scholarly journals VALIDITY OF MALNUTRITION UNIVERSAL SCREENING TOOL (MUST) IN GERIATRIC PATIENTS: APPROPRIATE SCREENING TOOL IN HOSPITAL; MUST OR FULL-MNA?

2019 ◽  
pp. 1-6
Author(s):  
S. Hormozi ◽  
M. Alizadeh-Khoei ◽  
F. Sharifi ◽  
M. Chehrehgosha ◽  
R. Esmaeili ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Universal Screening ◽  
Geriatric Patients ◽  
Screening Tool ◽  
Hospital Setting ◽  
Cross Sectional Study ◽  
Anthropometric Measures ◽  
Cross Sectional ◽  
Hospitalized Elderly ◽  
Loss Of Appetite

Background: Since malnutrition of geriatric hospitalized patients has an impact on treatment and care management, the aim was to define the accuracy of Malnutrition Universal Screening Test (MUST) for malnutrition screening in the Iranian hospitalized elderly. Methods: In this cross-sectional study elderly 60 ≥ years (N= 192) were selected from two hospitals, anthropometric measures (BMI, MAC, and CC), laboratory test (Albumin), and nutrition tool (Full-MNA) applied and analyzed at P<0.05 level. Results: Elderly participants had a mean age of 68.86 ± 7.46 years and BMI 24.08± 4.64. Elderly patients (28%) lost their weight (>10%) in the last six months and loss of appetite observed in (33.4%) participants. In MUST tool rating, high-risk elderly patients for malnutrition were 33.3%. The AUC for MUST, according to Full-MNA was obtained 90.41%, with sensitivity 90.0% and specificity 73.25%. The MUST showed the strongest correlation with Full-MNA (r = -0.7) and BMI (r = - 0.51); but, the lowest correlation observed with Alb (r= -0.274). Most AUC was belonging to weight loss (0.96) and BMI (0.94). NConclusion: The MUST tool like full-MNA could diagnose malnutrition in geriatric patients in the hospital setting.

P514: Prevalence of sarcopenia in hospitalized elderly patients in Turkey: a cross-sectional study

2014 ◽  
Vol 5 ◽  
pp. S245
Author(s):  
M. Yuruyen ◽  
H. Yavuzer ◽  
S. Yavuzer ◽  
M. Cengiz ◽  
N. Ozgur Yurttas ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospitalized Elderly ◽  
Hospitalized Elderly Patients

scholarly journals Avaliação do risco de quedas em idosos hospitalizados

2018 ◽  
Vol 12 (3) ◽  
pp. 812
Author(s):  
Renata Maia de Medeiros Falcão ◽  
Josilene De Melo Buriti Vasconcelos ◽  
Jacira Dos Santos Oliveira
Keyword(s):  
Elderly Patients ◽  
Teaching Hospital ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Research Committee ◽  
Cross Sectional ◽  
Hospitalized Elderly ◽  
Risk Of Falls ◽  
Patients At Risk ◽  
Quantitative Descriptive

