Predictive Value of Nutritional Risk Screening 2002 and Mini Nutritional Assessment Short Form in Mortality in Chinese Hospitalized Geriatric Patients

Xiaoyan Zhang,* Xingliang Zhang,* Yunxia Zhu, Jun Tao, Zhen Zhang, Yue Zhang, Yanyan Wang, YingYing Ke, ChenXi Ren, Jun Xu Department of Geriatrics, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai 200233, People’s Republic of China*These authors contribu...

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Autores principales:	Zhang X, Zhu Y, Tao J, Zhang Z, Zhang Y, Wang Y, Ke Y, Ren C, Xu J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	nrs2002 mna-sf elderly nutritional screening malnutrition Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/886eef0a93724e50ad46c7fd27e0dec6
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spelling	oai:doaj.org-article:886eef0a93724e50ad46c7fd27e0dec62021-12-02T09:04:21ZPredictive Value of Nutritional Risk Screening 2002 and Mini Nutritional Assessment Short Form in Mortality in Chinese Hospitalized Geriatric Patients1178-1998https://doaj.org/article/886eef0a93724e50ad46c7fd27e0dec62020-03-01T00:00:00Zhttps://www.dovepress.com/predictive-value-of-nutritional-risk-screening-2002-and-mini-nutrition-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Xiaoyan Zhang,* Xingliang Zhang,* Yunxia Zhu, Jun Tao, Zhen Zhang, Yue Zhang, Yanyan Wang, YingYing Ke, ChenXi Ren, Jun Xu Department of Geriatrics, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai 200233, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiaoyan Zhang Email zhangxy971088@hotmail.comBackground and Aim: The presence of malnutrition in hospitalized geriatric patients is associated with an increased risk of mortality. This study aimed to examine the performance of Nutritional Risk Screening 2002 (NRS2002) and Mini Nutritional Assessment Short Form (MNA-SF) in predicting mortality for hospitalized geriatric patients in China.Methods: A prospective analysis was performed in 536 hospitalized geriatric patients aged ≥ 65 years. Nutrition status was assessed using the MNA-SF and NRS2002 scales within 24 hrs of admission. Anthropometric measures and biochemical parameters were carried out for each patient. Patients were follow-up for up to 2.5 years.Results: At baseline, 161 (30.04%) patients had malnutrition/nutritional risk according to NRS2002 assessment. According to MNA-SF, 284 (52.99%) patients had malnutrition/nutritional risk. Malnutrition/nutritional risk patients had lower anthropometric and biochemical parameters (P< 0.05). NRS2002 and MNA-SF had a strong correlation with classical nutritional markers (P< 0.05). NRS2002 versus MNA-SF showed moderate agreement (kappa=0.493, P< 0.001). During a median follow-up time of 795 days (range 10– 947 days), 118 (22%) participants died. The Kaplan–Meier curve demonstrated that malnutrition/nutritional risk patients according to NRS2002 or MNA-SF assessment had a higher risk of mortality than the normal nutrition patients (χ2=17.67, P< 0.001; χ2=28.999, P< 0.001, respectively). From the components of the Cox regression multivariate models, only the NRS2002 score was an independent risk factor inﬂuencing the mortality.Conclusion: Both NRS2002 and MNA-SF scores could predict mortality in Chinese hospitalized geriatric patients. But only NRS2002 score was the independent predictor for mortality.Keywords: NRS2002, MNA-SF, elderly, nutritional screening, malnutritionZhang XZhang XZhu YTao JZhang ZZhang YWang YKe YRen CXu JDove Medical Pressarticlenrs2002mna-sfelderlynutritional screeningmalnutritionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 441-449 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	nrs2002 mna-sf elderly nutritional screening malnutrition Geriatrics RC952-954.6
