Risk of malnutrition upon admission and after discharge in acutely admitted older medical patients: A prospective observational study

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

There is a lack of knowledge about malnutrition and risk of malnutrition upon admission and after discharge in older medical patients. This study aimed to describe prevalence, risk factors, and screening tools for malnutrition in older medical patients. In a prospective observational study, malnutrition was evaluated in 128 older medical patients (≥65 years) using the Nutritional Risk Screening 2002 (NRS-2002), the Mini Nutritional Assessment-Short Form (MNA-SF) and the Eating Validation Scheme (EVS). The European Society of Clinical Nutrition (ESPEN) diagnostic criteria from 2015 were applied for diagnosis. Agreement between the screening tools was evaluated by kappa statistics. Risk factors for malnutrition included polypharmacy, dysphagia, depression, low functional capacity, eating-related problems and lowered cognitive function. Malnutrition or risk of malnutrition were prevalent at baseline (59–98%) and follow-up (30–88%). The baseline, follow-up and transitional agreements ranged from slight to moderate. NRS-2002 and MNA-SF yielded the highest agreement (kappa: 0.31 (95% Confidence Interval (CI) 0.18–0.44) to 0.57 (95%CI 0.42–0.72)). Prevalence of risk factors ranged from 17–68%. Applying ESPEN 2015 diagnostic criteria, 15% had malnutrition at baseline and 13% at follow-up. In conclusion, malnutrition, risk of malnutrition and risk factors hereof are prevalent in older medical patients. MNA-SF and NRS-2002 showed the highest agreement at baseline, follow-up, and transitionally.

OriginalsprogEngelsk
Artikelnummer2757
TidsskriftNutrients
Vol/bind13
Udgave nummer8
Antal sider17
ISSN2072-6643
DOI
StatusUdgivet - 2021

Bibliografisk note

Funding Information:
for FAM-CPH was received from Copenhagen University Hospital, Denmark, the Capital Region of Denmark, the Capital Region Pharmacy, Denmark, the Lundbeck Foundation (ref. j. nr. R180-2014-3360 and j.nr. R288-2018-380), the Toyota Foundation, Doctor Sofus Carl Emil Friis? and his wife?s (Olga Doris Friis?) scholarship. Further, the study was funded by the Department of Clinical Research, Copenhagen University Hospital, Hvidovre, Denmark. We would first of all like to thank our participants for their time and effort. We also thank the staff in the Emergency Department at Amager and Hvidovre Hospital for their help and guidance. Further, we wish to thank Frode Slinde from the University of Gothenburg, for permitting us to use the Eating Symptom Questionnaire. Further, this study was performed as part of the Clinical Academic Group: Recovery Capacity After Acute Illness in An Aging Population.

Funding Information:
Funding: Funding for FAM-CPH was received from Copenhagen University Hospital, Denmark, the Capital Region of Denmark, the Capital Region Pharmacy, Denmark, the Lundbeck Foundation (ref. j. nr. R180-2014-3360 and j.nr. R288-2018-380), the Toyota Foundation, Doctor Sofus Carl Emil Friis’ and his wife’s (Olga Doris Friis’) scholarship. Further, the study was funded by the Department of Clinical Research, Copenhagen University Hospital, Hvidovre, Denmark.

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

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