Journals / Haseki Tıp Bülteni / 2022 / Cilt: 60 - Sayı: 1

The Relationship between Nutritional Status and Earlyand Mid-term Mortality of Geriatric Patients Admitted to the Emergency Internal Medicine Unit

Pages
57–63
Publication Date
2022-10-17
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The Mini Nutritional Assessment is a non-complex and sensitive method that can be used to predict early and mid-term mortality in geriatric patients admitted to the emergency department.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The need for bodily energy in the elderly may decrease due to physical activity limitations, while it may increase with the effects of the disease.
📊
Key Findings & Data:Materials and Method: Among the geriatric patients admitted to our emergency internal medicine unit between October 1, 2019, and March 1, 2020, 289 patients were included in this cross-sectional study.
💡
Conclusion & Impact:Conclusion: The Mini Nutritional Assessment is a non-complex and sensitive method that can be used to predict early and mid-term mortality in geriatric patients admitted to the emergency department.
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: The need for bodily energy in the elderly may decrease due to physical activity limitations, while it may increase with the effects of the disease. The most common screening tool developed for the geriatric population is the Mini Nutritional Assessment, and lower scores are associated with higher mortality predictions. We aimed to correlate the nutritional status of patients admitted to the emergency department with mortality. Materials and Method: Among the geriatric patients admitted to our emergency internal medicine unit between October 1, 2019, and March 1, 2020, 289 patients were included in this cross-sectional study. The Nutritional Risk Screening-2002 and Mini Nutritional Assessment tests were administered to all patients. Results: The number of patients at risk of malnutrition was 49.4% (n=143). The median follow-up was 312 days for all patients, and the mortality rate was 42.5% (n=123) for all our patients, and 50.4% (n=72) of the patients who died were male. Diabetes was high in our geriatric patients, as in all age groups, and its effect on mortality was observed, and cancer patients had an almost three-fold higher malnutrition rate. Seventy patients were transferred from the internal medicine service to the intensive care unit, and 61 of these patients (87.14%) died. Conclusion: The Mini Nutritional Assessment is a non-complex and sensitive method that can be used to predict early and mid-term mortality in geriatric patients admitted to the emergency department.

🔖

Cite This Article

AKIN, S., KARAGÖZ, A., KESKİN, Ö., IŞIK, A. C., BÖYÜK, B., ÖCAL, A. (2022). The Relationship between Nutritional Status and Earlyand Mid-term Mortality of Geriatric Patients Admitted to the Emergency Internal Medicine Unit. Haseki Tıp Bülteni, Cilt: 60 - Sayı: 1, 57–63. https://ajindex.com/articles/534943

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Türkiye İstatistik Enstitüsü. İstatistiklerle Yaşlılar, 2020 [Internet]. 18.03.2021. 2021. p. 1-10. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle- Yaslilar-2020-37227 2. World Health Organization. Ageing and health [Internet]. 2018. Available from: https://www.who.int/news-room/factsheets/ detail/ageing-and-health 3. Centers for Disease Control and Prevention (CDC). Trends in aging--United States and worldwide. MMWR Morb Mortal Wkly Rep 2003
  2. Burak C, Süleymanoğlu M, Gümüşdağ A, et al. The effect of nutritional status on long-term mortality in very elderly patients with st segment elevation myocardial infarction. Turkish Journal Geriatris 2021
  3. Gaillard C, Alix E, Sallé A, Berrut G, Ritz P. Energy requirements in frail elderly people: a review of the literature. Clin Nutr 2007
  4. Visvanathan R. Under-nutrition in older people: a serious and growing global problem! J Postgrad Med 2003
  5. Vellas B, Guigoz Y, Garry PJ, et al. The mini nutritional assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 1999
  6. Sheean PM, Peterson SJ, Chen Y, Liu D, Lateef O, Braunschweig CA. Utilizing multiple methods to classify malnutrition among elderly patients admitted to the medical and surgical intensive care units (ICU). Clin Nutr 2013
  7. Balci C, Bolayir B, Eşme M, et al. Comparison of the Efficacy of the Global Leadership Initiative on Malnutrition Criteria, Subjective Global Assessment, and Nutrition Risk Screening 2002 in Diagnosing Malnutrition and Predicting 5-Year Mortality in Patients Hospitalized for Acute Illnesse. JPEN J Parenter Enter Nutr 2021
  8. Poínhos R, Oliveira BMPM, Sorokina A, Franchini B, Afonso C, de Almeida MDV. An extended version of the MNA-SF increases sensitivity in identifying malnutrition among community living older adults. Results from the PRONUTRISENIOR project. Clin Nutr ESPEN 2021
  9. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M
  10. Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN). ESPEN guidelines for nutrition screening 2002. Clin Nutr 2003
  11. Buscemi S, Batsis JA, Parrinello G, et al. Nutritional predictors of mortality after discharge in elderly patients on a medical ward. Eur J Clin Invest 2016
  12. Griffin A, O’Neill A, O’Connor M, Ryan D, Tierney A, Galvin R. The prevalence of malnutrition and im