What is the level of nutrition care provided to older adults attending emergency departments? A scoping review


  • Hooper L, Bunn D, Jimoh FO, Fairweather-Tait SJ. Water-loss dehydration and aging. Mech Ageing Dev. 2014 Mar-Apr;136–137:50 – 8.

  • El-Sharkawy AM, Sahota O, Maughan RJ, Lobo DN. The pathophysiology of fluid and electrolyte balance in the older adult surgical patient. Clin Nutr. 2014;33(1):6–13. Epub 2013 Nov 22. PMID: 24308897.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Shlisky J, Bloom DE, Beaudreault AR, et al. Nutritional considerations for healthy aging and reduction in age-related chronic disease. Adv Nutr. 2017;8(1):17.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Tittikpina NK, Issa A-r, Yerima M, et al. Aging and nutrition: theories, consequences, and impact of nutrients. Curr Pharmacol Rep. 2019;5(4):232–43.

    Article 
    CAS 

    Google Scholar 

  • Host A, McMahon A-T, Walton K, Charlton K. Factors influencing food choice for independently living older people—a systematic literature review. J Nutr Gerontol Geriatr. 2016;35(2):67–94.

    Article 
    PubMed 

    Google Scholar 

  • Starr KNP, McDonald SR, Bales CW. Nutritional vulnerability in older adults: a continuum of concerns. Curr Nutr Rep. 2015;4(2):176–84. https://doi.org/10.1007/s13668-015-0118-6. /06/01 2015.

    Article 

    Google Scholar 

  • Cardenas D, Correia MITD, Ochoa JB, et al. Clinical nutrition and human rights. An international position paper. Clin Nutr. 2021;40(6):4029–36.

    Article 
    PubMed 

    Google Scholar 

  • Holdoway A, Page F, Bauer J, Dervan N, Maier AB. Individualised Nutritional Care for Disease-related malnutrition: improving outcomes by focusing on what matters to patients. Nutrients Aug. 2022;27(17). https://doi.org/10.3390/nu14173534.

  • Volkert D, Beck AM, Cederholm T, Cruz-Jentoft A, Goisser S, Hooper L, Kiesswetter E, Maggio M, Raynaud-Simon A, Sieber CC, Sobotka L, van Asselt D, Wirth R, Bischoff SC. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clin Nutr. 2019;38(1):10–47. Epub 2018 Jun 18. PMID: 30005900.

    Article 
    PubMed 

    Google Scholar 

  • van Tiel S, Rood PP, Bertoli-Avella AM, et al. Systematic review of frequent users of emergency departments in non-US hospitals: state of the art. Eur J Emerg Med Oct. 2015;22(5):306–15. https://doi.org/10.1097/mej.0000000000000242.

    Article 

    Google Scholar 

  • Morley C, Unwin M, Peterson GM, Stankovich J, Kinsman L. Emergency department crowding: a systematic review of causes, consequences and solutions. PLoS ONE. 2018;13(8):e0203316. https://doi.org/10.1371/journal.pone.0203316.

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Roe L, Thomas S, Trépel D, Normand C. Trends in healthcare cover and healthcare use for older adults in Ireland during the austerity years of 2009–2016. 2018:151. Wellbeing and Health in Ireland’s over 50s 2009–2016.

  • Griffin A, O’Neill A, O’Connor M, et al. The prevalence of malnutrition and impact on patient outcomes among older adults presenting at an Irish emergency department: a secondary analysis of the OPTI-MEND trial. BMC Geriatr. 2020;20:455. https://doi.org/10.1186/s12877-020-01852-w.

  • Serón-Arbeloa C, Labarta-Monzón L, Puzo-Foncillas J, Mallor-Bonet T, Lafita-López A, Bueno-Vidales N, Montoro-Huguet M. Malnutrition screening and assessment. Nutrients. 2022;14(12):2392. https://doi.org/10.3390/nu14122392.

  • Vivanti A, Isenring E, Baumann S, et al. Emergency department malnutrition screening and support model improves outcomes in a pilot randomised controlled trial. Emerg Med J. 2015;32(3):180. https://doi.org/10.1136/emermed-2013-202965.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Cederholm T, Jensen G, Correia M, et al. GLIM criteria for the diagnosis of malnutrition–A consensus report from the global clinical nutrition community. J cachexia Sarcopenia Muscle. 2019;10(1):207–17.

