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dc.contributor.authorMorris, N
dc.contributor.authorStewart, S
dc.contributor.authorRiley, M
dc.contributor.authorMaguire, G
dc.date.accessioned2020-12-17T04:02:21Z
dc.date.available2020-12-17T04:02:21Z
dc.date.issued2018-05-01
dc.identifierpii: nu10050644
dc.identifier.citationMorris, N., Stewart, S., Riley, M. & Maguire, G. (2018). Differential Impact of Malnutrition on Health Outcomes Among Indigenous and Non-Indigenous Adults Admitted to Hospital in Regional AustraliaA Prospective Cohort Study. NUTRIENTS, 10 (5), https://doi.org/10.3390/nu10050644.
dc.identifier.issn2072-6643
dc.identifier.urihttp://hdl.handle.net/11343/255135
dc.description.abstractThe burden of malnutrition in Indigenous people is a major health priority and this study's aims are to understand health outcomes among Indigenous and non-Indigenous patients. This cohort study includes 608 medical inpatients in three regional hospitals. Participants were screened for malnutrition using the Subjective Global Assessment tool. Hospital length of stay, discharge destination, 30-day and six-month hospital readmission and survival were measured. Although no significant difference was observed between Indigenous participants who were malnourished or nourished (p = 0.120), malnourished Indigenous participants were more likely to be readmitted back into hospital within 30 days (Relative Risk (RR) 1.53, 95% CI 1.19⁻1.97, p = 0.002) and six months (RR 1.40, 95% Confidence Interval (CI) 1.05⁻1.88, p = 0.018), and less likely to be alive at six months (RR 1.63, 95% CI 1.20⁻2.21, p = 0.015) than non-Indigenous participants. Malnutrition was associated with higher mortality (Hazards Ratio (HR) 3.32, 95% CI 1.87⁻5.89, p < 0.001) for all participants, and independent predictors for six-month mortality included being malnourished (HR 2.10, 95% CI 1.16⁻3.79, p = 0.014), advanced age (HR 1.04, 95% CI 1.02⁻1.06, p = 0.001), increased acute disease severity (Acute Physiology and Chronic Health Evaluation score, HR 1.03, 95% CI 1.01⁻1.05, p = 0.002) and higher chronic disease index (Charlson Comorbidity Index, HR 1.36, 95% CI 1.16⁻3.79, p = 0.014). Malnutrition in regional Australia is associated with increased healthcare utilization and decreased survival. New approaches to malnutrition-risk screening, increased dietetic resourcing and nutrition programs to proactively identify and address malnutrition in this context are urgently required.
dc.languageEnglish
dc.publisherMDPI
dc.titleDifferential Impact of Malnutrition on Health Outcomes Among Indigenous and Non-Indigenous Adults Admitted to Hospital in Regional AustraliaA Prospective Cohort Study
dc.typeJournal Article
dc.identifier.doi10.3390/nu10050644
melbourne.affiliation.departmentNursing
melbourne.affiliation.departmentMedicine and Radiology
melbourne.source.titleNutrients
melbourne.source.volume10
melbourne.source.issue5
dc.rights.licenseCC BY
melbourne.elementsid1330204
melbourne.contributor.authorMaguire, Graeme
melbourne.contributor.authorMorris, Natasha
dc.identifier.eissn2072-6643
melbourne.accessrightsOpen Access


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