Corrigendum to "Time to act! - A cross-sectional study on how nutritional risk increases during hospitalization and associates with worse" published in Clinical Nutrition ESPEN 2023 Oct;57:364-374.

Clinical nutrition ESPEN(2023)

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The authors regret to inform you that we have detected some incorrect values in the Tables 4–6 in our article, and we kindly request a pertinent correction. The main error in the results is that the LOS in nutritionally risk patients was 2.1 day longer instead of 5.6, which is incorrectly stated also in the Abstract. However, all the p-values are correct. The erroneous parts in the tables were constructed during the review process when “Days from admission to screening” was included into multivariable analyses as appropriately requested by one of the Reviewers. These analyses were performed correctly but unintentionally some of the values in Tables 4–6 were not correctly reported after the requested reanalysis.Table 4Univariable and multivariable generalized linear models to assess the association between patient characteristics and the length of stay.LOS (days)Univariable analysesMultivariable analysisAdjustedFactornGMRGM (95% CI)p-valueGM (95% CI)RGM (95% CI)p-valueNutritional riskNo21326.4Ref.11.6 (11.112.2)Ref.Yes92111.11.73 (1.63–1.84)<0.00113.9 (13.314.7)1.20 (1.15–1.25)<0.001Gender*Men15618.0Ref.Women14927.10.90 (0.84–0.95)<0.001Days from admission to screening1-2 days10233.8Ref.5.1 (4.8–5.4)Ref.3-7 days12317.62.03 (1.94–2.13)<0.0019.4 (9.0–9.9)1.87 (1.78–1.96)<0.0018-14 days53414.13.76 (3.54–3.99)<0.00116.5 (15.5–17.5)3.26 (3.07–3.45)<0.001> 14 days26530.48.12 (7.52–8.77)<0.00133.4 (31.1–35.9)6.60 (6.10–7.14)<0.001ICU stayNo28847.2Ref.10.8 (10.5–11.1)Ref.Yes16916.82.33 (2.05–2.65)<0.00115.0 (13.8–16.3)1.39 (1.27–1.51)<0.001No. of diagnoses1-318496.5Ref.12.0 (11.5–12.6)Ref.≥ 412049.41.44 (1.35–1.53)<0.00113.5 (12.8–14.2)1.12 (1.08–1.17)<0.001Mode of arrivalOther**58710.3Ref.14.1 (13.3–14.9)Ref.Elective13828.70.84 (0.77–0.91)<0.00113.0 (12.3–13.7)0.92 (0.87–0.98)0.005Emergency10845.90.57 (0.53–0.62)<0.00111.3 (10.8–11.9)0.80 (0.76–0.85)<0.001LOS, length of stay, logarithmically transformed before analysis; GM, geometric mean; RGM, ratio of geometric means; Nutritional risk, NRS≥3; ICU, intensive care unit;Ref., reference group*Adding gender did not have statistical significance to multivariable model.**Other = Patient arrived at the hospital either from other hospital or from outpatient clinic, or from another ward. Open table in a new tab Table 5Univariable and multivariable generalized linear models to assess the association between patient characteristics and the total costs.Total costs (€)Univariable analysesMultivariable analysisAdjustedFactornGMRGM (95% CI)p-valueGM (95% CI)RGM (95% CI)p-valueNutritional riskNo21325002Ref.7945 (7567–8341)Ref.Yes92190561.81 (1.68–1.96)<0.0018634 (8187–9106)1.09 (1.04–1.14)<0.001Gender*Men15616359Ref.Women149256140.88 (0.82–0.95)0.001Age, years<7017706323Ref.8896 (8471–9343)Ref.≥70128355440.88 (0.81–0.94)0.0017711 (7326–8116)0.87 (0.83–0.90)<0.001Days from admission to screening1-2 days10233163Ref.8357 (7893–8848)Ref.3-7 days123155631.76 (1.64–1.88)<0.0017757 (7379–8154)0.93 (0.88–0.98)0.0048-14 days534111763.53 (3.25–3.85)<0.0018265 (7762–8801)0.99 (0.92-1.06)0.76> 14 days265279288.83 (7.91–9.85)<0.0018783 (8056-9575)1.05 (0.95–1.16)0.33ICU stayNo28845457Ref.5591 (5438–5748)Yes169287575.27 (4.54–6.12)<0.00112269 (11280–13345)2.19 (2.02–2.39)<0.001No. of diagnoses1-318495479Ref.8607 (8198–9037)Ref.≥ 4120468501.25 (1.16–1.35)<0.0017970 (7569–8392)0.93 (0.89–0.96)<0.001Mode of arrivalOther**5876956Ref.7312 (6884–7766)Ref.Elective138259550.86 (0.77–0.95)0.0037669 (7271–8089)1.05 (0.99–1.11)0.08Emergency108456330.81 (0.73–0.89)<0.00110132 (9646–10642)1.39 (1.31–1.46)<0.001ln(LOS)Regression coefficientRegression coefficientB (95% CI)B (95% CI)0.996 (0.971-1.021)<0.0010.934 (0.900-0.969)<0.001Total costs were logarithmically transformed before analysis; GM, geometric mean; RGM, ratio of geometric means; Nutritional risk, NRS≥3; ICU, intensive care unit; LOS, length of stay;Ref., reference group*Adding gender did not have statistical significance to multivariable model.