Nutritional screening tools and anthropometric measures associate with hospital discharge outcomes in older people

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Abstract

Aim:

To examine the association of nutritional screening tools (NSTs) and anthropometric measures with hospital outcomes in older people.

Methods:

In 172 patients aged ≥70 years admitted to a Geriatric Evaluation Management Unit (GEMU), nutritional status was measured using the Mini-Nutritional Assessment (MNA), MNA-short form (MNA-SF), Geriatric Nutritional Risk Index (GNRI), Simplified Nutritional Appetite Questionnaire, calf circumference (CC), mid-arm circumference (MAC) and BMI.

Results:

Malnutrition according to the MNA occurred in 53 (31%) patients. Functional change was associated with GNRI (Beta coefficient (β), 95% CI = 0.17, 0.001–0.33) and CC (β, 95% CI = 0.17, 0.01–0.33); GEMU length of stay was associated with MNA-SF-BMI (β, 95% CI = −0.02, −0.003 to −0.004) and MNA-SF-CC (β, 95% CI = −0.02, −0.003 to −0.001). MAC was associated with discharge to higher level of care (OR, 95% CI = 0.88, 0.81–0.96).

Conclusion:

In hospitalised older people, admission NSTs and anthropometric measures associate with discharge outcomes.

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