Article Text

Download PDFPDF
PTH-240 Outcomes for patients at risk of malnutrition receiving a domiciliary community dietetic service
  1. S Kennelly1,
  2. S Browne2,
  3. G Flanagan-Rughaboor1,
  4. D Loane1,
  5. C Glennon1
  1. 1Community Nutrition and Dietetic Service, HSE Dublin Mid-Leinster, Primary Care Unit, St. Loman’s Hospital, Mullingar, Co. Westmeath
  2. 2SB Nutrition, Antogher Road, Roscommon, Ireland


Introduction The Community Dietetic Service (CNDS) in the Midlands (ROI) provides a domiciliary service for homebound patients at risk of malnutrition. Education about the Malnutrition Universal Screening Tool (MUST)1is provided for all community nurses, as well as a number of General Practitioners (GPs) and Practice Nurses.

Aim To measure outcomes for patients up to one year post referral to the CNDS.

Method This study involved a retrospective review of CNDS record cards. All patients (n = 82) referred to CNDS requiring a domiciliary visit within the period (April–October 2011) were included. Outcome data from the initial dietetic intervention and up to 4 dietetic reviews in a 12 month follow-up period were included. Types of dietetic interventions used have been described elsewhere.2

Results At the initial dietitian assessment patients’ mean weight and body mass index (BMI) kg m-² were 55.5kg (±14.7kg) (n = 65) and 21.3 kg m-² (±4.9 kg m-²) (n = 62) respectively.

Mean age of patients was 77.3 years (±13.2) (62% female, 38% male). Most common primary diagnoses were respiratory disease (17%), cancer (16%), and dementia (12%). Twelve months post referral, 21% of patients (17/82) were deceased and 33% (27/82) remained under care of CNDS and 46% (38/82) were discharged. Reasons for discharge included patient no longer at nutritional risk (n = 33), or patient declined follow up (n = 5).

Conclusion Half of patients were successfully discharged from the CNDS at 12 months. The results demonstrate that the community dietetic intervention had the greatest impact in the first 3 months, with significant improvements in weight and BMI kg m-².

Disclosure of interest None Declared.

Abstract PTH-240 Table 1

Weight (kg) and Body Mass Index (BMI kg/m²) changes up to one year post referral to community dietetic service for patients at risk of malnutrition receiving a domiciliary service


  1. Malnutrition Advisory Group (2003) The ‘MUST’ Report. ed. MMM. Elia. Redditch: British Association for Enteral and Parenteral Nutrition

  2. Browne, S. Kennelly, S, Flanagan-Rughaboor, G and Glennon-Slattery, C (2012) Investigation of dietetic intervention and outcomes for patients at risk of malnutrition in the community. Proc Nut Soc.71 (OCE2)

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.