Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients

Koren-Hakim, Tamar; Weiss, Avraham; Hershkovitz, Avital; Otzrateni, Irena; Anbar, Ronit; Nevo, Revital Feige Gross; Schlesinger, Agata; Frishman, S.; Salai, Moshe; Beloosesky, Yichayaou

doi:10.1016/j.clnu.2017.01.018

Cited by 8 publications

(8 citation statements)

References 3 publications

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“…Nutrition risk was prospectively determined by the MNA–Short Form, MUST, and NRS‐2002 in a study conducted in Israel involving 215 elderly patients who underwent a hip fracture operation. The lowest prevalence of nutrition risk was observed with the MUST (20.4%), which was lower than that identified by the NRS‐2002 (37.6%) 29 . Differences in their results as compared with ours may be explained by the different age of the study populations.…”

Section: Discussioncontrasting

confidence: 81%

Nutritional Risk Screening 2002, Short Nutritional Assessment Questionnaire, Malnutrition Screening Tool, and Malnutrition Universal Screening Tool Are Good Predictors of Nutrition Risk in an Emergency Service

et al. 2017

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Section: Discussioncontrasting

confidence: 81%

Nutritional Risk Screening 2002, Short Nutritional Assessment Questionnaire, Malnutrition Screening Tool, and Malnutrition Universal Screening Tool Are Good Predictors of Nutrition Risk in an Emergency Service

et al. 2017

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“…For this reason, it is difficult to compare our results with the observations of other authors. However, our univariate analysis corroborates the positive relationship between AF occurrence and BMI in all the patients studied and in individuals with CV disorders (Table 1) shown by other authors [1,2], as well as between BMI and NRS-2002 score and risk of in-hospital death (Table 3B) [23][24][25]. Whereas, the multivariate analysis found negative associations between both BMI and NRS-2002 score and AF occurrence (Table 3A) and also the risk of readmission (Table 3C), which was consistent with the obesity paradox paradigm [2,[4][5][6].…”

Section: Discussionsupporting

confidence: 74%

“…However, only such analysis made it possible to assess the importance of nutritional status to the outcomes in a real-life population of patients with AF. Moreover, adjusting the results obtained for all potential biases was impossible, and this potential bias is a shortcoming in many investigations on the usefulness of nutritional status assessment tools [24,25]. However, the NRS-2002 questionnaire was a strong risk factor for in-hospital death among patients with AF and without ( Table 2) and all included patients diagnosed with CV disorders (Table 3B) and, at the same time, a factor protecting against AF occurrence (Table 3A), which not only expressed the patients' nutritional status, but also their main disease severity.…”

Section: Discussionmentioning

confidence: 99%

The associations between atrial fibrillation and parameters of nutritional status assessment in the general hospital population — a cross-sectional analysis of medical documentation

Budzyński

Anaszewicz

2017

Kardiol Pol

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A b s t r a c tBackground: Atrial fibrillation (AF) and nutrition status abnormalities are two of the most significant epidemics in current health care. Aim:The aim of this study was to determine the relationship between the prevalence and outcome of AF, and the parameters of nutritional status among consecutive, real-life patients hospitalised in a university hospital. Methods:Analysis of the medical documentation of 4930 consecutive patients aged ≥ 18 years hospitalised for more than one day with diagnoses of cardiovascular disorders. Results:Patients admitted with a diagnosis of AF (n = 512) compared to their counterparts without AF less frequently had an NRS-2002 score ≥ 3, normal range of body mass index (BMI), higher blood haemoglobin, and lower low density lipoprotein cholesterol (LDL-C) concentration. In logistic regression analysis, the risk of a hospitalisation due to AF was negatively related to BMI, NRS-2002 score, and the value of the difference between ideal and actual body mass. Urgent admission and having an NRS--2002 score ≥ 3 remained the only significant variables determining the risk of in-hospital death. Blood concentration of LDL-C and urgent admission were the only significant variables determining risk of 30-day rehospitalisation in the studied population. Conclusions:Inpatients with AF had a lower prevalence of normal body mass. Patients with an AF diagnosis had different risk factors for in-hospital death and 30-day rehospitalisation than their counterparts with diagnosis of cardiovascular diseases but without AF; however, the parameters of nutritional status played an important role in both patient groups. The obesity and cholesterol paradoxes were also observed.

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“…In the past three years both long and short forms of the MNA have been used to examine the association of nutritional status with outcomes in hip fracture patients. (4,(19)(20)(21). Gumiero et al (19) established that MNA-LF is good for predicting gait status and mortality.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Mini-Nutritional Assessment short and long form and serum albumin as prognostic indicators of hip fracture outcomes

Helminen

Luukkaala

Saarnio

et al. 2017

Injury

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Introduction: Malnutrition is common among older hip fracture patients and associated with adverse outcomes. We examined Mini Nutritional Assessment short (MNA-SF) and long form (MNA-LF) and serum albumin as prognostic indicators of mobility, living arrangements and mortality after hip fracture.Methods: Population-based prospective data were collected on 594 hip fracture patients aged 65 and over. MNA-SF, MNA-LF and serum albumin were assessed on admission. Outcomes were poorer mobility; transfer to more assisted living accommodation and mortality one month, four months and one year post fracture. Logistic regression analyses for mobility and living arrangements with odds ratios (OR) and Cox proportional hazards model for mortality with hazard ratios (HR) and 95% confidence intervals (CI) were used, adjusted for age, gender, ASA grade and fracture type.Results: All measures predicted mortality at all time-points. Risk of malnutrition and malnutrition measured by MNA-LF predicted mobility and living arrangements within four months of hip fracture. At one year, risk of malnutrition predicted mobility and malnutrition predicted living arrangements, when measured by MNA-LF. Malnutrition, but not risk thereof, measured by MNA-SF predicted living arrangements at all time-points. None of the measures predicted one-month mobility.Conclusions: All measures were strong indicators of short-and long-term mortality after hip fracture. MNA-LF was superior in predicting mobility and living arrangements, particularly at four months. All measures were relatively poor in predicting short-term outcomes of mobility and living arrangements.

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Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients

Cited by 8 publications

References 3 publications

Nutritional Risk Screening 2002, Short Nutritional Assessment Questionnaire, Malnutrition Screening Tool, and Malnutrition Universal Screening Tool Are Good Predictors of Nutrition Risk in an Emergency Service

Nutritional Risk Screening 2002, Short Nutritional Assessment Questionnaire, Malnutrition Screening Tool, and Malnutrition Universal Screening Tool Are Good Predictors of Nutrition Risk in an Emergency Service

The associations between atrial fibrillation and parameters of nutritional status assessment in the general hospital population — a cross-sectional analysis of medical documentation

Comparison of the Mini-Nutritional Assessment short and long form and serum albumin as prognostic indicators of hip fracture outcomes

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