spellingShingle	nrs2002 mna-sf elderly nutritional screening malnutrition Geriatrics RC952-954.6 Zhang X Zhang X Zhu Y Tao J Zhang Z Zhang Y Wang Y Ke Y Ren C Xu J Predictive Value of Nutritional Risk Screening 2002 and Mini Nutritional Assessment Short Form in Mortality in Chinese Hospitalized Geriatric Patients
description	Xiaoyan Zhang,* Xingliang Zhang,* Yunxia Zhu, Jun Tao, Zhen Zhang, Yue Zhang, Yanyan Wang, YingYing Ke, ChenXi Ren, Jun Xu Department of Geriatrics, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai 200233, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiaoyan Zhang Email zhangxy971088@hotmail.comBackground and Aim: The presence of malnutrition in hospitalized geriatric patients is associated with an increased risk of mortality. This study aimed to examine the performance of Nutritional Risk Screening 2002 (NRS2002) and Mini Nutritional Assessment Short Form (MNA-SF) in predicting mortality for hospitalized geriatric patients in China.Methods: A prospective analysis was performed in 536 hospitalized geriatric patients aged ≥ 65 years. Nutrition status was assessed using the MNA-SF and NRS2002 scales within 24 hrs of admission. Anthropometric measures and biochemical parameters were carried out for each patient. Patients were follow-up for up to 2.5 years.Results: At baseline, 161 (30.04%) patients had malnutrition/nutritional risk according to NRS2002 assessment. According to MNA-SF, 284 (52.99%) patients had malnutrition/nutritional risk. Malnutrition/nutritional risk patients had lower anthropometric and biochemical parameters (P< 0.05). NRS2002 and MNA-SF had a strong correlation with classical nutritional markers (P< 0.05). NRS2002 versus MNA-SF showed moderate agreement (kappa=0.493, P< 0.001). During a median follow-up time of 795 days (range 10– 947 days), 118 (22%) participants died. The Kaplan–Meier curve demonstrated that malnutrition/nutritional risk patients according to NRS2002 or MNA-SF assessment had a higher risk of mortality than the normal nutrition patients (χ2=17.67, P< 0.001; χ2=28.999, P< 0.001, respectively). From the components of the Cox regression multivariate models, only the NRS2002 score was an independent risk factor inﬂuencing the mortality.Conclusion: Both NRS2002 and MNA-SF scores could predict mortality in Chinese hospitalized geriatric patients. But only NRS2002 score was the independent predictor for mortality.Keywords: NRS2002, MNA-SF, elderly, nutritional screening, malnutrition
format	article
author	Zhang X Zhang X Zhu Y Tao J Zhang Z Zhang Y Wang Y Ke Y Ren C Xu J
author_facet	Zhang X Zhang X Zhu Y Tao J Zhang Z Zhang Y Wang Y Ke Y Ren C Xu J
author_sort	Zhang X
title	Predictive Value of Nutritional Risk Screening 2002 and Mini Nutritional Assessment Short Form in Mortality in Chinese Hospitalized Geriatric Patients
title_short	Predictive Value of Nutritional Risk Screening 2002 and Mini Nutritional Assessment Short Form in Mortality in Chinese Hospitalized Geriatric Patients
title_full	Predictive Value of Nutritional Risk Screening 2002 and Mini Nutritional Assessment Short Form in Mortality in Chinese Hospitalized Geriatric Patients
title_fullStr	Predictive Value of Nutritional Risk Screening 2002 and Mini Nutritional Assessment Short Form in Mortality in Chinese Hospitalized Geriatric Patients
title_full_unstemmed	Predictive Value of Nutritional Risk Screening 2002 and Mini Nutritional Assessment Short Form in Mortality in Chinese Hospitalized Geriatric Patients
title_sort	predictive value of nutritional risk screening 2002 and mini nutritional assessment short form in mortality in chinese hospitalized geriatric patients
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/886eef0a93724e50ad46c7fd27e0dec6
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Predictive Value of Nutritional Risk Screening 2002 and Mini Nutritional Assessment Short Form in Mortality in Chinese Hospitalized Geriatric Patients

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