کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3324273 | 1211959 | 2012 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Ability to predict six-month mortality and inter-tool agreement between four nutritional assessment instruments in the SAFES cohort Ability to predict six-month mortality and inter-tool agreement between four nutritional assessment instruments in the SAFES cohort](/preview/png/3324273.png)
AimTo measure the ability to predict 6-month mortality of several different instruments for evaluating nutrition, and to compare agreement between results obtained with these different instruments.MethodsProspective, multi-centre cohort study, including subjects aged 75 years or older, admitted to hospital through the emergency room. The predictive capacity of the different nutrition instruments (namely: Mini Nutritional Assessment (MNA), Geriatric Nutritional Risk Index (GNRI), body mass index (BMI) and albuminemia) were tested using a Cox model after adjustment for socio-demographic and clinical variables. Agreement between these four instruments was assessed by calculating Cohen's Kappa coefficient.ResultsIn total, 1306 subjects were included in the cohort, average age 85 ± 6 years. The crude death rate at 6 months was 24.4%. Prevalence of malnutrition varied from 24 to 59%. All the nutrition instruments evaluated were significantly related to survival; the strongest associations with mortality were observed with GNRI (hazard ratio [HR] = 1.65; 95% CI = 1.31–2.06) and MNA (HR = 1.64; 95% CI = 1.27–2.03). Agreement between indicators was moderate to poor.ConclusionThe GNRI and the MNA appear to be the most useful tools for detecting malnutrition in elderly patients admitted via the emergency room.
Journal: European Geriatric Medicine - Volume 3, Issue 5, October 2012, Pages 285–289