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Nutrition Care after Discharge from Hospital: An Exploratory Analysis from the More-2-Eat Study

1
Faculty of Applied Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada
2
NNEdPro Global Centre for Nutrition and Health, Cambridge CB4 0WS, UK
3
Department of Economics, University of Waterloo, Waterloo, ON N2L 3G1, Canada
4
Department of Statistics and Actuarial Science, School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada
5
Nutrition Innovation Centre for Food and Health (NICHE), Ulster University, Coleraine BT52 1SA, Northern Ireland
6
School of Human Movement and Nutrition Sciences, The University of Queensland, St. Lucia 4072, QLD, Australia
7
The Prince Charles Hospital, Allied Health, Chermside 4032, QLD, Australia
8
Ordre professionnel des diététistes du Québec, Montreal, QC H3A 1B9, Canada
9
Schlegel-University of Waterloo Research Institute for Aging, Waterloo, ON N2G 0E2, Canada
*
Author to whom correspondence should be addressed.
Healthcare 2018, 6(1), 9; https://doi.org/10.3390/healthcare6010009
Received: 12 December 2017 / Revised: 8 January 2018 / Accepted: 17 January 2018 / Published: 20 January 2018
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PDF [259 KB, uploaded 20 January 2018]

Abstract

Many patients leave hospital in poor nutritional states, yet little is known about the post-discharge nutrition care in which patients are engaged. This study describes the nutrition-care activities 30-days post-discharge reported by patients and what covariates are associated with these activities. Quasi-randomly selected patients recruited from 5 medical units across Canada (n = 513) consented to 30-days post-discharge data collection with 48.5% (n = 249) completing the telephone interview. Use of nutrition care post-discharge was reported and bivariate analysis completed with relevant covariates for the two most frequently reported activities, following recommendations post-discharge or use of oral nutritional supplements (ONS). A total of 42% (n = 110) received nutrition recommendations at hospital discharge, with 65% (n = 71/110) of these participants following those recommendations; 26.5% (n = 66) were taking ONS after hospitalization. Participants who followed recommendations were more likely to report following a special diet (p = 0.002), different from before their hospitalization (p = 0.008), compared to those who received recommendations, but reported not following them. Patients taking ONS were more likely to be at nutrition risk (p < 0.0001), malnourished (p = 0.0006), taking ONS in hospital (p = 0.01), had a lower HGS (p = 0.0013; males only), and less likely to believe they were eating enough to meet their body’s needs (p = 0.005). This analysis provides new insights on nutrition-care post-discharge. View Full-Text
Keywords: hospital; discharge; education; oral nutritional supplement; malnutrition hospital; discharge; education; oral nutritional supplement; malnutrition
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Laur, C.; Curtis, L.; Dubin, J.; McNicholl, T.; Valaitis, R.; Douglas, P.; Bell, J.; Bernier, P.; Keller, H. Nutrition Care after Discharge from Hospital: An Exploratory Analysis from the More-2-Eat Study. Healthcare 2018, 6, 9.

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