Predictive value of the mini-nutritional assessment short form (MNA-SF) and nutritional risk screening (NRS2002) in hip fracture

Helminen, Heli; Luukkaala, Tiina; Saarnio, Juha; Nuotio, Maria

doi:10.1038/s41430-018-0267-y

Cited by 25 publications

(29 citation statements)

References 31 publications

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“…Our study is one of the first to evaluate the impact of physical and cognitive status on the risk of subsequent events in elderly patients hospitalized for CVD. In common with previous studies, we found that elder patients with HF [26], DM [27], previous stroke [28], non-married [29], severe MNA-SF [30] and decreasing FT3 [31] The detection of impaired physical performance and cognition in elder patients with CVD is essential for clinical management and therapeutic decision. Increasing age is an obvious risk factor for frailty [22], and patients admitted to hospital for CVD are more older.…”

Section: Discussionsupporting

confidence: 86%

Predicting non-elective hospital readmission or death using a composite assessment of cognitive impairment and frailty in elderly inpatients with cardiovascular diseases

Yao

Wang

Yang

et al. 2020

European Heart Journal

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Background Cardiovascular disease (CVD) and related complications are significant healthcare problems in the growing elderly population. Metabolic factors are the predominant risk factors for CVD, sedentary behaviour and physical inactivity are major modifiable risk factors for CVD. Age-associated cognitive decline and impairment are associated with an increased mortality. Cognitive and physical components of frailty have pathophysiologic rationale as risk factors for CVD. There is a clinical need to identify more practical screens that can assist us to definite cognitive impairment and physical frailty, then to determine which patients with CVD are at high risk of adverse outcomes, early management of these high-risk patients can reduce readmission rates, healthcare spending, and improve quality of care. Purpose We aimed to assess the utility of a combination developed using the mini-mental state examination + clock drawing test and the Fried phenotype for predicting non-elective hospital readmission or death within 6-month in elderly inpatients with CVD. Methods A single center prospective cohort was conducted between September 2018 and February 2019. Inpatients aged 65 years or older were recruited. All enrolled patients received a comprehensive geriatric assessment during hospitalization. The Kaplan-Meier curves were used to estimate the cumulative incidence of events. The multivariate Cox regression model was used to analyze the association between frailty and cognitive status and the non-elective hospital readmission or death. Results A total of 542 patients were included; and a total of 113 patients (20.9%) died or were readmitted at 6-month. Overall 20% screened positive for cognitive impairment, including 8% were cognitive impairment combined with physical frailty, which were more older, more common in women and non-married group, had a lower education and a higher risk of malnutrition. Frail participants with normal (hazard ratio [HR]: 1.73, 95% confidence intervals [CI]: 1.06–2.82, P=0.028) and impaired cognition (HR: 2.50, 95% CI: 1.27–4.91, P=0.008) had a higher risk of non-elective hospital readmission or death than robust patients, after adjustment for age, sex, education level, marital status, the presence of diabetes mellitus, heart failure, and previous stroke. Conclusions The presence of physical frailty and cognitive frailty were powerful predictors of non-elective hospital readmission or death in elderly inpatients with CVD, and taking cognitive impairment into account in the frailty model may allow better prediction of adverse outcomes of frailty in the short time. Kaplan-Meier survival curves Funding Acknowledgement Type of funding source: Public Institution(s). Main funding source(s): Beijing Municipal Science & Technology Commission, Chinese Academy of Medical Sciences

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Section: Discussionsupporting

confidence: 86%

Predicting non-elective hospital readmission or death using a composite assessment of cognitive impairment and frailty in elderly inpatients with cardiovascular diseases

Yao

Wang

Yang

et al. 2020

European Heart Journal

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“…Total score from 0 to 14 points, high scores indicating better nutritional status. The score is frequently used for assessing nutritional status in patients with hip fracture and predicts mortality and readmissions [35, 36]. Gait speed is assessed using the 10-m fast speed walking test, standing start.…”

Section: Methodsmentioning

confidence: 99%

Preliminary effect and feasibility of physiotherapy with strength training and protein-rich nutritional supplement in combination with anabolic steroids in cross-continuum rehabilitation of patients with hip fracture: protocol for a blinded randomized controlled pilot trial (HIP-SAP1 trial)

