Comparison of Mini Nutritional Assessment-Short and Long Form to predict all-cause mortality up to 7 years in geriatric outpatients

Ozturk Y., Sarikaya D., Emin Kuyumcu M., YEŞİL Y., KOCA M., GÜNER OYTUN M., ...Daha Fazla

NUTRITION IN CLINICAL PRACTICE, cilt.37, sa.6, ss.1418-1428, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 37 Sayı: 6
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1002/ncp.10878
  • Dergi Adı: NUTRITION IN CLINICAL PRACTICE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, CINAHL, EMBASE, International Pharmaceutical Abstracts, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.1418-1428
  • Anahtar Kelimeler: geriatric assessment, malnutrition, mortality, nutrition status, outpatients, NURSING-HOME RESIDENTS, OLDER-PEOPLE, SCREENING TOOLS, HEART-FAILURE, MALNUTRITION, ADULTS, VALIDATION, COMMUNITY, FRAILTY, RISK
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Background We aimed to find out whether the Mini Nutritional Assessment-Short Form (MNA-SF) can predict mortality up to 7 years when compared with the Mini Nutritional Assessment-Long Form (MNA-LF) in geriatric outpatients. Methods This retrospective study was conducted in patients (>= 65 years) who were admitted to the geriatric outpatient clinic of a university hospital. MNA-SF and MNA-LF results were available for all patients. Patients were grouped as normal nutrition status (score 12-14), at risk of malnutrition (score between 8 and 11), or malnourished (score <= 7) according to MNA-SF. Based on MNA-LF, patients had normal nutrition status (score >= 24), were at risk of malnutrition (score 17-23.5), or were malnourished (score <17). Survival of the patients was assessed retrospectively. Results The study included 209 patients (62.2% female). During the 7-year follow-up, 77 (36.8%) patients died. After adjusting for age, sex, and Charlson comorbidity index, MNA-SF was significantly associated with all-cause mortality during 6-month, 1-year, 3-year, 5-year, and 7-year follow-up time. MNA-LF was superior to MNA-SF to estimate 6-month (P = 0.004) and 1-year mortality (P = 0.031). There was no difference between MNA-SF and MNA-LF regarding 3-year, 5-year, and 7-year mortality. Conclusion MNA-SF can predict short-term and long-term mortality in geriatric outpatients as well as MNA-LF. A cut-off value of 11, indicating risk of malnutrition according to MNA-SF, may be used for the risk estimation of 1-year, 3-year, and 5-year mortality. Therefore, this study highlights the importance of screening all geriatric outpatients for malnutrition and especially the risk of malnutrition for early intervention and treatment.