effect size -0.23, -0.36 -0.10, Most these (75%) were older people aged ≥65 years (6 N=834, effect -0.18, -0.31 -0.04, P=0.011). shows significantly reduce (re)admissions, particularly patient groups, economic implications for care.
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sci-hub.se 参考文章(35)
Marion E. T. McMurdo, Rosemary J. G. Price, Melanie Shields, Jan Potter, David J. Stott, Should oral nutritional supplementation be given to undernourished older people upon hospital discharge? A controlled trial. Journal of the American Geriatrics Society. ,vol. 57, pp. 2239- 2245 ,(2009) , 10.1111/J.1532-5415.2009.02568.X
Salah Gariballa, Sarah Forster, Dietary supplementation and quality of life of older patients: a randomized, double-blind, placebo-controlled trial. Journal of the American Geriatrics Society. ,vol. 55, pp. 2030- 2034 ,(2007) , 10.1111/J.1532-5415.2007.01435.X
Rebecca J. Stratton, Anna-Christina Ek, Meike Engfer, Zena Moore, Paul Rigby, Robert Wolfe, Marinos Elia, Enteral nutritional support in prevention and treatment of pressure ulcers: a systematic review and meta-analysis. Ageing Research Reviews. ,vol. 4, pp. 422- 450 ,(2005) , 10.1016/J.ARR.2005.03.005
Sandra Hirsch, Daniel Bunout, Pia De La Maza, Hernan Iturriaga, Margarita Petermann, Gloria Icazar, Vivian Gattas, Guillermo Ugarte, Controlled trial on nutrition supplementation in outpatients with symptomatic alcoholic cirrhosis Journal of Parenteral and Enteral Nutrition. ,vol. 17, pp. 119- 124 ,(1993) , 10.1177/0148607193017002119
Kristina Norman, Henriette Kirchner, Manuela Freudenreich, Johann Ockenga, Herbert Lochs, Matthias Pirlich, Three month intervention with protein and energy rich supplements improve muscle function and quality of life in malnourished patients with non-neoplastic gastrointestinal disease--a randomized controlled trial. Clinical Nutrition. ,vol. 27, pp. 48- 56 ,(2008) , 10.1016/J.CLNU.2007.08.011
Anne C. Milne, Alison Avenell, Jan Potter, Meta-analysis: protein and energy supplementation in older people. Annals of Internal Medicine. ,vol. 144, pp. 37- 48 ,(2006) , 10.7326/0003-4819-144-1-200601030-00008
Rebecca J. Stratton, Marinos Elia, A review of reviews: A new look at the evidence for oral nutritional supplements in clinical practice Clinical Nutrition Supplements. ,vol. 2, pp. 5- 23 ,(2007) , 10.1016/J.CLNU.2007.04.004
Rosemary Price, Fergus Daly, Christopher R. Pennington, Marion E.T. McMurdo, Nutritional supplementation of very old people at hospital discharge increases muscle strength: a randomised controlled trial. Gerontology. ,vol. 51, pp. 179- 185 ,(2005) , 10.1159/000083991
Dan L Waitzberg, Waleska T Caiaffa, M Isabel TD Correia, None, Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients Nutrition. ,vol. 17, pp. 573- 580 ,(2001) , 10.1016/S0899-9007(01)00573-1
Dorothee Volkert, C. Saeglitz, H. Gueldenzoph, C. C. Sieber, P. Stehle, Undiagnosed malnutrition and nutrition-related problems in geriatric patients Journal of Nutrition Health & Aging. ,vol. 14, pp. 387- 392 ,(2010) , 10.1007/S12603-010-0085-Y