Effect of nutritional and physical exercise intervention on hospital readmission for patients aged 65 or older: a systematic review and meta-analysis of randomized controlled trials
Abstract Background Unplanned readmission may result in consequences for both the individual and society. The transition of patients from hospital to postdischarge settings often represents a discontinuity of care and is considered crucial in the prevention of avoidable readmissions. In older patien...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-05-01
|
| Series: | International Journal of Behavioral Nutrition and Physical Activity |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12966-021-01123-w |
| _version_ | 1818678094759723008 |
|---|---|
| author | Ellisiv Lærum-Onsager Marianne Molin Cecilie Fromholt Olsen Asta Bye Jonas Debesay Christine Hillestad Hestevik Maria Bjerk Are Hugo Pripp |
| author_facet | Ellisiv Lærum-Onsager Marianne Molin Cecilie Fromholt Olsen Asta Bye Jonas Debesay Christine Hillestad Hestevik Maria Bjerk Are Hugo Pripp |
| author_sort | Ellisiv Lærum-Onsager |
| collection | DOAJ |
| description | Abstract Background Unplanned readmission may result in consequences for both the individual and society. The transition of patients from hospital to postdischarge settings often represents a discontinuity of care and is considered crucial in the prevention of avoidable readmissions. In older patients, physical decline and malnutrition are considered risk factors for readmission. The purpose of the study was to determine the effects of nutritional and physical exercise interventions alone or in combination after hospital admission on the risk of hospital readmission among older people. Methods A systematic review and meta-analysis of randomized controlled studies was conducted. The search involved seven databases (Medline, AMED, the Cochrane Library, CINAHL, Embase (Ovid), Food Science Source and Web of Science) and was conducted in November 2018. An update of this search was performed in March 2020. Studies involving older adults (65 years and above) investigating the effect of nutritional and/or physical exercise interventions on hospital readmission were included. Results A total of 11 randomized controlled studies (five nutritional, five physical exercise and one combined intervention) were included and assessed for quality using the updated Cochrane Risk of Bias Tool. Nutritional interventions resulted in a significant reduction in readmissions (RR 0.84; 95% CI 0.70–1.00, p = 0.049), while physical exercise interventions did not reduce readmissions (RR 1.05; 95% CI 0.84–1.31, p-value = 0.662). Conclusions This meta-analysis suggests that nutrition support aiming to optimize energy intake according to patients’ needs may reduce the risk of being readmitted to the hospital for people aged 65 years or older. |
| first_indexed | 2024-12-17T09:09:48Z |
| format | Article |
| id | doaj.art-f1e102a236494074b35c33097af373a6 |
| institution | Directory Open Access Journal |
| issn | 1479-5868 |
| language | English |
| last_indexed | 2024-12-17T09:09:48Z |
| publishDate | 2021-05-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Behavioral Nutrition and Physical Activity |
| spelling | doaj.art-f1e102a236494074b35c33097af373a62022-12-21T21:55:17ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682021-05-0118111410.1186/s12966-021-01123-wEffect of nutritional and physical exercise intervention on hospital readmission for patients aged 65 or older: a systematic review and meta-analysis of randomized controlled trialsEllisiv Lærum-Onsager0Marianne Molin1Cecilie Fromholt Olsen2Asta Bye3Jonas Debesay4Christine Hillestad Hestevik5Maria Bjerk6Are Hugo Pripp7Lovisenberg Diaconal University CollegeDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan UniversityFaculty of Health Sciences, Oslo Metropolitan UniversityAbstract Background Unplanned readmission may result in consequences for both the individual and society. The transition of patients from hospital to postdischarge settings often represents a discontinuity of care and is considered crucial in the prevention of avoidable readmissions. In older patients, physical decline and malnutrition are considered risk factors for readmission. The purpose of the study was to determine the effects of nutritional and physical exercise interventions alone or in combination after hospital admission on the risk of hospital readmission among older people. Methods A