Small Sample, Big Challenges: Addressing Malnutrition in Non-Acute Older Adults Discharged from the Emergency Department

Purpose: In Ireland, the rise in older adults visiting the ED and being discharged home has led to high rates of adverse outcomes, including disease-related malnutrition. The purpose of this study was to describe the nutrition care needs of older adults as part of a feasibility study exploring a multicomponent transition-to-home intervention from the ED. Methods: Nutrition characteristics were assessed using clinical records and dietetic assessments from participants in the intervention arm of the ED PLUS pilot RCT. Data were analyzed using the Nutrition Care Process Model to identify nutrition-related problems, estimated intake, and response to intervention. Results: Our study included nine participants with an average age of 79.5 years. Living arrangements varied, with some living independently, others with formal support, and some with family support. Malnutrition risk was identified using MNA-SF with three participants meeting the threshold. All reported nutritional impact symptoms, with average energy and protein intakes below recommendations. Dietetic interventions were needed for all participants. Conclusion: While limited by sample size, these exploratory findings offer real-world insights into the nutrition care needs of older adults discharged from the ED and may inform current practice and future research.