Influence of nutritional status on the hospital length of stay in patients with type 2 diabetes

Nutrition is a key element in geriatric health, and nutritional screening/assessment is a key component of comprehensive geriatric evaluation. The study aimed to validate the Mini Nutritional Assessment Taiwan version-1 (MNA-T1) which adopted population-specific anthropometric cut-points, and version-2 (MNA-T2) which replaced BMI with mid-arm and calf circumferences in the scale for predicting the nutritional status of elderly Taiwanese. Using data of a population-representative longitudinal study of 2802 Taiwanese aged 65 years or older, the study graded the nutritional status of each subject with the original and both modified versions at baseline, analysed their hospital length of stay, the Activities of Daily Living (ADL), the Center for Epidemiologic Studies Depression Scale (CES-D) and life-satisfaction scores at baseline and end of 4 years, and tracked their survival during the period. Results showed that both modified versions had superior predictive abilities compared with the original MNA, and their graded scores correlated better with hospital length of stay, and ADL, CES-D and life-satisfaction scores. Both modified versions were effective in predicting follow-up mortality risk. The relative mortality risk was about 7 times for those rated malnourished and 2·5 times for those rated at risk of malnutrition compared with those who were rated normal at baseline by the two modified versions. These results suggest that both of the modified versions are effective in predicting the nutrition and health statuses of Taiwanese elderly and would serve to validate the predictive ability of the two modified versions. The MNA-T2, which requires no BMI, can make routine nutritional screening/assessment an easier task.

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Hospital length of stay and nutritional status

Current Opinion in Clinical Nutrition & Metabolic Care ◽

10.1097/01.mco.0000172579.94513.db ◽

2005 ◽

Vol 8 (4) ◽

pp. 397-402 ◽

Cited By ~ 99

Author(s):

Ursula G Kyle ◽

Laurence Genton ◽

Claude Pichard

Keyword(s):

Length Of Stay ◽

Nutritional Status ◽

Hospital Length ◽

Hospital Length Of Stay

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Nutritional status significantly affects hospital length of stay among surgical patients in public hospitals of Northern Ethiopia: single cohort study

BMC Research Notes ◽

10.1186/s13104-019-4451-5 ◽

2019 ◽

Vol 12 (1) ◽

Author(s):

Mulugeta Woldu Abrha ◽

Oumer Seid ◽

Kidanu Gebremariam ◽

Amha Kahsay ◽

Haftom Gebrehiwot Weldearegay

Keyword(s):

Cohort Study ◽

Length Of Stay ◽

Nutritional Status ◽

Hospital Length ◽

Public Hospitals ◽

Hospital Length Of Stay ◽

Surgical Patients ◽

Northern Ethiopia ◽

Single Cohort

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Length of stay in surgical patients: nutritional predictive parameters revisited

British Journal Of Nutrition ◽

10.1017/s0007114512001134 ◽

2012 ◽

Vol 109 (2) ◽

pp. 322-328 ◽

Cited By ~ 16

Author(s):

Ana Isabel Almeida ◽

Marta Correia ◽

Maria Camilo ◽

Paula Ravasco

Keyword(s):

Weight Loss ◽

Length Of Stay ◽

Nutritional Status ◽

Hospital Length ◽

Hospital Length Of Stay ◽

Nutritional Risk ◽

Surgical Patients ◽

Anthropometric Parameters ◽

Predictive Parameters ◽

Nrs 2002

Nutritional evaluation may predict clinical outcomes, such as hospital length of stay (LOS). We aimed to assess the value of nutritional risk and status methods, and to test standard anthropometry percentilesv.the 50th percentile threshold in predicting LOS, and to determine nutritional status changes during hospitalisation and their relation with LOS. In this longitudinal prospective study, 298 surgical patients were evaluated at admission and discharge. At admission, nutritional risk was assessed by Nutritional Risk Screening-2002 (NRS-2002), Malnutrition Universal Screening Tool (MUST) and nutritional status by Subjective Global Assessment (SGA), involuntary % weight loss in the previous 6 months and anthropometric parameters; % weight loss and anthropometry were reassessed at discharge. At admission, risk/undernutrition results by NRS-2002 (P< 0·001), MUST (P< 0·001), % weight loss (P< 0·001) and SGA (P< 0·001) were predictive of longer LOS. A mid-arm circumference (MAC) or a mid-arm muscle circumference (MAMA) under the 15th and the 50th percentile, which was considered indicative of undernutrition, did predict longer LOS (P< 0·001); conversely, there was no association between depleted triceps skinfold (TSF) and longer LOS. In-hospital, there was a high prevalence of weight, muscle and fat losses, associated with longer LOS. At discharge, patients with a simultaneous negative variation in TSF+MAC+MAMA (n158, 53 %) had longer LOS than patients with a TSF+MAC+MAMA positive variation (11 (8–15)v.8 (7–12) d,P< 0·001). We concluded that at risk or undernutrition evaluated by all methods, except TSF and BMI, predicted a longer LOS. Moreover, MAC and MAMA measurements and their classification according to the 50th percentile threshold seem reliable undernutrition indicators.

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Hospital Outcomes of Adult Diabetic Patients by Glycated Hemoglobin Level in Nonsurgical Pathology in a High-Complexity Institution

Clinical Medicine Insights Endocrinology and Diabetes ◽

10.1177/1179551419882676 ◽

2019 ◽

Vol 12 ◽

pp. 117955141988267

Author(s):

German Camilo Giraldo-Gonzalez ◽

Cristian Giraldo-Guzman ◽

Abelardo Montenegro-Cantillo ◽

Angie Carolina Andrade-García ◽

Duvan Snaider Duran-Ardila ◽

...

Keyword(s):

Diabetes Mellitus ◽

Length Of Stay ◽

Glycated Hemoglobin ◽

Hospital Length ◽

Hospital Length Of Stay ◽

Diabetic Patients ◽

Hospital Stays ◽

The Relationship ◽

Hba1c Levels

Recent evidence supports the relationship between in-hospital hyperglycemia and inpatient complications. Besides, glycated hemoglobin (HbA1c) can predict the clinical course of patients with type 2 diabetes mellitus (DM2) during hospital stays. This study aimed to assess the relationship between HbA1c levels and inpatient outcomes. Type 2 diabetes mellitus patients with age greater than 18 years, hospital length of stay greater than 24 hours, and one HbA1c report during their in-hospital management were included. All the electronic care records of patients admitted at the Clinical Versalles, a high-volume institution, in Manizales-Colombia were revised. The following variables were considered: hospital length of stay, diagnoses at the arrival, complications, capillary glucose levels, and treatment at discharge. Variables were categorized by HbA1c levels: group 1 = ⩽ 7%, group 2 = 7.01% to 8.5%, group 3 = 8.51% to ⩽10% and group 4 = >10%. There were a total of 232 patients. Average age was 69.7 years, mean HbA1c was 7.19 ± 2.03, average body mass index (BMI) was 28.8 ± 5.6. About HbA1c, 146 (62.9%) had ⩽7.5%. The most frequent admission diagnosis was by cardiovascular diseases. Average hospitalization was 7.5 ± 5.7 days. There was no relationship between the levels of HbA1c with hospital stays, inpatient complications, or readmissions. Infections and respiratory diseases were more common conditions related to higher HbA1c levels, especially when these were 8.5%. In diabetic patients with nonsurgical diseases and high HbA1c levels, there was no association with clinical complications, length of stay, readmissions, or in-hospital mortality, but changes in treatment at discharge were observed.

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