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Risk of Malnutrition upon Admission and after Discharge in Acutely Admitted Older Medical Patients: A Prospective Observational Study

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Harvard

Andersen, AL, Nielsen, RL, Houlind, MB, Tavenier, J, Rasmussen, LJH, Jørgensen, LM, Treldal, C, Beck, AM, Pedersen, MM, Andersen, O & Petersen, J 2021, 'Risk of Malnutrition upon Admission and after Discharge in Acutely Admitted Older Medical Patients: A Prospective Observational Study', Nutrients, bind 13, nr. 8, 2757, s. 1-17. https://doi.org/10.3390/nu13082757

APA

Andersen, A. L., Nielsen, R. L., Houlind, M. B., Tavenier, J., Rasmussen, L. J. H., Jørgensen, L. M., Treldal, C., Beck, A. M., Pedersen, M. M., Andersen, O., & Petersen, J. (2021). Risk of Malnutrition upon Admission and after Discharge in Acutely Admitted Older Medical Patients: A Prospective Observational Study. Nutrients, 13(8), 1-17. [2757]. https://doi.org/10.3390/nu13082757

CBE

Andersen AL, Nielsen RL, Houlind MB, Tavenier J, Rasmussen LJH, Jørgensen LM, Treldal C, Beck AM, Pedersen MM, Andersen O, Petersen J. 2021. Risk of Malnutrition upon Admission and after Discharge in Acutely Admitted Older Medical Patients: A Prospective Observational Study. Nutrients. 13(8):1-17. https://doi.org/10.3390/nu13082757

MLA

Vancouver

Author

Andersen, Aino Leegaard ; Nielsen, Rikke Lundsgaard ; Houlind, Morten Baltzer ; Tavenier, Juliette ; Rasmussen, Line J H ; Jørgensen, Lillian Mørch ; Treldal, Charlotte ; Beck, Anne Marie ; Pedersen, Mette Merete ; Andersen, Ove ; Petersen, Janne. / Risk of Malnutrition upon Admission and after Discharge in Acutely Admitted Older Medical Patients : A Prospective Observational Study. I: Nutrients. 2021 ; Bind 13, Nr. 8. s. 1-17.

Bibtex

@article{7b546f7578a54a37ac05b18cf2db20f8,
title = "Risk of Malnutrition upon Admission and after Discharge in Acutely Admitted Older Medical Patients: A Prospective Observational Study",
abstract = "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.",
keywords = "Emergency service, Geriatrics, Hospital, Malnutrition, Nutritional assessment, Risk factors for malnutrition",
author = "Andersen, {Aino Leegaard} and Nielsen, {Rikke Lundsgaard} and Houlind, {Morten Baltzer} and Juliette Tavenier and Rasmussen, {Line J H} and J{\o}rgensen, {Lillian M{\o}rch} and Charlotte Treldal and Beck, {Anne Marie} and Pedersen, {Mette Merete} and Ove Andersen and Janne Petersen",
year = "2021",
month = aug,
day = "11",
doi = "10.3390/nu13082757",
language = "English",
volume = "13",
pages = "1--17",
journal = "Nutrients",
issn = "2072-6643",
publisher = "M D P I AG",
number = "8",

}

RIS

TY - JOUR

T1 - Risk of Malnutrition upon Admission and after Discharge in Acutely Admitted Older Medical Patients

T2 - A Prospective Observational Study

AU - Andersen, Aino Leegaard

AU - Nielsen, Rikke Lundsgaard

AU - Houlind, Morten Baltzer

AU - Tavenier, Juliette

AU - Rasmussen, Line J H

AU - Jørgensen, Lillian Mørch

AU - Treldal, Charlotte

AU - Beck, Anne Marie

AU - Pedersen, Mette Merete

AU - Andersen, Ove

AU - Petersen, Janne

PY - 2021/8/11

Y1 - 2021/8/11

N2 - 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.

AB - 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.

KW - Emergency service

KW - Geriatrics

KW - Hospital

KW - Malnutrition

KW - Nutritional assessment

KW - Risk factors for malnutrition

UR - http://www.scopus.com/inward/record.url?scp=85112149545&partnerID=8YFLogxK

U2 - 10.3390/nu13082757

DO - 10.3390/nu13082757

M3 - Journal article

C2 - 34444917

VL - 13

SP - 1

EP - 17

JO - Nutrients

JF - Nutrients

SN - 2072-6643

IS - 8

M1 - 2757

ER -

ID: 67442319