Hulsbæk

Ban

Aasvang

et al. 2019

Trials

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BackgroundA 2014 Cochrane review evaluating the effect of anabolic steroids after hip fracture concluded that the quality of the studies was insufficient to draw conclusions on the effects and recommended further high-quality trials in the field. Therefore, the aim of this pilot trial is to determine the preliminary effect and feasibility of a 12-week multimodal intervention consisting of physiotherapy (with strength training), protein-rich nutritional supplement and anabolic steroid on knee-extension muscle strength and function 14 weeks after hip fracture surgery.MethodsWe plan to conduct a randomized, placebo-controlled pilot trial with 48 patients operated for acute hip fracture. The patients are randomized (1:1) to either (1) physiotherapy with protein-rich nutritional supplement plus anabolic steroid or (2) physiotherapy with protein-rich nutritional supplement plus placebo. Outcome assessments will be carried out blinded at baseline (3–10 days after surgery) and at 14 weeks after entering the trial. Primary outcome is the change from baseline to follow-up in maximal isometric knee-extension muscle strength in the fractured limb. Secondary outcomes are physical performance test, patient-reported outcomes, and measures of body composition.DiscussionIf the trial is found feasible and the results show an indication of anabolic steroid being a relevant addition to further enhance the recovery of muscle strength and function in an enhanced recovery after surgery program, this trial will constitute the basis of a larger confirmatory trial.Trial registrationClinicalTrials.gov, NCT03545347. Preregistered on 4 June 2018.

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“…The Guidelines of the European Society for Clinical Nutrition and Metabolism (2002) recommended MNA for elderly patients (37). A simple, non-invasive, and inexpensive nutritional status screening test MNA-SF was developed in 2000 (38,39). According to the results of the Singapore Longitudinal Aging Study 2, where nutritional status was assessed by MNA-SF, changes in nutritional status were associated with transitions in frailty status (40).…”

Section: Discussionmentioning

confidence: 99%

Ti̇p 2 Di̇yabetli̇ Yaşli Bi̇reylerde Kirilganliği Etki̇leyen Faktörler Nelerdi̇r?

İdiz¹,

Yilmaz²,

Gül³

et al. 2021

J Istanb Fac Med

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Amaç: Çalışmamızın amacı tip 2 diyabet tanısı almış yaşlı erişkinlerde kırılganlıkla ilgili faktörleri belirlemektir.Gereç ve Yöntem: Çalışmaya 65 yaş ve üstü, tip 2 diyabet tanısı almış 108 kişi dahil edildi. Katılımcıların kırılganlığı FRAIL anketi ile değerlendirilmiş, beslenme durumu Mini Beslenme Değerlendirme Kısa Formu (MNA-SF) ile, depresyon durumu Hasta Sağlığı Anketi-2 (PHQ2) ve Geriatrik Depresyon Ölçeği Kısa Formu (GDS-SF) ile değerlendirilirken, yaşam kalitesi EuroQol-5 Boyut (EQ5D) ve EQ VAS puanlaması ile, kişisel bakım durumları ise Günlük Yaşamın Temel Aktiviteleri (BADL) ve Günlük Yaşamın Enstrümantal Aktiviteleri (IADL) formları ile değerlendirilmiştir.Bulgular: Kırılgan grupta, kırılgan olmayanlara göre uyku sorunları, düşme korkusu, idrar kaçırma, PHQ2, GDS-SF ve EQ5D skorları anlamlı olarak yüksek; MNASF skoru ise anlamlı olarak düşüktü (p<0,05, tüm kıyaslamalar için).Sonuç: Bu çalışmada yaşlı diyabetik hastalarda kırılganlık ile malnütrisyon, azalan yaşam kalitesi ve artmış depresyon arasındaki ilişki gösterilmiştir. Tüm bu faktörlerin diyabet yönetiminde bir yeri olduğu için farkındalık artırılmalı ve yaşlı diyabetlilerde kırılganlık taraması genişletilmelidir.

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Predictive value of the mini-nutritional assessment short form (MNA-SF) and nutritional risk screening (NRS2002) in hip fracture

Abstract: MNA-SF is superior to NRS2002 in predicting short-term hip fracture outcomes.

Cited by 25 publications

References 31 publications

Predicting non-elective hospital readmission or death using a composite assessment of cognitive impairment and frailty in elderly inpatients with cardiovascular diseases

Predicting non-elective hospital readmission or death using a composite assessment of cognitive impairment and frailty in elderly inpatients with cardiovascular diseases

Preliminary effect and feasibility of physiotherapy with strength training and protein-rich nutritional supplement in combination with anabolic steroids in cross-continuum rehabilitation of patients with hip fracture: protocol for a blinded randomized controlled pilot trial (HIP-SAP1 trial)

Ti̇p 2 Di̇yabetli̇ Yaşli Bi̇reylerde Kirilganliği Etki̇leyen Faktörler Nelerdi̇r?

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