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CMTF Publications

Nutrition Care in Canadian Hospitals Study  

PostersBrief Synopses of Study Results


Hospital / Nutrition Care Implementation  

Brief Synopses of Study Results


Nutrition Care in Canadian Hospitals - Identification of Gaps in Care

Curtis L, Bernier P, Jeejeebhoy K, Allard JP, Duerksen D, Gramlich L, Laporte M, Keller H. Costs of hospital malnutrition. Clin Nutr. 2017; 36(5): 1391-1396. doi 10.1016/j.clnu.2016.09.009

Allard J, Keller H, Teterina A, Jeejeebhoy KN, Laporte M, Duerksen DR, Gramlich L, Payette H, Bernier P, Davidson B, Lou W. Lower handgrip strength at discharge from acute care hospitals is associated with 30-day readmission: a prospective cohort study. Clin Nutr. 2016; 35(6): 1535-1542. doi 10.1016/j.clnu.2016.04.008

Allard JP, Keller H, Jeejeebhoy KN, Laporte M, Duerksen DR, Gramlich L, Payette H, Bernier P, Davidson B, Teterina A, Lou W. Decline in nutritional status is associated with prolonged length of stay in hospitalized patients admitted for 7 days or more: A prospective cohort study. Clin Nutr. 2016; 35(1): 144-152. doi 10.106/j.clnu.2015.01.009 

Allard JP, Keller H, Jeejeebhoy KN, Laporte M, Duerksen D, Gramlich L, Payette H, Bernier P, Vesnaver E, Davidson B, Terterina A., Lou W. Malnutrition at hospital admission: contributors and impact on length of stay. A prospective cohort study from the Canadian Malnutrition Task Force. J Parenter Enteral Nutr. 2016; 40(4): 487-497. doi10.1177/0148607114567902

Duerksen DR, Keller HH, Vesnaver E, Laporte M, Jeejeebhoy K, Payette H, Gramlich L, Bernier P, Allard J. Nurses’ perceptions regarding prevalence, detection, and causes of malnutrition in Canadian hospitals: results of a Canadian Malnutrition Task Force Survey. J Parenter Enteral Nutr. 2016; 40(1): 100-106. doi  10.1177/0148607114548227

Allard JP, Keller H, Teterina A, Jeejeebhoy K, Laporte M, Duerksen D, Gramlich L, Payette H, Bernier P, Davidson B, Lou W. Factors associated with nutritional decline in hospitalized medical and surgical patients admitted for 7 days or more: a prospective cohort study. Br J Nutr. 2015; 114(10): 1612-1622. doi 10.1017/S0007114515003244

Keller H, Allard JP, Laporte M, Davidson B, Payette H, Bernier P, Jeejeebhoy K, Dureksen DR, Gramlich L. Predictors of dietitian consult on medical and surgical wards. Clin Nutr. 2015; 34(6): 1141-1145. doi10.1016/j.clnu.2014.11.011

Duerksen DR, Keller HH, Vesnaver E, Allard J, Bernier P, Gramlich L, Payette H, Laporte M, Jeejeebhoy K. Physicians’ perceptions regarding the detection and management of malnutrition in Canadian hospitals: results of a Canadian Malnutrition Task Force Survey. J Parenter Enteral Nutr. 2015; 39(4): 410-417. doi 10.1177/0148607114534731


Improving Hospital / Nutrition Care

Rationale and developmental methodology for the SIMPLE approach: A systematized, Interdisciplinary Malnutrition Pathway for implementation and Evaluation in hospitals

  • This study aims to build the reason for necessary change in the management of malnutrition care and to describe the process used to develop the model for implementation of malnutrition care in six Australian (Queensland) hospitals.

Multidisciplinary, multi-modal nutritional care in acute hip fracture inpatients – Results of a pragmatic intervention

  • This pragmatic study was conducted as part of routine clinical practice in a single unit in an Australian hospital. It was designed to investigate whether multi-disciplinary and multi-modal nutritional care (MMNC) affects energy and protein intake, nutritional status and nutrition related outcomes in acute hip fracture inpatients, compared with individualised nutritional care

Manuscript of the Integrated Nutrition Pathway For Acute Care (INPAC)

  • Malnutrition is commonly underdiagnosed and undertreated in acute care patients. Implementation of care pathways is limited, possibly as a result of the perception that they are not feasible due to resource implications. This pathway (INPAC) was developed from evidence, best practice and expert consensus. It addresses the crisis of malnutrition in Canadian acute care hospitals, while still being feasible for implementation.

Laur C, Davidson B, Keller H. Perceptions on use of the subjective global assessment before and after it became part of regular practice. Nut Clin Prac 2019; March: 1-10. DOI: 10.1002/ncp.10270.

