The prognostic significance of malnutrition as assessed by the Mini Nutritional Assessment (MNA) in older hospitalized patients with a heavy disease burden

Mini nutritional assessment and 10-year mortality in free-living elderly women: a prospective cohort study with 10-year follow-up

“…The incapability of MNA-SF to predict mortality in our study is in conformity with the results of a recent study by Vischer et al 27 on 4-year mortality of 444 patients receiving geriatric inpatient care. It is worth noticing that in our study, of the four MNA items that individually could predict mortality, only one is included in the MNA-SF.…”

Nutrition-related risk indexes and long-term mortality in noncritically ill inpatients who receive total parenteral nutrition (prospective multicenter study)

“…In our study we also confirmed that the malnourished patients (according to their BMI) experienced greater mortality, independently of other confounding variables, but the predictive capacity of the BMI was lower than that of other indexes. In older patients admitted for acute geriatric care 4-year mortality was predicted adequately by a low BMI, whereas the Mini Nutritional Assessment (MNA) failed to predict long-term mortality, likely due to the overriding impact of co-morbidities and acute disease [16]. Likewise, a high BMI in elderly nursing home residents has been associated with a lower risk of long-term mortality (5 years) and was found to be the best parameter as compared with albumin or the Mini Nutritional Assessment [19].…”

“…Furthermore, the population selected is often very old [16] (which may not be representative of the population admitted to acute care hospitals) or old and institutionalized [10,17e19], or in a nursing home [19], and consideration of the confounding effect of disease is rare [14]. Even fewer studies have investigated mortality outcomes using data from national death registries [14,15], thus ensuring accuracy in data collection.…”

Acceptance of Robot-Era system: results of robotic services in smart environments with older adults (Preprint)

“…Furthermore, 17.7% of Europe's elderly citizens live in rural areas [2] where access to healthcare services can be limited. However, elderly people generally prefer to remain in their homes [3], but as older people, they often are affected by some combination of multiple coexisting chronic diseases [4], falls [5], loneliness [6], and the risk of malnutrition [7]. Considering these risk factors, the odds of institutionalizations grows, thereby increasing the costs for healthcare services.…”