Poor nutritional status is associated with urinary tract infection among older people living in residential care facilities

Carlsson, Maine; Håglin, Lena; Rosendahl, Erik; Gustafson, Yngve

doi:10.1007/s12603-012-0087-z

Cited by 25 publications

(22 citation statements)

References 25 publications

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“…Likewise, data from the study by Pereira et al 2 with elderly people living in LTCF show that the prevalence of nutritional risk was higher among those with cognitive decline ( p=0.006). Carlsson et al 18 in a study with elderly individuals with physical and cognitive deficits, also noticed that the condition of nutritional risk was higher among individuals with cognition problems ( p=0.024). This condition was also higher among eating-dependent individuals ( p= 0.014).…”

Section: Discussionmentioning

confidence: 92%

Risk of malnutrition and associated factors in institutionalized elderly persons

Damo

Doring

Alves

et al. 2018

Rev. bras. geriatr. gerontol.

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Objective : to evaluate the risk of malnutrition and associated factors in institutionalized elderly persons. Method : a cross-sectional study was carried out with elderly persons living in long-term care facilities in the municipal regions of Passo Fundo (Rio Grande do Sul) and Carazinho (Rio Grande do Sul) in 2017. A standardized, pre-codified questionnaire with sociodemographic variables was used, along with anthropometric data and the Mini Nutritional Assessment. Cognitive decline and non-intentional weight loss were also evaluated. The qualitative variables were presented in terms of univariate frequencies and the quantitative variables were described through measures of central tendency and dispersion. In order to verify the association between the categorical variables, the Pearson’s correlation coefficient, Chi-Squared test and the Fisher Exact test were applied, and in the crude and adjusted analysis the Poisson regression was used with robust variance. The level of significance was 5%. Results : a total of 399 elderly people were included, of whom 69.9% were female, 54.5% were aged 80 years or older and 88.4% were white. Of these elderly people, 61.7% lived in non-profit facilities. In the evaluation of nutritional status, 26.6% of the elderly were found to be malnourished, 48.1% were at risk of malnutrition and 25.3% had normal nutritional status. The highest prevalence ratio of at risk of malnutrition/malnutrition was with cognitive decline and unintentional weight loss (p<0.001). Conclusion : through the results, identifying nutritional status and the characteristics associated with the risk of malnutrition contribute to effective evaluation and nutritional monitoring, assisting in the prevention of diseases related to this condition.

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Section: Discussionmentioning

confidence: 92%

Risk of malnutrition and associated factors in institutionalized elderly persons

Damo

Doring

Alves

et al. 2018

Rev. bras. geriatr. gerontol.

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“…65,66 For example, in a study of 188 nursing home residents with physical and cognitive impairment, urinary tract infection during the preceding year was independently associated with poor nutritional status. 67 Similar to the association between frailty and infection, there is a two-way association between malnutrition and infection, as well as between dehydration and infection. In contrast to frailty, however, age-related immune and organ-specific changes that occur in older adults, malnutrition and dehydration both respond to intervention.…”

Section: Clinical Factors Influencing Infection Risk and Presentatmentioning

confidence: 95%

Influence of Aging and Environment on Presentation of Infection in Older Adults

Chakhtoura

Bonomo

Jump

2017

Infectious Disease Clinics of North America

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Synopsis In older adults, pathophysiologic, clinical, and environmental factors all affect the presentation of infections. We explore how age-related changes influence the manifestation and evaluation of infections in this population. Specific topics include immunosenescence, age related organ-specific physiologic changes, and frailty. We also describe clinical factors influencing infection risk and presentation in older adults including temperature regulation, cognitive decline, and malnutrition. Finally, we discuss the influence of the setting in which older adults reside on the clinical evaluation of infection. Understanding the influence of all these changes may facilitate the prevention, early recognition and treatment of infections in older adults.

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“…Malnutrition is prevalent in aged care facility residents [1][2][3][4] and hospital patients. [5][6][7] Malnutrition during hospital stay can lead to a greater risk of delayed wound healing, pressure injuries, delirium, and postoperative complications, resulting in increased length of stay (LOS) and delayed postoperative recovery.…”

Section: Introductionmentioning

confidence: 99%

Can early dietetic intervention improve outcomes in patients with hip fracture?

Klemm

Bailey

Desneves

et al. 2016

Nutrition & Dietetics

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Aim:To assess whether the introduction of a new approach to nutritional care for hip fracture patients, in both acute and subacute admissions, can improve nutritional status, length of stay and pressure injuries. Methods: Medical records of patients admitted to Austin Health, Melbourne, Australia with a fractured hip between January and June 2014 after implementation of a new nutritional care guideline were compared to a historical control group admitted between January and June 2013 prior to introduction of the guideline. Data were collected for both acute and subacute admissions and included length of stay, date of first contact with a dietitian, subjective global assessment category and occurrence of pressure injuries. Results: There was a significantly shorter length of stay overall for patients who received care under the new guideline (21.6 ± 15.1 vs 26.4 ± 20.4 days; P = 0.043) and during the subacute admission (20.1 ± 10.6 vs 28.8 ± 15.8 days; P < 0.001); however, there was no significant difference in the acute hospital length of stay period. The post-guideline group had a significantly shorter time between admission and first contact with a dietitian (4.8 ± 3.3 vs 7.5 ± 6.2 days; P < 0.001). Post-guideline patients also had a significantly lower incidence of pressure injuries with 29, compared to 41 in pre-guideline patients (P = 0.045). There were significantly less malnourished patients in the post-guideline group compared to the pre-guideline group across both acute and subacute admissions (29% vs 35%; P = 0.015). Conclusions: A nutritional care guideline for patients with hip fractures is associated with improved patient outcomes with a significant reduction in overall and subacute length of stay and pressure injury incidence and earlier dietetic assessment and intervention.

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Poor nutritional status is associated with urinary tract infection among older people living in residential care facilities

Cited by 25 publications

References 25 publications

Risk of malnutrition and associated factors in institutionalized elderly persons

Risk of malnutrition and associated factors in institutionalized elderly persons

Influence of Aging and Environment on Presentation of Infection in Older Adults

Can early dietetic intervention improve outcomes in patients with hip fracture?

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