scholarly journals Validation of population-specific Mini-Nutritional Assessment with its long-term mortality-predicting ability: results of a population-based longitudinal 4-year study in Taiwan

2010 ◽  
Vol 104 (1) ◽  
pp. 93-99 ◽  
Author(s):  
Alan C. Tsai ◽  
Shu-Fang Yang ◽  
Jiun-Yi Wang
Keyword(s):  
Life Satisfaction ◽  
Length Of Stay ◽  
Nutritional Status ◽  
Mortality Risk ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Nutritional Screening ◽  
Screening Assessment

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.

10th paediatric nutrition week (2019) – influence of the previous nutritional status on hospital length of stay in children

2020 ◽  
Vol 40 ◽  
pp. 577
Author(s):  
V. Raoult ◽  
D. Guimber ◽  
N. Peretti ◽  
H. Piloquet ◽  
R. Hankard ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Nutritional Status ◽  
Hospital Length ◽  
Hospital Length Of Stay

scholarly journals Complementarity of the Mini-Nutritional Assessment and Activities of Daily Living for predicting follow-up mortality risk in elderly Taiwanese

2012 ◽  
Vol 109 (4) ◽  
pp. 658-666 ◽  
Author(s):  
Alan C. Tsai ◽  
Li-Chin Lee ◽  
Jiun-Yi Wang
Keyword(s):  
Nutritional Status ◽  
Activities Of Daily Living ◽  
Mortality Risk ◽  
Daily Living ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Cox Regression Analysis ◽  
All Cause Mortality

Physical functional ability and nutritional status are two major indicators for predicting the risk of mortality in older adults. The present study examined the complementarity of the Activities of Daily Living (ADL) and the Mini-Nutritional Assessment (MNA) for predicting follow-up 4-year all-cause mortality risk in elderly Taiwanese. We analysed data of the ‘Survey of Health and Living Status of the Elderly in Taiwan’, a population-based longitudinal cohort study which involved 2872 men and women of ≥ 65 years old at baseline (1999). We rated their functional dependency with the ADL scale and nutritional status with the MNA (both the long form, LF and the short form, SF) at baseline, and analysed the complementarity of the two scales in predicting follow-up 4-year all-cause mortality with Cox regression analysis and the net reclassification improvement (NRI) to quantify the improvement. The results showed that both ADL and MNA offered improvement in predicting follow-up mortality risk beyond that predicted by either one alone according to the Akaike information criterion and the NRI. The MNA-SF was nearly as effective as the MNA-LF in improving the predictive ability of the ADL. The present study suggests that the MNA (especially the SF because of its simplicity and time-saving feature) together with the ADL scale might be of value for predicting the mortality risk of frail elderly living in various settings.

scholarly journals Nutritional status and screening tools to detect nutritional risk in hospitalized patients with hepatic echinococcosis

Parasite ◽  
2020 ◽  
Vol 27 ◽  
pp. 74
Author(s):  
Zhan Wang ◽  
Jin Xu ◽  
Ge Song ◽  
MingQuan Pang ◽  
Bin Guo ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Nutritional Assessment ◽  
Short Form ◽  
Risk Index ◽  
Mini Nutritional Assessment ◽  
Hospitalized Patients ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Nutritional Screening ◽  
Nrs 2002

Background: Echinococcosis is a chronic consumptive liver disease. Little research has been carried out on the nutritional status of infected patients, though liver diseases are often associated with malnutrition. Our study investigated four different nutrition screening tools, to assess nutritional risks of hospitalized patients with echinococcosis. Methods: Nutritional Risk Screening 2002 (NRS 2002), Short Form of Mini Nutritional Assessment (MNA-SF), Malnutrition Universal Screening Tool (MUST), and the Nutrition Risk Index (NRI) were used to assess 164 patients with alveolar echinococcosis (AE) and 232 with cystic echinococcosis (CE). Results were then compared with European Society for Clinical Nutrition and Metabolism (ESPEN) criteria for malnutrition diagnosis. Results: According to ESPEN standards for malnutrition diagnosis, 29.2% of CE patients and 31.1% of AE patients were malnourished. The malnutrition risk rates for CE and AE patients were as follows: NRS 2002 – 40.3% and 30.7%; MUST – 51.5% and 50.9%; MNA-SF – 46.8% and 44.1%; and NRI – 51.1% and 67.4%. In patients with CE, MNA-SF and NRS 2002 results correlated well with ESPEN results (k = 0.515, 0.496). Area-under-the-curve (AUC) values of MNA-SF and NRS 2002 were 0.803 and 0.776, respectively. For patients with AE, NRS 2002 and MNA-SF results correlated well with ESPEN (k = 0.555, 0.493). AUC values of NRS 2002 and MNA-SF were 0.776 and 0.792, respectively. Conclusion: This study is the first to analyze hospitalized echinococcosis patients based on these nutritional screening tools. Our results suggest that NRS 2002 and MNA-SF are suitable tools for nutritional screening of inpatients with echinococcosis.