systematic review and meta-analysis of randomized controlled studies was conducted. The search involved seven databases (Medline, AMED, the Cochrane Library, CINAHL, Embase (Ovid), Food Science Source and Web of Science) and was conducted in November 2018. An update of this search was performed in March 2020. Studies involving older adults (65 years and above) investigating the effect of nutritional and/or physical exercise interventions on hospital readmission were included. Results A total of 11 randomized controlled studies (five nutritional, five physical exercise and one combined intervention) were included and assessed for quality using the updated Cochrane Risk of Bias Tool. Nutritional interventions resulted in a significant reduction in readmissions (RR 0.84; 95% CI 0.70–1.00, p = 0.049), while physical exercise interventions did not reduce readmissions (RR 1.05; 95% CI 0.84–1.31, p-value = 0.662). Conclusions This meta-analysis suggests that nutrition support aiming to optimize energy intake according to patients’ needs may reduce the risk of being readmitted to the hospital for people aged 65 years or older.https://doi.org/10.1186/s12966-021-01123-wNutritionPhysical exerciseOlder peopleReadmissionMeta-analysisTransitional care |
| spellingShingle | Ellisiv Lærum-Onsager Marianne Molin Cecilie Fromholt Olsen Asta Bye Jonas Debesay Christine Hillestad Hestevik Maria Bjerk Are Hugo Pripp Effect of nutritional and physical exercise intervention on hospital readmission for patients aged 65 or older: a systematic review and meta-analysis of randomized controlled trials International Journal of Behavioral Nutrition and Physical Activity Nutrition Physical exercise Older people Readmission Meta-analysis Transitional care |
| title | Effect of nutritional and physical exercise intervention on hospital readmission for patients aged 65 or older: a systematic review and meta-analysis of randomized controlled trials |
| title_full | Effect of nutritional and physical exercise intervention on hospital readmission for patients aged 65 or older: a systematic review and meta-analysis of randomized controlled trials |
| title_fullStr | Effect of nutritional and physical exercise intervention on hospital readmission for patients aged 65 or older: a systematic review and meta-analysis of randomized controlled trials |
| title_full_unstemmed | Effect of nutritional and physical exercise intervention on hospital readmission for patients aged 65 or older: a systematic review and meta-analysis of randomized controlled trials |
| title_short | Effect of nutritional and physical exercise intervention on hospital readmission for patients aged 65 or older: a systematic review and meta-analysis of randomized controlled trials |
| title_sort | effect of nutritional and physical exercise intervention on hospital readmission for patients aged 65 or older a systematic review and meta analysis of randomized controlled trials |
| topic | Nutrition Physical exercise Older people Readmission Meta-analysis Transitional care |
| url | https://doi.org/10.1186/s12966-021-01123-w |
| work_keys_str_mv | AT ellisivlærumonsager effectofnutritionalandphysicalexerciseinterventiononhospitalreadmissionforpatientsaged65orolderasystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT mariannemolin effectofnutritionalandphysicalexerciseinterventiononhospitalreadmissionforpatientsaged65orolderasystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT ceciliefromholtolsen effectofnutritionalandphysicalexerciseinterventiononhospitalreadmissionforpatientsaged65orolderasystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT astabye effectofnutritionalandphysicalexerciseinterventiononhospitalreadmissionforpatientsaged65orolderasystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT jonasdebesay effectofnutritionalandphysicalexerciseinterventiononhospitalreadmissionforpatientsaged65orolderasystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT christinehillestadhestevik effectofnutritionalandphysicalexerciseinterventiononhospitalreadmissionforpatientsaged65orolderasystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT mariabjerk effectofnutritionalandphysicalexerciseinterventiononhospitalreadmissionforpatientsaged65orolderasystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT arehugopripp effectofnutritionalandphysicalexerciseinterventiononhospitalreadmissionforpatientsaged65orolderasystematicreviewandmetaanalysisofrandomizedcontrolledtrials |