Nutritional status and clinical outcomes of older patients in rehabilitation
Nutritional status and clinical outcomes of older patients in rehabilitation
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DOI：
10.1111/j.1365-277x.2005.00596.x
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发表时间：
2005-04-01
影响因子：
3.3
通讯作者：
Crotty, M
中科院分区：
文献类型：
--
作者：
Neumann, SA;Miller, MD;Crotty, M
背景营养不良是与穷人的结果在老年人和那些承认的康复可能是特别risk.Objective评估营养状况和结果的老年人在rehabilitation.Subjects和方法我们招募了133名成年人≥ 65年从连续康复入院。采用迷你营养评估、体重指数（BMI）和校正的手臂肌肉面积（CAMA）评估营养状况。测量的结果包括住院时间，入院更高层次的护理，功能和生活质量（QOL）。结果62（47%）的主题是营养良好，63（47%）的营养不良和8（6%）营养不良的风险。22例（17%）和27例（20%）分别低于BMI和CAMA的理想参考值。有营养不良风险/营养不良的受试者住院时间较长（P = 0.023），更有可能接受更高级别的护理（P < 0.05）。入院时（P < 0.001）和90天（P = 0.002）的功能和入院时（P <0.008）和90天（P = 0.001）的生活质量也较差。CAMA低的患者接受更高水平护理的可能性是正常人的两倍（P < 0.05），90天时功能较差（P = 0.017.Conclusions超过一半的样本被确定为营养不良或营养不良的风险，这与较差的临床结局相关。
Background Malnutrition is associated with poor outcomes in older adults and those admitted to rehabilitation may be particularly at risk.Objective To assess the nutritional status and outcomes of older adults in rehabilitation.Subjects and methods We recruited 133 adults >= 65 years from consecutive rehabilitation admissions. Nutritional status was assessed using the mini nutritional assessment, body mass index (BMI) and corrected arm muscle area (CAMA). Outcomes measured included length of stay, admission to higher level care, function and quality of life (QOL).Results Sixty-two (47%) subjects were well nourished, 63 (47%) at risk of malnutrition and eight (6%) malnourished. Twenty-two (17%) and 27 (20%) were below the desirable reference values for BMI and CAMA respectively. Subjects at risk of malnutrition/malnourished had longer length of stay (P = 0.023) and were more likely to be admitted to higher level care (P < 0.05). These subjects also had poorer function on admission (P < 0.001) and 90 days (P = 0.002) and QOL on admission (P < 0.008) and 90 days (P = 0.001). Those with low CAMA were twice as likely to be admitted to higher level care (P < 0.05) and had poorer function at 90 days (P = 0.017).Conclusions Over half our sample was identified as at risk of malnutrition or malnourished and this was associated with poorer clinical outcomes.