Does the Mini Nutritional Assessment predict hospitalization outcomes in older people?
Does the Mini Nutritional Assessment predict hospitalization outcomes in older people?
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DOI：
10.1093/ageing/30.3.221
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发表时间：
2001-05-01
期刊：
影响因子：
6.7
通讯作者：
Rizzoli, R
中科院分区：
文献类型：
--
作者：
Van Nes, MC;Herrmann, FR;Rizzoli, R
背景：迷你营养评估是一种经过验证的临床工具，用于评估老年人的营养状况。中度至重度营养不良在住院老年患者中很常见，并且与不良预后相关。目的：确定迷你营养评估是否可以预测老年人住院的结果。地点：三级老年医院。方法：我们使用迷你营养评估对 1996 年 2 月至 1998 年 1 月期间入院的 1319 名患者（平均年龄 84.2 岁，70% 女性）进行营养状况评估； 1145 个完整评估可供分析。该评估在入院时进行，并研究了所有患者的住院时间和院内死亡率，以及入院前在家居住的患者出院到疗养院的情况。结果：迷你营养评估分数平均为 19.9 +/- 3.8（平均值 +/- SD），范围为 8.0-27.5，中位数为 20.5。分数低于 17 分，对应于营养不良，死亡率和出院到疗养院的比率几乎增加三倍；这与得分高于 24 形成鲜明对比，表明营养状况令人满意（11.3% vs 3.7%；P
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