RESUMOObjetivo: avaliar o risco de quedas dos pacientes idosos hospitalizados em um hospital público de ensino. Método: estudo quantitativo, descritivo, de corte transversal, que será desenvolvido com idosos hospitalizados nas unidades de internação Clínica, Cirúrgica e de Doenças Infectoparasitárias de um hospital público de ensino. Para a coleta de dados, serão utilizados um roteiro estruturado, para a obtenção das informações pessoais, sociais e o estado de saúde dos idosos hospitalizados, o Mini Exame do Estado Mental, para avaliar a função cognitiva, e a Morse Fall Scale, traduzida e adaptada de forma transcultural para a língua portuguesa, para a avaliação do risco de quedas. Os dados serão analisados apresentando as frequências absolutas e percentuais, razão de prevalência e seu respectivo intervalo de confiança para os fatores de estudo que possam influenciar no risco de quedas. O projeto de pesquisa foi aprovado pelo Comitê de Ética e Pesquisa da instituição sob o CAAE n.º 62128816.0.0000.5183. Resultados esperados: espera-se que os resultados venham auxiliar a equipe de Enfermagem a identificar os pacientes idosos com risco de quedas, priorizando aqueles com classificação de alto risco, pela aplicação da escala de Morse. Descritores: Enfermagem; Idosos; Acidentes por Quedas; Fatores de Risco; Hospitalização; Pacientes Internados. ABSTRACT Objective: to evaluate the risk of falls in hospitalized elderly patients in a public teaching hospital. Method: a quantitative, descriptive, cross - sectional study that will be developed with elderly patients hospitalized at the Clinical, Surgical and Infectious Diseases Hospitals of a Public Teaching Hospital. For the collection of data, a structured script will be used to obtain personal and social information and the health status of hospitalized elderly people, the Mini Mental State Examination, to evaluate cognitive function, and the Morse Fall Scale, translated and adapted in a cross-cultural to the Portuguese language, for the evaluation of the risk of falls. Data will be analyzed presenting absolute and percentage frequencies, prevalence ratio and their respective confidence interval for study factors that may influence the risk of falls. The research project was approved by the Ethics and Research Committee of the institution under CAAE No. 62128816.0.0000.5183. Expected results: it is expected that the results will help the Nursing team to identify elderly patients at risk of falls, prioritizing those with high risk classification, by applying the Morse scale. Descritores: Nursing; Elderly; Accidental Falls; Risk Factors; Hospitalization; Inpatients.                                                                                                             RESUMEN Objetivo: evaluar el riesgo de caídas de los pacientes ancianos hospitalizados en un hospital público de enseñanza. Método: el estudio cuantitativo, descriptivo, de corte transversal, que será desarrollado con ancianos hospitalizados en las unidades de internación Clínica, Quirúrgica y de Enfermedades Infectoparasitarias, de un hospital público de enseñanza. Para la recolección de datos, se utilizarán un guión estructurado para la obtención de las informaciones personales, sociales y el estado de salud de los ancianos hospitalizados, el Mine Examen del Estado Mental para evaluar la función cognitiva y la Morse Fall Scale, traducida y adaptada de forma transcultural al portugués, para evaluar el riesgo de caídas. Los datos serán analizados presentando las frecuencias absolutas y porcentuales, razón de prevalencia y su respectivo intervalo de confianza para los factores de estudio que puedan influenciar en el riesgo de caídas. El proyecto de investigación fue aprobado por el Comité de Ética e Investigación de la institución, bajo el CAAE: n. 62128816.0.0000.5183. Resultados esperados: se espera que los resultados vengan a auxiliar al equipo de Enfermería en la identificación de los pacientes ancianos con riesgo de caídas, priorizando aquellos con clasificación de alto riesgo, por la aplicación de la escala de Morse. Descritores: Enfermería; Anciano; Accidentes por Caídas; Factores de Riesgo; Hospitalización; Pacientes Internos.

scholarly journals Dependência de cuidados de enfermagem de pessoas idosas hospitalizadas: estudo transversal

2016 ◽  
Vol 15 ◽  
pp. 591
Author(s):  
Fabiana Medeiros Brito ◽  
Maria das Graças Melo Fernandes
Keyword(s):  
Clinical Practice ◽  
Elderly Patients ◽  
Nursing Care ◽  
Demographic Variable ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Hospitalized Elderly ◽  
High Dependency ◽  
High Level

Aim: To verify the degree of dependency on nursing care on the part of hospitalized elderly inside a clinical practice unit by using the Perrocas’ System for Patient  Classification.  Methods:  a  cross  sectional  study,  undertaken  with  112  elderly patients  in  a  clinical  practice  unit  at  a  teaching  hospital  at  João  Pessoa/PB.  Results: It was observed that most elderly patients presented a high level of dependency on nursing care. A statistically significant association between high dependency levels and the socio-demographic  variable  of  previous  occupation  was  identified.  Conclusion:  the  empirical results obtained in this research are crucial to our understanding of the dependency of elderly  hospitalized  in  clinical  practice  units,  as  well  for  the  development  of  similar studies focusing on elucidating this dependency in order to help improve elderly patients’ quality of life.

scholarly journals Is There a Better Tool to Identify Patients at Nutritional Risk in Emergency Units?

