Mini Nutritional Assessment predicts gait status and mortality 6 months after hip fracture

Gumieiro, David Nicoletti; Rafacho, Bruna Paola Murino; Gonçalves, Andréa; Tanni, Suzana Erico; Azevedo, Paula Schmidt; Sakane, Daniel T.; Carneiro, Carlos Alberto; Gaspardo, David; Zornoff, Leonardo A. M.; Pereira, Gilberto José Cação; Paiva, Sérgio Alberto Rupp de; Minicucci, Marcos F.

doi:10.1017/s0007114512003686

Cited by 62 publications

(44 citation statements)

References 22 publications

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“…192 Another recent study showed the Mini Nutritional Assessment to be predictive of gait status and mortality at 6 months after hip fracture. 193 Cost-effectiveness of nutritional interventions has been studied as well and found to be effective at 3 months when the result was weight gain. 194 However, the authors noted no improvement in quality-adjusted life-years.…”

Section: Stephen L Kates Md and Amy Kates Ms Rn-bcmentioning

confidence: 99%

A Guide to Improving the Care of Patients with Fragility Fractures, Edition 2

Mears¹,

Kates²

2015

Geriatr Orthop Surg Rehabil

134

121

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Over the past 4 decades, much has been learned about the pathophysiology and treatment of osteoporosis, the prevention of fragility fractures, and the perioperative management of patients who have these debilitating injuries. However, the volume of published literature on this topic is staggering and far too voluminous for any clinician to review and synthesize by him or herself. This manuscript thoroughly summarizes the latest research on fragility fractures and provides the reader with valuable strategies to optimize the prevention and management of these devastating injuries. The information contained in this article will prove invaluable to any health care provider or health system administrator who is involved in the prevention and management of fragility hip fractures. As providers begin to gain a better understanding of the principles espoused in this article, it is our hope that they will be able to use this information to optimize the care they provide for elderly patients who are at risk of or who have osteoporotic fractures.

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Section: Stephen L Kates Md and Amy Kates Ms Rn-bcmentioning

confidence: 99%

A Guide to Improving the Care of Patients with Fragility Fractures, Edition 2

Mears¹,

Kates²

2015

Geriatr Orthop Surg Rehabil

134

121

View full text Add to dashboard Cite

show abstract

“…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%

“…(4,(19)(20)(21). Gumiero et al (19) established that MNA-LF is good for predicting gait status and mortality. In a study by Bell and associates (20) American Society of Anesthesiologists (ASA) scores were used to assess general health status and severity of physical comorbidity (23) in five classes: 1) healthy < 65 years, 2) mild systemic disease, 3) severe systemic disease, 4) severe systemic disease that is a constant threat to life and 5) moribund and not expected to survive without surgery.…”

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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“…Malnutrition is associated with many adverse outcomes including depression of the immune system, impaired wound healing, muscle wasting, longer lengths of hospital stay, higher treatment costs and increased mortality 6 . Malnutrition in hip fracture patients is associated with adverse rehabilitation outcomes [7][8][9][10][11] . Moreover, malnourished individuals in all settings use more healthcare resources and experience poor life quality 12 .…”

Section: Jfsf 40mentioning

confidence: 99%