Detecting malnutrition and predicting mortality in the Spanish oldest old: Utility of the Controlling Nutritional Status (CONUT) score compared with the Mini Nutritional Assessment (MNA) score

Formiga, Francesç; Ferrer, Assumpta; Pérez, José Ignacio de Ulíbarri; Badía, Toni; Montero, Abelardo; Soldevila, Laura; Moreno, R.; Corbella, Xavier

doi:10.1016/j.eurger.2016.09.004

Cited by 5 publications

(6 citation statements)

References 18 publications

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“…This was in contrast to studies from the West, which showed that the Western population had far better nutritional status as compared to our population. The study conducted by Formiga et al in Spain had 3.7% subjects as malnourished, 30.4% as at-risk, and 65.8% as well-nourished [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Nutritional and Functional Status as a Predictor of Short-Term Mortality in Hospitalized Elderly Patients in a Tertiary Care Hospital

Mukundan¹,

Kashyap²,

Dhar³

et al. 2022

Cureus

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ContextElderly people are at a high risk of malnutrition leading to poor outcomes and quality of life. AimsWe aimed to find an association between the nutritional and functional status of hospitalized elderly patients and the three-month all-cause mortality among them. Settings and designA cross-sectional study was carried out at a tertiary care hospital in North India from July 2018 to December 2019. Methods and materialA total of 177 patients were recruited for the study, and their demographic and clinical data were collected on a preformed questionnaire. Comorbidity, nutritional status, functional status, and depression were calculated using the Charlson Comorbidity Index (CCI), Mini Nutritional Assessment (MNA) form, Katz Index of Independence in Activities of Daily Living (Katz ADL), and Geriatric Depression Scale (GDS), respectively. Statistical analysisA Chi-square test was used to find the association between different qualitative variables. A regression model was used to find out the odds for mortality. Statistical significance was set at p<0.05. ResultsAccording to the MNA score, 49.7% (88) were at risk of malnutrition, and 22.6%(40) were malnourished. Malnutrition, Charlson Comorbidity Index, and the functional status of the patients were found to be associated with three-month mortality, with a p value of 0.005, 0.017, and 0.021, respectively. On regression analysis, malnutrition (odds ratio (OR): 3.796; 95% confidence interval (CI): 1.178-12.234; p=0.025) and the functional status (OR: 3.160; 95% CI: 1.256-7.952; p=0.015) of the study participants were found to have higher odds for three-month all-cause mortality. ConclusionsNutritional status and ADL assessed at the time of discharge are good prognostic markers of health outcomes in the elderly population. Key messageADL and nutritional assessment at admission and discharge should be routinely incorporated in the geriatric assessment of hospitalized patients to triage and prognosticate.

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Section: Discussionmentioning

confidence: 99%

Nutritional and Functional Status as a Predictor of Short-Term Mortality in Hospitalized Elderly Patients in a Tertiary Care Hospital

Mukundan¹,

Kashyap²,

Dhar³

et al. 2022

Cureus

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“…Lymphocytes were measured several times during the patient’s hospital stay, however, within this study only the first documented measurement has been considered. Note that these three measurements are also used to measure CONUT malnutrition screening test [ 27 ].…”

Section: Methodsmentioning

confidence: 99%

Key Factors and AI-Based Risk Prediction of Malnutrition in Hospitalized Older Women

et al. 2022

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The numerous consequences caused by malnutrition in hospitalized patients can worsen their quality of life. The aim of this study was to evaluate the prevalence of malnutrition on the elderly population, especially focusing on women, identify key factors and develop a malnutrition risk predictive model. The study group consisted of 493 older women admitted to the Asunción Klinika Hospital in the Basque Region (Spain). For this purpose, demographic, clinical, laboratory, and admission information was gathered. Correlations and multivariate analyses and the MNA-SF screening test-based risk of malnutrition were performed. Additionally, different predictive models designed using this information were compared. The estimated frequency of malnutrition among this population in the Basque Region (Spain) is 13.8%, while 41.8% is considered at risk of malnutrition, which is increased in women, with up to 16.4% with malnutrition and 47.5% at risk of malnutrition. Sixteen variables were used to develop a predictive model obtaining Area Under the Curve (AUC) values of 0.76. Elderly women assisted at home and with high scores of dependency were identified as a risk group, as well as patients admitted in internal medicine units, and in admissions with high severity.

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“…The variation may be due to different screening tools and settings. The prevalence of being at risk of PEM seems to be higher than the prevalence of PEM, which indicates possible potential for preventing of PEM and its consequences [12][13][14][15]26,[36][37][38][39][40][41][42].…”

Section: Integrative Clinical Medicine and Therapeuticsmentioning

confidence: 99%

Nutritional impact symptoms evoking unintended weight loss among elderly patients in general practice

Jensen¹,

Rasmussen²,

Engsig

et al. 2018

Int Clin Med Therp

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Background and aim: Protein-energy malnutrition (PEM) in old age has shown to have negative consequences with regard to increased frequency of disease and functional dependency of other people. It is recommended to be aware of unintentional weight loss in old age, as a measure for PEM. The aim of this study was therefore to evaluate the prevalence of unintended weight loss and associated nutrition impact symptoms (NIS) among elderly in a Danish general practice. Design and method: A case-based study of patients aged 70 years or above associated to a general practice in Denmark was conducted. This case study included a questionnaire-based investigation about weight loss, and a qualitative sub-group analysis about NIS, based on a literature search, in patients who claimed unintended weight loss >1 Kg. Results: The study included 234 patients with mean age 76.9 (SD: 5.9). The prevalence of claimed unintentional weight loss was 17.5%. The substudy enrolled 12 patients with unintentional weight loss, mean age: 78.9 years (SD: 6.9). The prevalence of chronic disease among the sub-study population was 91.7%. The feeling of early satiety, lack of appetite and eating alone, were the most prevalent NIS with 58.3% each, followed by polypharmacy (41.7%). Moreover, being alone and eating alone were the most frequently mentioned NIS. Conclusion:The prevalence of unintended weight loss was 17.5%. Of the NIS studied, early satiety, lack of appetite, eating alone and polypharmacy were the most frequent. Preventing unintentional weight loss and thus PEM and its unwanted health related consequences may be achieved through increased focus on selected nutritional impact symptoms.

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Detecting malnutrition and predicting mortality in the Spanish oldest old: Utility of the Controlling Nutritional Status (CONUT) score compared with the Mini Nutritional Assessment (MNA) score

Cited by 5 publications

References 18 publications

Nutritional and Functional Status as a Predictor of Short-Term Mortality in Hospitalized Elderly Patients in a Tertiary Care Hospital

Nutritional and Functional Status as a Predictor of Short-Term Mortality in Hospitalized Elderly Patients in a Tertiary Care Hospital

Key Factors and AI-Based Risk Prediction of Malnutrition in Hospitalized Older Women

Nutritional impact symptoms evoking unintended weight loss among elderly patients in general practice

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