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 645-645
Author(s):  
Johnny Galhano dos Santos ◽  
Camila Saueressig ◽  
Valesca Dall'Alba
Keyword(s):  
Elderly Patients ◽  
Screening Tool ◽  
Cross Sectional Study ◽  
Nutritional Risk ◽  
Emergency Unit ◽  
Cross Sectional ◽  
Funding Sources ◽  
Kappa Test ◽  
Direct Measurements ◽  
Emergency Units

Abstract Objectives To compare nutritional risk in patients admitted to the emergency unit, by the instruments Nutritional Risk Screening-2002 (NRS), Nutritional Risk Emergency-2017 (NRE), and Malnutrition Universal Screening Tool (MUST). Methods Cross-sectional study, carried out in the emergency unit of a public hospital in Brazil. The sample consisted of adult patients (≥ 19 years old), of both sexes. Nutritional risk was assessed within 24 hours after hospital admission. Patients with a score ≥ 3 by the NRS, ≥ 1.5 by the NRE and, ≥ 2 by the MUST were classified with risk. The NRE is a tool made up of 6 subjective questions, while the NRS and MUST use objective measures of analysis. The data were expressed in absolute (n) and relative (%) frequencies and the analysis of agreement between the instruments was performed using the Kappa test. Results 432 patients were assessed (age 57.31 ± 15.6 years and 54.4% women). The prevalence of nutritional risk by NRS, NRE, and MUST tools was 36%, 45%, and 46%, respectively. There was moderate agreement between the tools, NRS and NRE (Kappa = 0.599 p &lt; 0.01), MUST and NRE (Kappa = 0.594 p &lt; 0.01), MUST and NRS (Kappa = 0.558 p &lt; 0.01). When stratifying the data for elderly patients (age ≥ 60 years), the prevalence of nutritional risk increased for all screening instruments, in particular, the NRE obtained the highest value (61%). Conclusions MUST and NRE were very similar in identifying patients at nutritional risk, however NRE was found to be superior in elderly patients. In addition, the fact that it does not require direct measurements, makes NRE the most suitable screening tool for emergency units. Funding Sources Research and Events Incentive Fund (FIPE) of Hospital de Clínicas de Porto Alegre.

Clinical Features of Eczema and Dermatitis in the Elderly - A Cross Sectional Study in Mainland China (Preprint)

2020 ◽  
Author(s):  
Xin Wang ◽  
Linfeng Li ◽  
Xiaodong Shi ◽  
Xiaodong Shi ◽  
Jian Zhao ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Clinical Features ◽  
Geriatric Patients ◽  
Mainland China ◽  
Rank Correlation ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Spearman’S Rank Correlation