Laur C, Bell J, Valaitis R, Ray S, Keller H. The Sustain and Spread Framework: strategies to sustaining and spreading nutrition care improvements in acute care based on thematic analysis from the More-2-Eat study. BMC Health Services Res 2018; 18:930 https://doi.org/10.1186/s12913-018-3748-8

Laur C, Nasser R, Butterworth D, Valaitis R, Bell J, Marcell C, Murphy J, Ray S, Bernier P, Keller H. Implementing food intake and body weight monitoring in acute care using behavior change techniques: case examples from the More-2-Eat study. Nutr  Clin Pract 2018; 1-16. DOI: 10.1002/ncp.10207

Keller H, Xu Y, Dubin JA, Curtis L, Laur C, Bell J for the More-2-Eat Team. Improving the standard of nutrition care in hospital: mealtime barriers reduced with implementation of the Integrated Nutrition Pathway for Acute Care. Clin Nutr ESPEN 2018;28: 74-79. 

McNicholl T, Keller H, Dubin J, Curtis L, Mourtzakis M, Nasser R, Laporte M. Handgrip strength, but not 5m walk, is a useful functional measure to add to clinical nutrition Assessment. Nutr Clin Practice 2018;1-8 DOI: 10.1002/ncp.10198.

Jensen GL, Cederholm T, Correia MITD, Gonzalez MC, Fukushima R, Higashiguchi T,  Baptista G, Barazzoni R, Blaauw R, Coats A, Crivelli A, Evans D, Gramlich L, Fuchs-Tarlovsky V, Keller H, Llido L, Malone A, Mogensen K, Morley J, Muscaritoli M, Nyulasi Ii, Pirlich M, Pisprasert V, de van der Schueren MAE, Siltharm S, Singer P, Tappenden K, Velasco N, Waitzberg D, Yamwong P, Yu J,Compher C, Van Gossum A. The GLIM criteria for the diagnosis of malnutrition – a consensus report from the global clinical nutrition community. J Parenteral Enter Nutr; 2018. 10.1002/jpen.1440

Keller H, Valaitis R, Laur CV, McNicholl T, Xu Y, Dubin JA, Curtis L, Obiorah S, Ray S, Bernier P, Gramlich L, Stickles-White M, Laporte M, Bell J.  Multi-site implementation of nutrition screening and diagnosis in medical care units: success of the project More-2-Eat. Clin Nutr. 2018: 1-9  doi 10.1016/j.clnu.2018.02.009

Keller H, Laur C, Atkins M, Bernier P, Butterworth D, Davidson B, Hotson B, Nasser R, Laporte M, Marcell C, Ray S, Bell J. Update on the Integrated Nutrition Pathway for Acute Care (INPAC): Post implementation tailoring and toolkit to support practice improvements. BMC Nutr. 2018; 17: 2. doi 10.1186/s12937-017-0310

Laur CV, Keller HH, Curtis L, Douglas P, Murphy J, Ray S. Comparing hospital staff nutrition knowledge, attitudes, and practices before and 1 year after improving nutrition care: results from the More-2-Eat Implementation Project. J Parenter Enteral Nutr. 2018; 42(4): 786-796. doi 10.1177/0148607117718493

McCullough J, Keller H. The My Meal Intake Tool (M-MIT): validity of a patient self-assessment for food and fluid intake at a single meal. J Nutr Health Aging. 2018; 22(1): 30-37. doi 10.1007/s12603-016-0859-y

Valaitis R, Laur C, Keller H, Butterworth D, Hotson B. Need for the Integrated Nutrition Pathway for Acute Care (INPAC): gaps in current nutrition care in five Canadian hospitals. BMC Nutr. 2017; 3: 60. doi 10.1186/s40795-017-0177-8

Laur C, Valaitis R, Bell J, Keller H. Changing nutrition care practices in hospital: a thematic analysis of hospital staff perspectives. BMC Health Serv Res. 2017; 17(1): 498 doi 10.1186/s12913-017-2409-7

Keller H, Laur C, Valaitis R, Bell J, McNicholl T, Ray S, Murphy J, Barnes S. More-2-Eat: evaluation protocol of a multi-site implementation of the Integrated Nutrition Pathway for Acute Care. BMC Nutr. 2017; 3: 13. doi 10.1186/s40795-017-0127-5

McCullough J, Marcus H, Keller H. The Mealtime Audit Tool (MAT) - Inter-rater reliability testing of a novel tool for the monitoring and assessment of food intake barriers in acute care hospital patients. J Nutr Health Aging. 2017; 21(9): 962-970. doi 10.1007/s12603-017-0890-7