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Umegaki H, Asai A, Kanda S, et al. Factors associated with unexpected admissions and mortality among low-functioning older patients receiving home medical care. Article Geriatr Gerontol Int. 2017;17(10):1623–7. https://doi.org/10.1111/ggi.12943.

    Article 
    PubMed 

    Google Scholar 

  • Swan WI, Vivanti A, Hakel-Smith NA, et al. Nutrition care process and model update: toward realizing people-centered care and outcomes management. J Acad Nutr Dietetics. 2017;117(12):2003–14.

    Article 

    Google Scholar 

  • Swan WI, Pertel DG, Hotson B, et al. Nutrition care process (NCP) update part 2: developing and using the NCP terminology to demonstrate efficacy of nutrition care and related outcomes. J Acad Nutr Dietetics. 2019;119(5):840–55.

    Article 

    Google Scholar 

  • Lövestam E, Steiber A, Vivanti A, et al. Use of the nutrition care process and nutrition care process terminology in an international cohort reported by an online survey tool. J Acad Nutr Dietetics. 2019;119(2):225–41.

    Article 

    Google Scholar 

  • Griffin A, Cerenay S, Ryan L, et al. What is the level of nutrition care provided to older adults attending emergency departments? A scoping review protocol. HRB Open Res. 2022;5:7.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Peters MD, Marnie C, Tricco AC, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synthesis. 2020;18(10):2119–26.

    Article 

    Google Scholar 

  • Adams J, Hillier-Brown FC, Moore HJ, et al. Searching and synthesising ‘grey literature’and ‘grey information’in public health: critical reflections on three case studies. Syst Reviews. 2016;5(1):1–11.

    Article 

    Google Scholar 

  • Piasecki J, Waligora M, Dranseika V. Google search as an additional source in systematic reviews. Sci Eng Ethics. 2018;24(2):809–10.

    PubMed 

    Google Scholar 

  • Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Reviews. 2016;5(1):210. https://doi.org/10.1186/s13643-016-0384-4. 12/05 2016.

    Article 

    Google Scholar 

  • Tricco AC, Lillie E, Zarin W, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467–73.

    Article 
    PubMed 

    Google Scholar 

  • Li THJ, Deeks JJ,Chapter 5: Collecting data. Cochrane;, Chandler J, Cumpston M, Li T, Page MJ, Welch VA, editors. Cochrane Handbook for Systematic Reviews of Interventions version 63 (updated February 2022).

  • Harfield SG, Davy C, McArthur A, Munn Z, Brown A, Brown N. Characteristics of indigenous primary health care service delivery models: a systematic scoping review. Globalization Health. 2018;14(1):1–11.

    Article 

    Google Scholar 

  • Martín-Sánchez FJ, Triana FC, Rossello X, et al. Effect of risk of malnutrition on 30-day mortality among older patients with acute heart failure in Emergency Departments. Eur J Intern Med. 2019;65:69–77.

    Article 
    PubMed 

    Google Scholar 

  • Jiménez CB, Ovalle HF, Moreno MM, de la Fuente RA, de Luis Román D. Undernutrition measured by the Mini Nutritional Assessment (MNA) test and related risk factors in older adults under hospital emergency care. Nutrition. 2019;66:142–6.

    Article 

    Google Scholar 

  • Brady D, Boyle O, Kelly L, et al. 172 Sarcopenia, Frailty and Malnutrition in the older adults in the Emergency Department setting. Volume 48. Age & Ageing; 2019.

  • O’Caoimh R, Costello M, Small C, et al. Comparison of Frailty Screening instruments in the Emergency Department. Int J Environ Res Public Health. 2019;16(19). https://doi.org/10.3390/ijerph16193626.

  • Gaffney L, Jonsson A, Judge C, Costello M, O’Donnell J, O’Caoimh R. Using the Surprise question to Predict Frailty and Healthcare outcomes among older adults attending the Emergency Department. Int J Environ Res Public Health. 2022;19(3):1709.

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Muldoon N, Stapleton C, Kane J et al. Frail Elderly Pilot Programme Connolly Hospital Blanchardstown 2016. Int J Integr Care. 2017;17(5).

  • Stapleton C. Role of the Dietitian within the Frail Elderly Pilot in Connolly Hospital Blanchardstown from February to June 2016. Int J Integr Care (IJIC). 2017;17.

