Nutritional and functional status in geriatric day hospital patients–MNA short form versus full MNA

Schrader, E.; Grosch, E.; Bertsch, Thomas; Sieber, Cornel; Volkert, Dorothee

doi:10.1007/s12603-016-0691-4

Cited by 29 publications

(15 citation statements)

References 41 publications

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“…With regard to malnutrition, the risk of death for wait-listed patients we observed is greater than previously published reports. For example in the FrAILT study, (26) a cohort study evaluating functional decline in patients with cirrhosis awaiting liver transplantation, a Short Physical Performance Battery Score of less than 10 (a measure of malnutrition(27)) was associated with a wait-list mortality hazard ratio of 1.45 (CI 1.15–2.20). The hazard ratio in the FrAILT study is similar to the hazard ratio for non-waitlisted patients in our study.…”

Section: Discussionmentioning

confidence: 99%

Mortality Risk Factors Among Patients With Cirrhosis and a Low Model for End-Stage Liver Disease Sodium Score (≤15): An Analysis of Liver Transplant Allocation Policy Using Aggregated Electronic Health Record Data

Atiemo

Skaro

Maddur

et al. 2017

American Journal of Transplantation

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Although the MELDNa score is now used for liver transplant allocation in the United States, mortality prediction may be underestimated by the score. Using aggregated electronic health record data from 7,834 adult patients with cirrhosis, we determined whether the cause of cirrhosis/cirrhosis complications is associated with an increased risk of death among patients with a MELDNa ≤15 and whether patients with the greatest risk of death could benefit from liver transplantation (LT). Over a median follow-up of 2.3 years, 3,715 patients had a maximum MELDNa score ≤15. 3.4% were wait-listed for LT. Severe hypoalbuminemia, hepatorenal syndrome and hepatic hydrothorax conferred the greatest risk of death independent of MELDNa score with a 1 year predicted mortality >14%. Approximately 10% possessed these risk factors. Of these high risk patients, only 4% were wait-listed for liver transplantation despite no difference in non-liver comorbidities between patients wait-listed and those not listed. Also, risk factors for death among patients wait-listed were the same as those not wait-listed although the effect of malnutrition was significantly greater for wait-listed patients (HR 8.65 CI 2.57–29.11 versus HR 1.47 CI 1.08–1.98). Using the MELDNa score for allocation may continue to limit access to liver transplantation.

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Section: Discussionmentioning

confidence: 99%

Mortality Risk Factors Among Patients With Cirrhosis and a Low Model for End-Stage Liver Disease Sodium Score (≤15): An Analysis of Liver Transplant Allocation Policy Using Aggregated Electronic Health Record Data

Atiemo

Skaro

Maddur

et al. 2017

American Journal of Transplantation

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“…The second study comprised patients of a geriatric day hospital (GDH, n 198) and was performed in Nuremberg in 2012 (18) . Exclusion criteria were discharge within the first 2 d after admission to the GDH and inability to communicate due to severe cognitive impairment, psychological problems, or language or hearing problems.…”

Section: Study Design and Study Samplesmentioning

confidence: 99%

Malnutrition and related risk factors in older adults from different health-care settings: an enable study

Kiesswetter

Colombo

Meisinger

et al. 2019

Public Health Nutr.

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Objective:The origin of malnutrition in older age is multifactorial and risk factors may vary according to health and living situation. The present study aimed to identify setting-specific risk profiles of malnutrition in older adults and to investigate the association of the number of individual risk factors with malnutrition.Design:Data of four cross-sectional studies were harmonized and uniformly analysed. Malnutrition was defined as BMI < 20 kg/m2 and/or weight loss of >3 kg in the previous 3–6 months. Associations between factors of six domains (demographics, health, mental function, physical function, dietary intake-related problems, dietary behaviour), the number of individual risk factors and malnutrition were analysed using logistic regression.Setting:Community (CD), geriatric day hospital (GDH), home care (HC), nursing home (NH).Participants:CD older adults (n 1073), GDH patients (n 180), HC receivers (n 335) and NH residents (n 197), all ≥65 years.Results:Malnutrition prevalence was lower in CD (11 %) than in the other settings (16–19 %). In the CD sample, poor appetite, difficulties with eating, respiratory and gastrointestinal diseases were associated with malnutrition; in GDH patients, poor appetite and respiratory diseases; in HC receivers, younger age, poor appetite and nausea; and in NH residents, older age and mobility limitations. In all settings the likelihood of malnutrition increased with the number of potential individual risk factors.Conclusions:The study indicates a varying relevance of certain risk factors of malnutrition in different settings. However, the relationship of the number of individual risk factors with malnutrition in all settings implies comprehensive approaches to identify persons at risk of malnutrition early.

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“…Persons with dementia should be regularly screened for anorexia with tools such as the Simplified Nutrition Appetite Questionnaire (SNAQ) (42,43) and for poor nutrition with the MiniNutrition Assessment (MNA) or its short form (44)(45)(46). The dietitian or speech therapist should observe the person eating and the interprofessional team should develop innovative strategies to prevent dysphagia and weight loss early in the disease.…”

mentioning

confidence: 99%

Dysphagia, Dementia and Frailty

Payne

Morley

2018

The Journal of nutrition, health and aging

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Nutritional and functional status in geriatric day hospital patients–MNA short form versus full MNA

Abstract: The high prevalence of risk of malnutrition and the observed association between functional status and nutritional status according to full MNA call for routine nutritional screening using this tool in geriatric day hospital patients.

Cited by 29 publications

References 41 publications

Mortality Risk Factors Among Patients With Cirrhosis and a Low Model for End-Stage Liver Disease Sodium Score (≤15): An Analysis of Liver Transplant Allocation Policy Using Aggregated Electronic Health Record Data

Mortality Risk Factors Among Patients With Cirrhosis and a Low Model for End-Stage Liver Disease Sodium Score (≤15): An Analysis of Liver Transplant Allocation Policy Using Aggregated Electronic Health Record Data

Malnutrition and related risk factors in older adults from different health-care settings: an enable study

Dysphagia, Dementia and Frailty

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