No correlation between Mini-Nutritional Assessment (short form) scale and clinical outcomes in 73 elderly patients admitted for hip fracture
- 64 Downloads
Background and aims: Malnutrition in general and protein deficiency in particular, both upon admission and during the recovery period, may adversely influence the clinical outcome after hip fracture. This study investigates the relationship between nutritional status measured by the Mini-Nutritional Assessment short form (MNA-SF) and biological markers in elderly hip-fractured patients. Methods: A prospective study in a university hospital. The MNA-SF nutritional scale and laboratory values (serum albumin, cholesterol, total lymphocyte count) were assessed within three days after hip fracture surgery. Results: Seventy-three patients were included: 61 (84%) were women and 12 men. Mean age was 81.5±7.1 years. Inhospital mortality was 10%. The mean MNA-SF score was 11±0.5 (range 3–14); according to these values, 39 patients (53%) were at risk of malnutrition. MNA-SF scores were not significantly correlated to patients’ laboratory values. Fourteen episodes of nosocomial infection were diagnosed in 11 patients, and 6 patients developed pressure ulcers during hospitalization. Conclusions: MNA-SF test scale values reflect a clinical process in post-operative hip-fractured patients which is different from serum albumin, cholesterol or lymphocyte count.
KeywordsElderly hip fracture nutritional status
Unable to display preview. Download preview PDF.
- 9.Rubenstein LZ, Harker JO, Salvà A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice. Developing the short-form Mini-Nutritional Assessment (MNA-SF). J Gerontol 2001; 56A: M366–72.Google Scholar
- 10.Van Nes MC, Herrmann FR, Gold G, Michel JP, Rizzoli R. Does the Mini Nutritional Assessment predict hospitalisation outcomes in older people? Age Ageing 2001; 30: 221–6.Google Scholar
- 15.Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. A simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill. Md State Med J 1965; 14: 61–6.Google Scholar
- 16.Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chron Dis 1987: 40: 378–83.Google Scholar
- 19.Omran ML, Morley JE. Assessment of protein energy malnutrition in older persons. Part II: laboratory evaluation. Nutrition 2000; 16: 13–40.Google Scholar
- 20.Beck AM, Ovesen L, Schroll M. Home-made oral supplement as nutritional support of old nursing-home residents, who are undernourished or at risk of undernutrition based on the MNA. A pilot trial Mini Nutritional Assessment. Aging Clin Exp Res 2002; 14: 212–5.Google Scholar
- 26.Cohendy R, Rubenstein LZ, Eledjan JJ. The Mini Nutritional Assessment-Short form for preoperative nutritional evaluation of elderly patients. Aging Clin Exp Res 2001; 4: 293–7.Google Scholar
- 29.Burness R, Horne G, Purdie G. Albumin levels and mortality in patients with hip fractures. NZ Med J 1996; 109: 56–7.Google Scholar
- 33.Reed RL, Hepburn K, Adelson R, Center B, McKnight P. Low serum albumin levels, confusion, and fecal incontinence: are these risk factors for pressure ulcers in mobility-impaired hospitalized adults? Gerontology 2003: 49: 255–9.Google Scholar