The elderly often have nutritional problems. The risk of malnutrition can stimulate the prevalence of frailty and declining cognitive function in the elderly. The study aimed to analyze the relationship between nutritional status, frailty, and cognitive function in the elderly at Dr. H. Moch. Ansari Saleh Hospital Banjarmasin. This study was analytic observational using a cross-sectional method. A sample of 93 elderly was obtained using a total sampling technique according to the inclusion and exclusion criteria. The nutritional status assessment was done using the Mini Nutritional Assessment-Short Form (MNA-SF), the Edmonton Frailty Scale (EFS), and the Mini-Mental State Examination (MMSE). The results showed that the mean of Mini Nutritional Assessment score was 12.00±2.126, the average frailty score was 4.41±1.872, and the average value of cognitive function was 25.98±2.923. Data were analyzed using the Spearman's non-parametric correlation test with a 95% confidence level. The correlation test results between nutritional status and frailty obtained p=0.000 and r=-0.490. The correlation test results between nutritional status and cognitive function obtained p=0.000 and r=0.595. In short, there is a relationship between nutritional status on frailty and cognitive function in the elderly at Dr. H. Moch. Ansari Saleh General Hospital Banjarmasin, it means that the good nutritional status in the elderly, the risk of frailty syndrome will decrease and improve cognitive function.
Mini Nutritional Assessment (MNA) is an instrument for assessing and screening specific nutritional in the elderly. Elderly are vulnerable to malnutrition because of physiological and functional changes that contribute to increase length of stay. The purpose of this study was to determine the correlation between Mini Nutritional Assessment value with length of stay of elderly patients at RSUD Ulin Banjarmasin. This research is analytic observational with cross-sectional method. A sample of 32 elderly patients was analysis used Spearman correlation test. The median MNA value was 20.00 points and the median length of stay was 8.00 days. The results of the correlation test showed that the value of p = 0.002 and value of r = -0.532 which means there is a significant correlation and a strong correlation with a negative direction. It can be concluded that there is a correlation between the Mini Nutritional Assessment (MNA) value with length of stay of elderly patients in internal medicine ward at RSUD Ulin Banjarmasin.
Abstrack: Systemic inflammation can be characterized by an increased NLR. Systemic inflammation induce physiological changes, vulnerability, and even death. Elderly often experience various health complaints that cause prolonged hospitalization. Increased NLR is clinical marker that can be a preventive measure to predict length of stay. This study aims to analize correlation of NLR and length of stay of elderly. An analytical observasional with cross-sectional method using secondary data from medical records at RSUD Ulin Banjarmasin period July-November 2021. Total 44 samples using total sampling technique. Data analysis used non-parametric correlation Spearman. Median NLR 7.7 (1,3-73,3). Median length of stay 5.5 (1-16) days, average age of the elderly 66±4.65 years. There is a significant relationship between NLR and length of stay with a weak correlation and positive direction (r=0.392; p=0.008). The conclution is there is a relationship between NLR and length of stay of elderly in Internal Room at RSUD Ulin Banjarmasin. Keywords: elderly, neutrophil lymphocyte ratio, length of stay. Abstrak: Inflamasi sistemik dapat ditandai dengan peningkatan RNL Inflamasi sistemik mengakibatkan perubahan fisiologis tubuh, kerentanan, bahkan kematian. Lansia sering mengalami berbagai keluhan yang menyebabkan rawat inap memanjang. Peningkatan RNL merupakan penanda klinis yang dapat menjadi upaya preventif untuk memprediksi lama rawat. Penelitian ini bertujuan menganalisis korelasi RNL dengan lama rawat inap pasien lansia. Penelitian observasional analitik dengan metode cross-sectional menggunakan data sekunder rekam medik RSUD Ulin Banjarmasin periode Juli-November 2021. Sampel sejumlah 44 menggunakan teknik total sampling. Analisis data menggunakan uji korelasi non-parametrik Spearman. Median RNL 7,7 (1,3-73,3). Median lama rawat inap 5,5 (1-16) hari, rerata umur lansia 66±4,65 tahun. Terdapat hubungan bermakna antara RNL terhadap lama rawat inap berupa korelasi lemah serta arah hubungan positif (r=0,392; p=0.008). Kesimpulan terdapat hubungan antara RNL dengan lama rawat inap pasien lansia di Ruang Rawat Penyakit Dalam RSUD Ulin Banjarmasin. Kata-kata kunci: lansia, rasio neutrofil limfosit, lama rawat inap.
Hypoalbuminemia is common in the elderly patients. Along with aging there is a decrease in physiological functions including the immune system which causes lymphopenia. Comorbidities also increase significantly with age. This research is analytic observational with cross-sectional method aimed to analyze the correlation of albumin, lymphocytes, and comorbidities with the length of stay of elderly patients. The research sample of 31 elderly people was obtained using a total sampling technique according to the inclusion and exclusion criteria. The mean albumin level was 3.07±0.61 gr/dl. The mean lymphocyte value was 17.84±9.68 %. The median comorbidity score was 2 with a minimum was 0 and the maximum was 4. The average length of stay for elderly patients was 7±3.84 days. There is a significant correlation between lymphocytes and LOS in elderly patients (r=-0,45;p=0,011). There is a significant correlation between comorbidities and LOS in elderly patients (r=0,368;p=0,042). There is no correlation between albumin and LOS of elderly patients (p>0.05) in the Internal Medicine Ward at Ulin Hospital Banjarmasin. Keywords: albumin levels, lymphocyte, comorbidity, length of stay, elderly Abstrak: Hipoalbuminemia umum ditemukan pada lansia. Seiring dengan peningkatan usia terjadi penurunan fungsi fisiologis termasuk pada sistem imunitas yang pada akhirnya menyebabkan limfopenia. Komorbiditas pun meningkat secara signifikan seiring bertambahnya usia. Penelitian ini bersifat observasional analitik dengan metode cross-sectional dan bertujuan untuk menganalisis korelasi albumin, limfosit, dan komorbiditas dengan lama rawat inap pasien lansia. Sampel penelitian sejumlah 31 lansia diperoleh menggunakan teknik total sampling sesuai kriteria inklusi dan eksklusi. Rerata kadar albumin 3,07 gr/dl±0,61. Rerata nilai limfosit 17,84%±9,68. Median skor komorbiditas didapatkan skor 2 dengan minimal 0 dan maksimal 4. Rerata lama rawat inap pasien lansia adalah 7±3,84 hari. Terdapat korelasi signifikan antara limfosit dan lama rawat pasien lansia (r=-0,45; p=0,011). Terdapat korelasi signifikan antara komorbiditas dan lama rawat pasien lansia (r=0,368; p=0,042). Tidak terdapat korelasi antara albumin dengan lama rawat pasien lansia (p>0,05) di Ruang Rawat Penyakit Dalam RSUD Ulin Banjarmasin. Kata-kata kunci: kadar albumin, limfosit, komorbiditas, lama rawat inap, lansia
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