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Publikasi Scopus 2024 per tanggal 31 Maret 2024 (233 artikel)
Publikasi Scopus 2024 per tanggal 31 Maret 2024 (233 artikel)
Wahyudi, Edy Rizal (55321958000); Ronoatmodjo, Sudarto (57201474792); Setiati, Siti (14325991900); Besral (23972174200); Soejono, Czeresna Heriawan (24472241900); Kuswardhani, Tuty (58759020500); Fitriana, Ika (55486095900); Marsigit, Jessica (57218912589); Putri, Stella Andriana (58759020600); Harmany, Gabriel Riadhy Tanok (58758623300)
The risk of rehospitalization within 30 days of discharge in older adults with malnutrition: A meta-analysis
2024
Archives of Gerontology and Geriatrics
118
105306
1
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85179483987&doi=10.1016%2fj.archger.2023.105306&partnerID=40&md5=6f4e9f9422c23e3e853fe8775db6ea7d
Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Kampus Baru UI Depok, West Java, Indonesia; Department of Internal Medicine, Dr. Cipto Mangunkusumo Hospital, Jakarta, Salemba, Indonesia; Faculty of Medicine, Universitas Indonesia, Jakarta, Salemba, Indonesia; Center of Clinical Epidemiology and Evidence-Based Medicine, Dr. Cipto Mangunkusumo Hospital, Jakarta, Salemba, Indonesia; Geriatric Division, KSM Department of Internal Medicine, Prof. Ngoerah Hospital, Faculty of Medicine, Universitas Udayana, Bali, Denpasar, Indonesia
Introduction: Malnutrition is a global health problem associated with higher rehospitalization risk, subsequently increasing the risks of adverse complications, and mortality in older individuals. Nevertheless, studies investigating this are still scarce, and even fewer reviewed and aggregated. A number of studies have recently assessed the correlation of malnourishment with rehospitalization among older adults. Objective/Aim: This systematic review and meta-analysis aimed to elaborate the correlation between malnutrition and 30-day rehospitalization in older adults. Methods: Systematic review was conducted on literatures from Cochrane, ScienceDirect, SpringerLink, Oxford Academic, and MEDLINE according to PRISMA Guideline, investigating the correlation of malnutrition in older adults with rehospitalization, using Malnutrition, Older Adults, and Rehospitalization as keywords. Meta-analysis was done using RevMan, with random-effect analysis model. P values of ≤0.05 were considered statistically significant with results reported as risk ratios (RR), mean differences (MD), 95 % confidence intervals (CI) and I2 statistics. Results: Seven literatures were analysed, consisting of 19,340 patients aged 65 or older undergoing hospitalization. Subjects were assessed with screening tools to identify malnutrition. Malnourished subjects are compared to others with normal nutrition; in cohort studies with follow-up period ranging from 3 to 16 months. Malnutrition significantly increased the risks of rehospitalization within 30 days (RR 1.73 [95 % CI 1.10–2.72], p = 0.02, I2 = 56 %), overall rehospitalization at all times (RR 1.33 [95 % CI 1.16–1.52], p < 0.0001, I2 = 75 %), and overall mortality (RR 2.66 [95 % CI 1.09–6.50], p = 0.03, I2 = 94 %). Conclusion: Malnutrition exhibited significant consequences in older patients regarding the rate of rehospitalization and mortality based on this meta-analysis. Further research is highly encouraged to verify this finding. © 2023 Elsevier B.V.
Aged; Hospitalization; Humans; Malnutrition; Nutritional Status; Patient Discharge; Patient Readmission; aged; bibliographic database; clinical outcome; confidence interval; correlation analysis; data extraction; data quality assessment; data synthesis; follow up; geriatric patient; hospital discharge; hospital readmission; human; malnutrition; mean difference; Newcastle-Ottawa scale; patient assessment; Preferred Reporting Items for Systematic Reviews and Meta-Analyses; publication bias; Review; risk assessment; risk ratio; screening test; statistical analysis; statistical significance; systematic review; complication; hospital discharge; hospitalization; malnutrition; meta analysis; nutritional status
Elsevier Ireland Ltd
01674943
38071901
Review
Q1
1008
4157