  • O’Caoimh R. Validation of the risk instrument for screening in the community (RISC) among older adults in the emergency department. Int J Environ Res Public Health. 2023;20(4):3734.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Burks CE, Jones CW, Braz VA, et al. Risk factors for malnutrition among older adults in the emergency department: a multicenter study. J Am Geriatr Soc. 2017;65(8):1741–7.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Pereira GF, Bulik CM, Weaver MA, Holland WC, Platts-Mills TF. Malnutrition among cognitively intact, noncritically ill older adults in the emergency department. Ann Emerg Med. 2015;65(1):85–91.

    Article 
    PubMed 

    Google Scholar 

  • Calf AH, Lubbers S, van den Berg AA, et al. Clinical impression for identification of vulnerable older patients in the emergency department. Eur J Emerg Med. 2020;27(2):137–41.

    Article 
    PubMed 

    Google Scholar 

  • Schuijt H, Oud F, Bruns E, et al. Does the Dutch Safety Management Program predict adverse outcomes for older patients in the emergency department? Neth J Med. 2020;78(5):244–50.

    PubMed 

    Google Scholar 

  • Deschodt M, Devriendt E, Sabbe M, et al. Characteristics of older adults admitted to the emergency department (ED) and their risk factors for ED readmission based on comprehensive geriatric assessment: a prospective cohort study. BMC Geriatr. 2015;15(1):1–10.

    Article 

    Google Scholar 

  • Nalbur İH, Sayhan MB, Oğuz S, Sayhan ES, Hüseyin S. Nutritional Situation Assessment of 65 Years Old Patient who Applicate to Emergency Department Acil Servise Başvuran 65 Yaş Üzeri Hastalarda Nütrisyonel Durumun Değerlendirilmesi.

  • Rarek MP, Meyer AM, Pickert L, et al. The prognostic signature of health-related quality of life in older patients admitted to the emergency department: a 6-month follow-up study. Aging Clin Exp Res. 2021;33(8):2203–11.

    Article 
    PubMed 

    Google Scholar 

  • Elias TC, Bowen J, Hassanzadeh R, Lasserson DS, Pendlebury ST. Factors associated with admission to bed-based care: observational prospective cohort study in a multidisciplinary same day emergency care unit (SDEC). BMC Geriatr. 2021;21(1):1–13.

    Article 

    Google Scholar 

  • Gentile S, Lacroix O, Durand A, et al. Malnutrition: a highly predictive risk factor of short-term mortality in elderly presenting to the emergency department. J Nutr Health Aging. 2013;17(4):290–4.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Lin C-F, Lin P-C, Hu S-Y, et al. Comprehensive Geriatric Assessment and Clinical outcomes in the older people at the Emergency Department. Int J Environ Res Public Health. 2021;18(11):6164.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Saario EL, Mäkinen MT, Jämsen ER, Nikander P, Castrén MK. Screening of community-dwelling older patients by the emergency medical services: an observational retrospective registry study. Int Emerg Nurs. 2021;59:101078.

    Article 
    PubMed 

    Google Scholar 

  • Pulido I, Nunes C, Botelho A, et al. Comprehensive geriatric assessment of older patients and associated factors of admission to Emergency Departments in pre-covid 19 Era–A Portuguese study. Rev Esp Geriatr Gerontol. 2022;57(5):250–6.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Tavenier J, Rasmussen LJH, Andersen AL, et al. Association of GDF15 with inflammation and physical function during aging and recovery after acute hospitalization: a longitudinal study of older patients and age-matched controls. Journals Gerontology: Ser A. 2021;76(6):964–74.

    CAS 

    Google Scholar 

  • Rubenstein LZ, Harker JO, Salva A, Guigoz Y, Vellas B. Screening for Undernutrition in Geriatric Practice: developing the short-form Mini Nutritional Assessment (MNA-SF). J Geront. 2001;56A:M366–377.

    Article 

    Google Scholar 

  • Vellas B, Villars H, Abellan G, et al. Overview of the MNA® – its History and challenges. J Nutr Health Aging. 2006;10:456–65.

    CAS 
    PubMed 

    Google Scholar 

  • Elia M. The MUST Report. Nutritional screening of adults: a multidisciplinary responsibility. Development and Use of the Malnutrition Universal Screening Tool (‘MUST’) for adults. BAPEN; redditch, UK: 2003. Chairman of MAG and Editor advancing Clinical Nutrition, a Standing Committee of BAPEN.