BACKGROUND The clinical features of eczema and dermatitis in the elderly have not been fully studied. OBJECTIVE To investigate the proportion and clinical features of geriatric eczema patients in mainland China. METHODS A multicenter cross-sectional study conducted in outpatients with eczema from 39 tertiary hospitals in 15 provinces. RESULTS 1128 elderly patients (12.88%) had eczema and dermatitis. The mean age of those was 68.2 ± 6.8 years (range, 60-90 years) with a median course of 5.5 ± 8.9 years, which is much longer than that of non-geriatric patients (2.6 ± 4.1 years, P<.001). Compared to non-geriatric patients, more patients involved in extremities (76.2% vs 61.5%, P<.001) and trunk (37.2% vs 26.4%, P<.001), but less in head and neck (18.3% vs 30.4%, P<.001; 25.3% vs 20.6%, P<.001). 13.4% of eczema and dermatitis in the elderly was widespread, which is much higher than that of 8% in non-geriatric group (13.4% vs 8%, P<.001). 22.9% of geriatric eczema patients reported severe itching, which is much higher than that of 14% in counterparts (22.9% vs 14%, P<.001). A positive correlation was observed between age and severe itching (Spearman’s rank correlation test, P<.001). More geriatric patients had xerosis (39.6% vs 30.4%, P<.001) and more lichenification was found (25.6% vs 13.3%, P<.001). CONCLUSIONS More than ten percent of eczema occurs in the elderly patients. Longer disease duration, more severe itching, more extremities and trunk involvement, and prone to widespread, xerosis, and lichenification make it a special entity which should be studied further.

scholarly journals Potentially inappropriate medication use among elderly patients on follow-up at the chronic care clinic of a specialized teaching hospital in Ethiopia. A cross-sectional study

2021 ◽  
Author(s):  
Behailu Terefe Tesfaye ◽  
Mihret Terefe Tessema ◽  
Mengist Awoke Yizengaw ◽  
Dula Dessalegn Bosho
Keyword(s):  
Elderly Patients ◽  
Screening Tool ◽  
Inappropriate Medication ◽  
Medication Use ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Clinic ◽  
Inappropriate Medication Use ◽  
Stopp Criteria

Abstract Background Elderly patients are prone to potentially inappropriate medication use (PIMU); its use have been associated with multiple adverse consequences. As a result, it is crucial to determine the magnitude and factors associated with PIMU. The present study was mainly aimed to determine and assess the magnitude and predictors of potentially inappropriate medications use in elderly patients on follow-up at the chronic care clinic of Jimma medical center. Methods A retrospective cross-sectional study was conducted involving 219 patients aged 65 years and above on treatment follow-up. Data was collected using checklist. The 2019 updated American Geriatric Society (AGS) Beers Criteria® and Screening Tool of Older People’s Potentially Inappropriate Prescriptions criteria and Screening Tool to Alert Doctors to Right Treatment (STOPP/START) criteria (version 2) were employed to assess PIMU. SPSS IBM (v22) was used for data entry and analysis. Categorical variables were described using frequency and percentage, whereas continuous variables were described using mean with standard deviation (SD) or median with interquartile range (IQR). Logistic regression was conducted to identify predictors of PIMU. Results The average number of medications prescribed per patient was 4.0 (IQR = 2.0). At least one PIMU was identified in 182 (83.1%) and 99 (45.2%) patients, based on Beers and STOPP criteria, respectively. Additionally, potential prescription omission (PPO) was observed in 24 (10.9%) patients. The risk of Beers PIMU was increased with age [AOR = 1.21, p < 0.001], hypertension [AOR = 4.17, p < 0.001], and Polypharmacy [AOR = 14.10, p < 0.001], while a decrease in the risk was noted in patients with a diagnosis of ischemic stroke [AOR = 0.133, p = 0.01] and asthma [AOR = 0.03, p < 0.001]. Using STOPP criteria, hypertension [AOR = 2.10, p = 0.04], diabetes mellitus [AOR = 2.26, p = 0.04], ischemic heart disease [AOR = 2.84, p = 0.04], peripheral neuropathy [AOR = 10.61, p < 0.001], and Polypharmacy [AOR = 6.10, p < 0.001] significantly increased the risk of PIMU. Conclusions Regardless of the screening tool used to assess, the present study revealed PIMU in the large proportion of the participants. Multiple medication use and certain disease condition had increased the probability of PIMU. Thus, it is imperative to use screening tools to review medications prescribed for each hospitalized elderly patients so as to reduce adverse consequences of PIMU.

Sign in / Sign up

Export Citation Format

Share Document