**Other = Patient arrived at the hospital either from other hospital or from outpatient clinic, or from another ward. Open table in a new tab Table 6Univariable and multivariable binary logistic regression models to assess the association between patient characteristics and in-hospital mortalityIn-hospital deathUnivariable analysesMultivariable analysisFactornn (%)OR (95% CI)p-valueOR (95% CI)p-valueNutritional riskNo213217 (0.8)Ref.Ref.Yes92136 (3.9)5.06 (2.83–9.06)<0.0014.22 (2.31–7.71)<0.001Gender*Men156128 (1.8)Ref.Women149225 (1.7)0.93 (0.54–1.61)0.80BMI, kg/m2*<20.01627 (4.3)Ref.20.0-24.95605 (0.9)0.20 (0.06–0.64)0.00725.0-29.95425 (0.9)0.21 (0.06–0.66)0.008≥30.03975 (1.3)0.28 (0.09–0.90)0.03Age, years*<70177021 (1.2)Ref.≥70128332 (2.5)2.13 (1.22–3.71)0.008Days to admission to screening**1-2 days102312 (1.2)Ref.Ref.3-7 days123119 (1.5)1.32 (0.64–2.73)0.450.74 (0.30–1.80)0.508-14 days53412 (2.2)1.94 (0.86–4.34)0.110.60 (0.27–1.34)0.21> 14 days26510 (3.8)3.30 (1.41–7.73)0.0060.73 (0.31–1.74)0.48ICU stayNo288447 (1.6)Ref.Yes1696 (3.6)2.22 (0.94–5.27)0.07No. of diagnoses1-2140412 (0.9)Ref.Ref.≥3164941 (2.5)2.96 (1.55–5.65)0.0012.23 (1.15-4.31)0.02Mode of arrivalOther***58715 (2.6)Ref.Ref.Elective138212 (0.9)0.33 (0.16–0.72)0.0050.47 (0.22–1.03)0.06Emergency108426 (2.4)0.94 (0.49–1.78)0.841.16 (0.60–2.24)0.66OR, odds ratio; CI, confidence interval; BMI, body mass index; Nutritional risk, NRS≥3; ICU, intensive care unit;Ref., reference group*Adding gender, age, or history of ICU stay did not have statistical significance to multivariable model.BMI was not introduced to the multivariate analysis due to 46% of missing information.**Days to admission to screening was forced to the model***Other = Patient arrived at the hospital either from other hospital or from outpatient clinic, or from another ward. Open table in a new tab LOS, length of stay, logarithmically transformed before analysis; GM, geometric mean; RGM, ratio of geometric means; Nutritional risk, NRS≥3; ICU, intensive care unit; Ref., reference group *Adding gender did not have statistical significance to multivariable model. **Other = Patient arrived at the hospital either from other hospital or from outpatient clinic, or from another ward. Total costs were logarithmically transformed before analysis; GM, geometric mean; RGM, ratio of geometric means; Nutritional risk, NRS≥3; ICU, intensive care unit; LOS, length of stay; Ref., reference group *Adding gender did not have statistical significance to multivariable model. **Other = Patient arrived at the hospital either from other hospital or from outpatient clinic, or from another ward. OR, odds ratio; CI, confidence interval; BMI, body mass index; Nutritional risk, NRS≥3; ICU, intensive care unit; Ref., reference group *Adding gender, age, or history of ICU stay did not have statistical significance to multivariable model. BMI was not introduced to the multivariate analysis due to 46% of missing information. **Days to admission to screening was forced to the model ***Other = Patient arrived at the hospital either from other hospital or from outpatient clinic, or from another ward. The authors would like to apologise for any inconvenience caused. Sincerely, On behalf of all coauthors. Time to act! - A cross-sectional study on how nutritional risk increases during hospitalization and associates with worse outcomeClinical Nutrition ESPENVol. 57PreviewNutritional risk is prevalent, and it develops negatively during hospital stay. The aim of this cohort study was to assess the association of nutritional risk with total costs of hospital care, length of stay, and in-hospital mortality. Full-Text PDF Open Access
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