Title

Poor nutritional status of older subacute patients predicts clinical outcomes and mortality at 18 months of follow-up

RIS ID

72542

Publication Details

Charlton, K., Nichols, C., Bowden, S., Milosavljevic, M., Lambert, K., Barone, L., Mason, M. & Batterham, M. 2012, 'Poor nutritional status of older subacute patients predicts clinical outcomes and mortality at 18 months of follow-up', European Journal of Clinical Nutrition, vol. 66, no. 11, pp. 1224-1228.

Abstract

Background/Objectives: Older malnourished patients experience increased surgical complications and greater morbidity compared with their well-nourished counterparts. This study aimed to assess whether nutritional status at hospital admission predicted clinical outcomes at 18 months follow-up. Subjects/Methods: A retrospective analysis of N=2076 patient admissions (65+ years) from two subacute hospitals, New South Wales, Australia. Analysis of outcomes at 18 months, according to nutritional status at index admission, was performed in a subsample of n=476. Nutritional status was determined within 72 h of admission using the Mini Nutritional Assessment (MNA). Outcomes, obtained from electronic patient records, included hospital readmission rate, total Length of Stay (LOS), change in level of care at discharge and mortality. Survival analysis, using a Cox proportional hazards model, included age, sex, Major Disease Classification, mobility and LOS at index admission as covariates. Results: At baseline, 30% of patients were malnourished and 53% were at risk of malnutrition. LOS was higher in malnourished and at risk, compared with well-nourished patients (median (interquartile range): 34 (21, 58); 26 (15, 41); 20 (14, 26) days, respectively; P

Please refer to publisher version or contact your library.

Share

COinS
 

Link to publisher version (DOI)

http://dx.doi.org/10.1038/ejcn.2012.130