PMID- 29392865
OWN - NLM
STAT- MEDLINE
DCOM- 20190930
LR  - 20190930
IS  - 1747-0080 (Electronic)
IS  - 1446-6368 (Linking)
VI  - 75
IP  - 3
DP  - 2018 Jul
TI  - Improving nutritional discharge planning and follow up in older medical 
      inpatients: Hospital to Home Outreach for Malnourished Elders.
PG  - 283-290
LID - 10.1111/1747-0080.12408 [doi]
AB  - AIM: Nutritional decline during and after acute hospitalisation is common amongst 
      older people. This quality improvement initiative aimed to introduce a 
      dietitian-led discharge planning and follow-up program (Hospital to Home Outreach 
      for Malnourished Elders, HHOME) at two hospitals within usual resources to 
      improve nutritional and functional recovery. METHODS: Prospective pre-post 
      evaluation design was used. Medical patients aged 65+ years at-risk of 
      malnutrition and discharged to independent living were eligible. Participants 
      receiving nutrition discharge planning and dietetic telephone follow up for four 
      weeks post-discharge ('HHOME') were compared to usual care ('pre-HHOME'). 
      Nutritional (weight and mini nutritional assessment (MNA)), functional (gait 
      speed, handgrip strength and modified Barthel index) and assessment of quality of 
      life-6D (AQoL-6D) outcomes were measured on discharge and six weeks later. 
      RESULTS: At six weeks, no significant difference in nutritional status was 
      observed between pre-HHOME (n = 39) and HHOME cohorts, although the HHOME cohort 
      on average maintained weight while pre-HHOME cohort lost weight (0.4 +/- 2.9 kg vs 
      -1.0 +/- 3.7 kg, P = 0.060). Greater improvement in gait speed was seen in HHOME 
      group (+0.24 +/- 0.27 vs +0.11 +/- 0.22, P = 0.046) with no other significant outcome 
      improvements. Across both cohorts, half were readmitted to hospital and 10% died 
      within 12 weeks post-discharge. CONCLUSIONS: The nutritional discharge planning 
      and dietetic follow up provided to older community-living malnourished patients 
      made a small impact on nutritional and functional parameters but clinical 
      outcomes remained poor.
CI  - (c) 2018 State of Queensland. Nutrition and Dietetics (c) 2018 Dietitians Association 
      of Australia.
FAU - Young, Adrienne M
AU  - Young AM
AUID- ORCID: 0000-0002-4498-4342
AD  - Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, 
      Brisbane, Queensland, Australia.
FAU - Mudge, Alison M
AU  - Mudge AM
AUID- ORCID: 0000-0002-0242-2165
AD  - Department of Internal Medicine and Aged Care, Royal Brisbane and Women's 
      Hospital, Brisbane, Queensland, Australia.
FAU - Banks, Merrilyn D
AU  - Banks MD
AD  - Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, 
      Brisbane, Queensland, Australia.
FAU - Rogers, Lauren
AU  - Rogers L
AD  - Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, 
      Brisbane, Queensland, Australia.
FAU - Demedio, Kristen
AU  - Demedio K
AD  - Department of Nutrition and Dietetics, The Prince Charles Hospital, Brisbane, 
      Queensland, Australia.
FAU - Isenring, Elisabeth
AU  - Isenring E
AD  - Faculty of Health Science and Medicine, Bond University, Brisbane, Queensland, 
      Australia.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20180202
PL  - Australia
TA  - Nutr Diet
JT  - Nutrition & dietetics: the journal of the Dietitians Association of Australia
JID - 101143078
SB  - IM
MH  - Aged
MH  - Continuity of Patient Care/*organization & administration
MH  - Dietetics/*organization & administration
MH  - Female
MH  - Follow-Up Studies
MH  - Geriatric Assessment/*methods
MH  - Humans
MH  - Independent Living
MH  - Male
MH  - Malnutrition/*diagnosis/prevention & control/rehabilitation
MH  - *Nutrition Assessment
MH  - Nutritional Status
MH  - *Patient Discharge
MH  - Prospective Studies
MH  - Quality of Life
OTO - NOTNLM
OT  - ageing
OT  - dietetics
OT  - hospitalisation
OT  - malnutrition
OT  - older adults
OT  - patient discharge
EDAT- 2018/02/03 06:00
MHDA- 2019/10/01 06:00
CRDT- 2018/02/03 06:00
PHST- 2017/09/28 00:00 [received]
PHST- 2017/12/07 00:00 [revised]
PHST- 2017/12/20 00:00 [accepted]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2019/10/01 06:00 [medline]
PHST- 2018/02/03 06:00 [entrez]
AID - 10.1111/1747-0080.12408 [doi]
PST - ppublish
SO  - Nutr Diet. 2018 Jul;75(3):283-290. doi: 10.1111/1747-0080.12408. Epub 2018 Feb 2.