Impaired nutritional status in geriatric trauma patients.

Autor: Müller FS; Department of Geriatrics and Aging Research, University Hospital Zurich, Zurich, Switzerland.; Centre on Aging and Mobility, University Hospital Zurich, Zurich, Switzerland.; Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland., Meyer OW; Department of Geriatrics and Aging Research, University Hospital Zurich, Zurich, Switzerland.; Centre on Aging and Mobility, University Hospital Zurich, Zurich, Switzerland.; Centre for Geriatric Traumatology, University Hospital Zurich, Zurich, Switzerland., Chocano-Bedoya P; Department of Geriatrics and Aging Research, University Hospital Zurich, Zurich, Switzerland.; Centre on Aging and Mobility, University Hospital Zurich, Zurich, Switzerland., Schietzel S; Department of Geriatrics and Aging Research, University Hospital Zurich, Zurich, Switzerland.; Centre on Aging and Mobility, University Hospital Zurich, Zurich, Switzerland.; Centre for Geriatric Traumatology, University Hospital Zurich, Zurich, Switzerland., Gagesch M; Department of Geriatrics and Aging Research, University Hospital Zurich, Zurich, Switzerland.; Centre on Aging and Mobility, University Hospital Zurich, Zurich, Switzerland.; Centre for Geriatric Traumatology, University Hospital Zurich, Zurich, Switzerland., Freystaetter G; Department of Geriatrics and Aging Research, University Hospital Zurich, Zurich, Switzerland.; Centre on Aging and Mobility, University Hospital Zurich, Zurich, Switzerland.; Centre for Geriatric Traumatology, University Hospital Zurich, Zurich, Switzerland., Neuhaus V; Centre for Geriatric Traumatology, University Hospital Zurich, Zurich, Switzerland.; Department of Trauma Surgery, University Hospital Zurich, Zurich, Switzerland., Simmen HP; Centre for Geriatric Traumatology, University Hospital Zurich, Zurich, Switzerland.; Department of Trauma Surgery, University Hospital Zurich, Zurich, Switzerland., Langhans W; Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland., Bischoff-Ferrari HA; Department of Geriatrics and Aging Research, University Hospital Zurich, Zurich, Switzerland.; Centre on Aging and Mobility, University Hospital Zurich, Zurich, Switzerland.; Centre for Geriatric Traumatology, University Hospital Zurich, Zurich, Switzerland.
Jazyk: angličtina
Zdroj: European journal of clinical nutrition [Eur J Clin Nutr] 2017 May; Vol. 71 (5), pp. 602-606. Date of Electronic Publication: 2017 Mar 22.
DOI: 10.1038/ejcn.2017.25
Abstrakt: Background/objectives: Malnutrition is an established risk factor for adverse clinical outcomes. Our aim was to assess nutritional status among geriatric trauma patients.
Subjects/methods: We enrolled 169 consecutive patients (⩾70 years) admitted to the Geriatric Traumatology Centre (University Hospital Zurich, Switzerland). On admission to acute care, nutritional status was assessed with the mini nutritional assessment (score<17=malnourished (M), ⩽23.5=at risk of malnutrition (ARM), >23.5=normal). At the same examination, we assessed mental (Geriatric Depression Scale; GDS) and cognitive function (Mini-Mental State Examination; MMSE), frailty status (Fried Scale), and number of comorbidities and medications. Further, discharge destination was documented. All analyses were adjusted for age and gender.
Results: A total of 7.1% of patients were malnourished and 49.1% were ARM. Patients with reduced mental health (GDS⩾5: 30.5 vs 11.5%; P=0.004), impaired cognitive function (MMSE⩽26: 23.6±0.5 vs 26.0±0.6; P=0.004), prevalent frailty (32.5 vs 8%; P<0.001), more comorbidities (2.3±0.1 vs 1.3±0.2; P<0.0001) and medications (5.6±0.3 vs 3.4±0.4; P<0.0001) were more likely to have an impaired nutritional status (M+ARM). Further, M+ARM patients were twice as likely to be discharged to destinations different to home (odds ratio=2.08; confidence interval 1.07-4.05).
Conclusions: In this consecutive sample of geriatric trauma patients, 56.2% had an M+ARM upon admission to acute care, which was associated with indicators of worse physical, mental and cognitive health and predicted a more than twofold greater odds of being discharged to a destination other than home.
Databáze: MEDLINE
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