دورية أكاديمية
Does the mini nutritional assessment predict hospitalization outcomes in older people?
| العنوان: | Does the mini nutritional assessment predict hospitalization outcomes in older people? |
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| المؤلفون: | Van Nes MC; Department of Geriatric Medicine, University Hospitals, Geneva, Switzerland., Herrmann FR, Gold G, Michel JP, Rizzoli R |
| المصدر: | Age and ageing [Age Ageing] 2001 May; Vol. 30 (3), pp. 221-6. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 0375655 Publication Model: Print Cited Medium: Print ISSN: 0002-0729 (Print) Linking ISSN: 00020729 NLM ISO Abbreviation: Age Ageing Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Oxford : Oxford University Press Original Publication: London, Baillière, Tindall. |
| مواضيع طبية MeSH: | Geriatric Assessment/*statistics & numerical data , Health Services for the Aged/*statistics & numerical data , Hospitalization/*statistics & numerical data , Nutritional Status/*physiology, Activities of Daily Living ; Aged ; Aged, 80 and over ; Female ; Homes for the Aged/statistics & numerical data ; Humans ; Male ; Mortality ; Patient Discharge/statistics & numerical data |
| مستخلص: | Background: the Mini Nutritional Assessment is a validated clinical tool for the assessment of nutritional status in older people. Moderate to severe malnutrition is common in elderly patients in hospital and is associated with a poor outcome. Objectives: to determine whether the Mini Nutritional Assessment can predict the outcome of hospital stay in older individuals. Setting: a tertiary-care geriatric hospital. Methods: we evaluated nutritional status using the Mini Nutritional Assessment in 1319 patients (mean age 84.2, 70% women) admitted between February 1996 and January 1998; 1145 complete assessments were available for analysis. The assessment was carried out on admission and studied in relation to length of stay and in-hospital mortality for all patients, and discharge to a nursing home for those living at home before admission. Results: Mini Nutritional Assessment scores averaged 19.9+/-3.8 (mean+/-SD) with a range of 8.0-27.5, and a median of 20.5. A score below 17, corresponding to malnutrition, was associated with an almost threefold increase in mortality and in the rate of discharge to a nursing home; this contrasted with a score above 24, which indicates satisfactory nutritional status (11.3% vs 3.7%; P<0.01 and 20.3% vs 7.7%; P<0.001, respectively). Length of stay was longer in the low scoring group (42.0 days vs 30.5 days; P<0.0002). Conclusion: Poor nutritional status as measured by the Mini Nutritional Assessment was associated with increased in-hospital mortality, a higher rate of discharge to nursing homes and a longer length of stay. |
| تواريخ الأحداث: | Date Created: 20010710 Date Completed: 20010927 Latest Revision: 20220317 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1093/ageing/30.3.221 |
| PMID: | 11443023 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0002-0729 |
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| DOI: | 10.1093/ageing/30.3.221 |