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MiOA: Intervention: Post-Discharge: Registered Dietitian Nutritionists' Interventions (2023)

Intervention
In older adults discharged from acute care to the community, what is the effect of registered dietitian nutritionists' interventions on calorie and protein intake?
- Conclusion
  Registered dietitian nutritionists' interventions may have little to no impact on calorie and protein intake in older adults discharged from acute care to the community.
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults discharged from acute care to the community, what is the effect of registered dietitian nutritionists' intervention on calorie and protein intake?
- Search Plan and Results: MiOA: Intervention Medical Nutrition Therapy 2023
In older adults discharged from acute care to the community, what is the effect of registered dietitian nutritionists' interventions on weight or BMI?
- Conclusion
  In older adults malnourished or at risk for malnutrition discharged from acute care to the community, registered dietitian nutritionists' interventions likely result in weight gain. However, no significant effect was found on body mass index (BMI).
- Grade: Moderate (B)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults discharged from acute care to the community, what is the effect of registered dietitian nutritionists' interventions on weight and BMI?
- Search Plan and Results: MiOA: Intervention Medical Nutrition Therapy 2023
In older adults discharged from acute care to the community, what is the effect of registered dietitian nutritionists' interventions on nutrition status measured by valid nutrition assessment?
- Conclusion
  In older adults malnourished or at risk for malnutrition and discharged from acute care to the community, registered dietitian nutritionists' intervention may result in improved nutrition status as evidenced by increased Mini-Nutritional Assessment scores.
- Grade: Low (C)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults discharged from acute care to the community, what is the effect of registered dietitian nutritionists' interventions on nutrition status measured by valid nutrition assessment?
- Search Plan and Results: MiOA: Intervention Medical Nutrition Therapy 2023
In older adults discharged from acute care to the community, what is the effect of registered dietitian nutritionists' interventions on physical function?
- Conclusion
  In older adults discharged from acute care to the community, registered dietitian nutritionists' interventions may have little to no effect on handgrip strength or activities of daily living.
- Grade: Low (C)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults discharged from acute care to the community, what is the effect of registered dietitian nutritionists' interventions on physical function?
- Search Plan and Results: MiOA: Intervention Medical Nutrition Therapy 2023
In older adults discharged from acute care to the community, what is the effect of registered dietitian nutritionists' interventions on hospital readmissions?
- Conclusion
  In older adults discharged from acute care to the community, registered dietitian nutritionists’ (RDNs) interventions may result in little to no difference in hospital readmission.
- Grade: Low (C)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults discharged from acute care to the community, what is the effect of registered dietitian nutritionists' interventions on hospital readmissions?
- Search Plan and Results: MiOA: Intervention Medical Nutrition Therapy 2023
In older adults discharged from acute care to the community, what is the cost effectiveness (per quality-adjusted life years) of registered dietitian nutritionists' intervention compared to standard care?
- Conclusion
  In older adults discharged from acute care to the community, there was limited evidence to detect the impact of registered dietitian nutritionists’ interventions on patient quality -adjusted life years.
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults discharged from acute care to the community, what is the cost effectiveness (per quality-adjusted life years) of registered dietitian nutritionists' interventions compared to standard care?
- Search Plan and Results: MiOA: Intervention Medical Nutrition Therapy 2023
In older adults discharged from acute care to the community, what is the effect of registered dietitian nutritionists' interventions on mortality?
- Conclusion
  In older adults discharged from acute care to the community, registered dietitian nutritionists' interventions likely result in little to no difference in mortality.
- Grade: Moderate (B)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults discharged from acute care to the community, what is the effect of registered dietitian nutritionists' interventions on mortality?
- Search Plan and Results: MiOA: Intervention Medical Nutrition Therapy 2023