  • Wilson M-MG, Thomas DR, Rubenstein LZ, Chibnall JT, Anderson S, Baxi A, Diebold MR, Morley JE. Appetite Assessment: simple appetite questionnaire predicts weight loss in Community-Dwelling adults and nursing home residents. Am J Clin Nutr. 2005;82:1074–81. https://doi.org/10.1093/ajcn/82.5.1074.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Kondrup J, Rasmussen HH, Hamberg O, Stanga Z. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003;22:321–36.

    Article 
    PubMed 

    Google Scholar 

  • Correia MITD. Nutrition screening vs nutrition assessment: what’s the difference? Nutr Clin Pract. 2018;33(1):62–72.

    Article 
    PubMed 

    Google Scholar 

  • Norman K, Haß U, Pirlich M. Malnutrition in older adults-recent advances and remaining challenges. Nutrients Aug. 2021;12(8). https://doi.org/10.3390/nu13082764.

  • Laur C, Curtis L, Dubin J, et al. Nutrition Care after Discharge from Hospital: an exploratory analysis from the more-2-Eat study. Healthcare. 2018;6(1). https://doi.org/10.3390/healthcare6010009.

  • Beck AM, Kjær S, Hansen BS, Storm RL, Thal-Jantzen K, Bitz C. Follow-up home visits with registered dietitians have a positive effect on the functional and nutritional status of geriatric medical patients after discharge: a randomized controlled trial. Clin Rehabil. 2013;27(6):483–93.

    Article 
    PubMed 

    Google Scholar 

  • Ji T, Zhang L, Han R, et al. Management of Malnutrition based on Multidisciplinary Team decision-making in Chinese older adults (3 M study): a prospective, Multicenter, Randomized, controlled Study Protocol. Front Nutr. 2022;9:851590. https://doi.org/10.3389/fnut.2022.851590.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • O’Keeffe M, Kelly M, O’Herlihy E, et al. Potentially modifiable determinants of malnutrition in older adults: a systematic review. Clin Nutr. 2019;38(6):2477–98.

    Article 
    PubMed 

    Google Scholar 

  • Reber E, Gomes F, Vasiloglou MF, Schuetz P, Stanga Z. Nutritional Risk Screening and Assessment. J Clin Med Jul. 2019;20(7). https://doi.org/10.3390/jcm8071065.

  • Guigoz Y, Vellas B. Nutritional assessment in older adults: MNA® 25 years of a screening tool & a reference standard for care and research; what next? J Nutr Health Aging. 2021;25:528–83.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Dent E, Wright OR, Woo J, Hoogendijk E. O. Malnutrition in older adults. Lancet. 2023;401(10380):951–66.

    Article 
    PubMed 

    Google Scholar 

  • Lyu Y, Chen G, Shen L, Liu Y, Gao F, He X, Crilly J. Knowledge, attitudes, clinical practice and perceived barriers with nutrition support among physicians and nurses in the emergency department: a national cross-sectional survey. Int Emerg Nurs. 2021;55:100973.

    Article 
    PubMed 

    Google Scholar 

  • Lindorff-Larsen K, Rasmussen HH, Kondrup J, Staun M, Ladefoged K, Group TS. N. Management and perception of hospital undernutrition—A positive change among Danish doctors and nurses. Clin Nutr. 2007;26(3):371–8.

    Article 
    PubMed 

    Google Scholar 

  • Mowe M, Bosaeus I, Rasmussen HH, Kondrup J, Unosson M, Rothenberg E, Irtun Ø. Insufficient nutritional knowledge among health care workers? Clin Nutr. 2008;27(2):196–202.

    Article 
    PubMed 

    Google Scholar 

  • Health Information and Quality Authority (HIQA). https://www.hiqa.ie/reports-and-publications/key-reports-and-investigations/report-review-nutrition-and-hydration-care

  • Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19–3270.

    Article 

    Google Scholar 

  • Bech CB, Svendsen JA, Knudsen AW, Munk T, Beck AM. The association between malnutrition and dehydration in older adults admitted to a geriatric unit: an observational study. Clin Nutr ESPEN. 2023;57:598–605. https://doi.org/10.1016/j.clnesp.2023.08.011.

    Article 
    PubMed 

    Google Scholar 


  • Leave a Reply

    Your email address will not be published. Required fields are marked *