Malnutrition in subacute care
BACKGROUND: Dramatic weight loss and hypoalbuminemia often follow acute hospitalization.
OBJECTIVE: The objective was to examine the prevalence of undernutrition in a subacute-care facility.
DESIGN: We evaluated 837 patients consecutively admitted over 14 mo to a 100-bed subacute-care center. Nutritional status was assessed by anthropometric measurements, biochemical markers, and a Mini Nutritional Assessment (MNA) score. Primary outcome measures included length of stay and death. Secondary measures included readmission to an acute-care hospital and placement at discharge.
RESULTS: The subjects' mean (+/- SD) age was 76 +/- 13 y and 61% were women. Eighteen percent of the subjects had a body mass index (in kg/m(2)) <19. With the use of 35 g/L as a cutoff, 53% of the subjects had hypoalbuminemia. Only 8% of the subjects were classified as being well nourished according to the MNA. Almost one-third (29%) of the subjects were malnourished and almost two-thirds (63%) were at risk of malnutrition. Thus, >91% of subjects admitted to subacute care were either malnourished or at risk of malnutrition. The Geriatric Depression Score was higher in malnourished subjects than in nutritionally at-risk subjects (P = 0.05). Length of stay differed by 11 d between the malnourished group and the nutritionally at-risk group (P = 0.007). In the MNA-assessed group of largely malnourished subjects, 25% of subjects required readmission to an acute-care hospital compared with 11% of the well-nourished group (P = 0.06). Mortality was not found to be related to BMI.
CONCLUSION: Malnutrition reaches epidemic proportions in patients admitted to subacute-care facilities. Whether this reflects nutritional neglect in acute-care hospitals or is the result of profound illness is unclear. Nevertheless, strict attention to nutritional status is mandatory in subacute-care settings.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2002 |
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| Erschienen: |
2002 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:75 |
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| Enthalten in: |
The American journal of clinical nutrition - 75(2002), 2 vom: 01. Feb., Seite 308-13 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Thomas, David R [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 12.02.2002 Date Revised 18.03.2022 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM117027618 |
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| 100 | 1 | |a Thomas, David R |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Malnutrition in subacute care |
| 264 | 1 | |c 2002 | |
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| 500 | |a Date Completed 12.02.2002 | ||
| 500 | |a Date Revised 18.03.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Dramatic weight loss and hypoalbuminemia often follow acute hospitalization | ||
| 520 | |a OBJECTIVE: The objective was to examine the prevalence of undernutrition in a subacute-care facility | ||
| 520 | |a DESIGN: We evaluated 837 patients consecutively admitted over 14 mo to a 100-bed subacute-care center. Nutritional status was assessed by anthropometric measurements, biochemical markers, and a Mini Nutritional Assessment (MNA) score. Primary outcome measures included length of stay and death. Secondary measures included readmission to an acute-care hospital and placement at discharge | ||
| 520 | |a RESULTS: The subjects' mean (+/- SD) age was 76 +/- 13 y and 61% were women. Eighteen percent of the subjects had a body mass index (in kg/m(2)) <19. With the use of 35 g/L as a cutoff, 53% of the subjects had hypoalbuminemia. Only 8% of the subjects were classified as being well nourished according to the MNA. Almost one-third (29%) of the subjects were malnourished and almost two-thirds (63%) were at risk of malnutrition. Thus, >91% of subjects admitted to subacute care were either malnourished or at risk of malnutrition. The Geriatric Depression Score was higher in malnourished subjects than in nutritionally at-risk subjects (P = 0.05). Length of stay differed by 11 d between the malnourished group and the nutritionally at-risk group (P = 0.007). In the MNA-assessed group of largely malnourished subjects, 25% of subjects required readmission to an acute-care hospital compared with 11% of the well-nourished group (P = 0.06). Mortality was not found to be related to BMI | ||
| 520 | |a CONCLUSION: Malnutrition reaches epidemic proportions in patients admitted to subacute-care facilities. Whether this reflects nutritional neglect in acute-care hospitals or is the result of profound illness is unclear. Nevertheless, strict attention to nutritional status is mandatory in subacute-care settings | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Zdrowski, Carolyn D |e verfasserin |4 aut | |
| 700 | 1 | |a Wilson, Margaret-Mary |e verfasserin |4 aut | |
| 700 | 1 | |a Conright, Kelly C |e verfasserin |4 aut | |
| 700 | 1 | |a Lewis, Cecelia |e verfasserin |4 aut | |
| 700 | 1 | |a Tariq, Syed |e verfasserin |4 aut | |
| 700 | 1 | |a Morley, John E |e verfasserin |4 aut | |
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