Hospital length of stay after hip fracture and its association with 4-month mortality – Exploring the role of patient characteristics

2021 ◽  
Author(s):  
Stina Ek ◽  
Anna C Meyer ◽  
Margareta Hedström ◽  
Karin Modig
Keyword(s):  
Hip Fracture ◽  
Length Of Stay ◽  
Mortality Risk ◽  
Cox Regression ◽  
Living Arrangement ◽  
Patient Characteristics ◽  
Hospital Length ◽  
Care Homes ◽  
Hospital Length Of Stay ◽  
Increased Risk

Abstract Background Hospital length of stay (LoS) is believed to be associated with higher mortality in hip fracture patients, however, previous research has shown conflicting results. We aimed to explore the association between LoS and 4-month mortality in different groups of hip fracture patients. Methods The study population in this Swedish register-based cohort study was 47,811 patients ≥65 years old with a first hip fracture during 2012-2016, followed for 4 months after discharge. LoS was categorized by cubic splines and the association between LoS and mortality was analyzed with Cox regression models, adjusted for sociodemographic- and health related factors. Results Mean LoS was 11.2±5.9 days and 12.3% of the patients died within 4 months. Both a shorter and a longer LoS, compared to the reference 9-12 days, was associated with higher mortality (HR [95% CI]); 2-4 days 2.15 (1.98-2.34), 5-8 days 1.58 (1.47-1.69) and 24+ days 1.29 (1.13-1.46). However, in fully-adjusted models, only the association with a long LoS remained; 13-23 days 1.08 (1.00-1.17) and 24+ days 1.42 (1.25-1.61). Stratifying by living arrangement revealed that the increased risk for a short LoS was driven by the group living in care homes. For patients living at home, a short LoS was associated with a lower risk, HR 0.65 (0.47-0.91) and 0.85 (0.74-0.98) for 2-4 and 5-8 days, respectively. Conclusions A long LoS after a hip fracture is associated with increased 4-month mortality risk even after considering patient characteristics. The association between mortality and a short LoS, however, is explained by individuals coming from care homes (with higher mortality risk), being discharged early.

Hospital length of stay and nutritional status

2005 ◽  
Vol 8 (4) ◽  
pp. 397-402 ◽  
Author(s):  
Ursula G Kyle ◽  
Laurence Genton ◽  
Claude Pichard
Keyword(s):  
Length Of Stay ◽  
Nutritional Status ◽  
Hospital Length ◽  
Hospital Length Of Stay

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

2020 ◽  
Vol 67 (10) ◽  
pp. 617-624
Author(s):  
Cristina Serrano Valles ◽  
Juan José López Gómez ◽  
Susana García Calvo ◽  
Rebeca Jiménez Sahagún ◽  
Beatriz Torres Torres ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Length Of Stay ◽  
Nutritional Status ◽  
Hospital Length ◽  
Hospital Length Of Stay

scholarly journals Length of stay in surgical patients: nutritional predictive parameters revisited

2012 ◽  
Vol 109 (2) ◽  
pp. 322-328 ◽  
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.

scholarly journals Prevalence of hypoalbuminemia and nutritional issues in hospitalized elders

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Felipe Brock ◽  
Luiz Antonio Bettinelli ◽  
Taise Dobner ◽  
Júlio César Stobbe ◽  
Gabriela Pomatti ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Nutritional Status ◽  
Serum Albumin ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Demographic Variables ◽  
Large Hospital ◽  
Hospital Stays ◽  
Low Levels ◽  
South Of Brazil

ABSTRACT Objective: to estimate the prevalence of hypoalbuminemia in hospitalized elders, related to socio-demographic variables, nutritional status and length of stay. Methods: crosscutting study with 200 patients hospitalized in a large hospital in the South of Brazil during three months. Evaluations, lab tests and interviews through questionnaires were performed. Results: the average albuminemia was 2,9 ± 0,5g/dL. Hypoalbuminemia was diagnosed in 173 subjects (87%) and was absent in 27 (13%) that have normal albuminemia (p=0,000). After six days of hospitalization, the prevalence of low levels grew significantly to 90% (p=0,002), average 2,7 ± 0,5g/dL. Using the Mini Nutritional Assessment, it was observed that 41 patients were malnourished and from those, 40 had hypoalbuminemia. Conclusion: the prevalence of hypoalbuminemia proved to be high, in approx. nine in ten elders, and the nutritional status and the length of stay proved to be related to the decrease of serum albumin levels. Thus, it is suggested that monitoring albumin levels should be done to evaluate the risk that the patient has to develop malnutrition and other complications during hospital stays.

Sign in / Sign up

Export Citation Format

Share Document