Laur C, Marcus H, Ray S, Keller H. Quality nutrition care: measuring hospital staff’s knowledge, attitudes and practices. Healthcare. 2016; 4(4): 79. doi 10.3390/healthcare4040079

Laur C, Keller H. Implementing best practice in multidisciplinary nutrition care: An example of using the Knowledge-to-Action Process for a research program. J Multidiscip Healthc. 2015; 8: 463-472. doi 10.2147/JMDH.S93103

Keller H, McCullough J, Davidson B, Vesnaver E, Laporte M, Gramlich L, Allard J, Bernier P, Duerksen D, Jeejeebhoy K. Integrated nutrition pathway for acute care (INPAC): Building consensus with a modified Delphi. Nutr J. 2015; 14: 63. doi 10.1186/s12937-015-0051-y

Laur C, McCullough J, Davidson B, Keller H. Becoming food aware in hospital: A narrative review to advance the culture of nutrition care in hospitals. Healthc. 2015; 3(2): 393-407. doi 10.3390/healthcare3020393

Jeejeebhoy KN, Keller H, Gramlich L, Allard JP, Laporte M, Duerksen DR, Payette H, Bernier P, Vesnaver E, Davidson B, Teterina A, Lou W. Nutritional assessment: comparison of clinical assessment and objective variables for the prediction of length of hospital stay and readmission. Am J Clin Nutr. 2015; 101(5): 956-965. doi 10.3945/ajcn.114.098665

Laporte M, Keller H, Payette H, Allard JP, Duerksen DR, Bernier P, Jeejeebhoy K, Gramlich L, Vesnaver E, Teterina A. Validity and reliability of the new Canadian Nutrition Screening tool in the ‘real-world’ hospital setting. Eur J Clin. 2015; 69(5): 558-564. doi 10.1038/ejcn.2014.270


Food in Healthcare

Curtis L, Valaitis R, Laur C, McNicholl T, Nasser R, Keller H.Low food intake in hospital: patient, institutional, and clinical factors. Appl Physiol Nutr Metab. 2018. doi 10.1139/apnm-2018-0064

Keller H, Allard J, Vesnaver E, Laporte M, Gramlich L, Bernier P, Davidson B, Duerksen D, Jeejeebhoy K, Payette H. Barriers to food intake in acute care hospitals: a report of the Canadian Malnutrition Task Force. J Hum Nutr Diet. 2015; 28(6): 546-557. doi 10.1111/jhn.12314


Primary Care

Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition

  • The purpose of this review paper was to describe how the conditions of malnutrition and frailty overlap and to provide a better understanding of identification and treatment strategies for frail, malnourished older adults.

Laur C, McNicholl T, Valaitis R, Keller H. Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition. Appl Physiol Nutr Metab. 2017; 42(5): 449-458. doi 10.1139/apnm-2016-0652

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(1): 9. doi 10.3390/healthcare6010009

Keller H, Payette H, Laporte, Bernier P, Allard J, Duerksen D, Gramlich L, Jeejeebhoy K. Patient-reported dietetic care post hospital for free-living patients: a Canadian Malnutrition Task Force (CMTF) study. J Hum Nutr Diet. 2018; 31(1): 33-40. doi 10.1111/jhn.12484

Laur C, Keller H. Making the case for nutrition screening in older adults in primary care. Nutr Today. 2017; 52(3) :129-136. doi 10.1097/NT.0000000000000218

Keller H, Laporte M, Payette H, Allard J, Bernier P, Duerksen D, Gramlich L, Jeejeebhoy K.  Prevalence and predictors of weight change post-discharge from hospital: a study of the Canadian Malnutrition Task Force. Eur J Clin Nutr. 2017; 71(6): 766-772. doi 10.1038/ejcn.2016.277


Pediatric

Carter L, Klatchuk N, Sherman K ,Thomsen P, Mazurak V, Brunetwood MK Barriers to Oral Food Intake for Children Admitted to Hospital Can J Diet Pract Res. 2019 Advance online publication https://doi.org/10.3148/cjdpr-2019-012

McCarthy A, Delvin E, Marcil V et al.  Prevalence of Malnutrition in Pediatric Hospitals in Developed and In-Transition Countries: The Impact of Hospital Practices  Nutrients. 2019;11(2):236 DOI 10.3390/nu11020236 

Bélanger V, McCarthy A, Marcil V, Marchand V, Boctor DL, Rashid M, Noble A, Avinashi V, Davidson B, Groleau V, Spahis S, Levy E. Assessment of Malnutrition Risk in Canadian Pediatric Hospitals: A Multicenter Prospective Cohort Study J Pediatr. 2019 Feb;205:160-167.e6. doi: 10.1016/j.jpeds.2018.09.045. Epub 2018 Oct 24.

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