Predicting long-term mortality in hospitalized elderly patients using the new ESPEN definition

Abstract The European Society of Clinical Nutrition and Metabolism (ESPEN) recently published new diagnostic criteria for malnutrition. The aim of this study was to evaluate whether malnutrition by the new ESPEN diagnostic criteria can predict long-term mortality in elderly inpatients. We conducted...

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Autores principales:	Jiaojiao Jiang, Xiaoyi Hu, Jing Chen, Haozhong Wang, Lei Zhang, Birong Dong, Ming Yang
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bfbe67982fc44036aacc57b835233e65
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spelling	oai:doaj.org-article:bfbe67982fc44036aacc57b835233e652021-12-02T15:05:22ZPredicting long-term mortality in hospitalized elderly patients using the new ESPEN definition10.1038/s41598-017-04483-12045-2322https://doaj.org/article/bfbe67982fc44036aacc57b835233e652017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-04483-1https://doaj.org/toc/2045-2322Abstract The European Society of Clinical Nutrition and Metabolism (ESPEN) recently published new diagnostic criteria for malnutrition. The aim of this study was to evaluate whether malnutrition by the new ESPEN diagnostic criteria can predict long-term mortality in elderly inpatients. We conducted a prospective study in the acute geriatric wards. Malnutrition was defined according to the new ESPEN criteria and the Mini Nutritional Assessment (MNA), respectively. The survival status was determined by telephone interviews at 3-years. A total of 437 elderly adults were included. According to the new ESPEN criteria, 66 participants (15.1%) were malnourished. According to the MNA, 45 participants (10.3%) were identified as malnourished. The 3-year all-cause mortality was 41.7% in participants with malnutrition defined by the ESPEN criteria and 15.3% in participants without malnutrition (p < 0.001). After adjusting for relevant confounders, malnutrition defined by the ESPEN criteria was a significant predictor of 3-year all-cause mortality (hazard ratio [HR] 2.98, 95% confidence interval [CI] 1.87–4.86). However, malnutrition defined by the MNA was not a significant predictor of 3-year all-cause mortality (HR 1.67, 95% CI 0.89–2.31). In conclusion, the new ESPEN diagnostic criteria for malnutrition are reliable in predicting 3-year all-cause mortality among elderly inpatients.Jiaojiao JiangXiaoyi HuJing ChenHaozhong WangLei ZhangBirong DongMing YangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jiaojiao Jiang Xiaoyi Hu Jing Chen Haozhong Wang Lei Zhang Birong Dong Ming Yang Predicting long-term mortality in hospitalized elderly patients using the new ESPEN definition
description	Abstract The European Society of Clinical Nutrition and Metabolism (ESPEN) recently published new diagnostic criteria for malnutrition. The aim of this study was to evaluate whether malnutrition by the new ESPEN diagnostic criteria can predict long-term mortality in elderly inpatients. We conducted a prospective study in the acute geriatric wards. Malnutrition was defined according to the new ESPEN criteria and the Mini Nutritional Assessment (MNA), respectively. The survival status was determined by telephone interviews at 3-years. A total of 437 elderly adults were included. According to the new ESPEN criteria, 66 participants (15.1%) were malnourished. According to the MNA, 45 participants (10.3%) were identified as malnourished. The 3-year all-cause mortality was 41.7% in participants with malnutrition defined by the ESPEN criteria and 15.3% in participants without malnutrition (p < 0.001). After adjusting for relevant confounders, malnutrition defined by the ESPEN criteria was a significant predictor of 3-year all-cause mortality (hazard ratio [HR] 2.98, 95% confidence interval [CI] 1.87–4.86). However, malnutrition defined by the MNA was not a significant predictor of 3-year all-cause mortality (HR 1.67, 95% CI 0.89–2.31). In conclusion, the new ESPEN diagnostic criteria for malnutrition are reliable in predicting 3-year all-cause mortality among elderly inpatients.
format	article
author	Jiaojiao Jiang Xiaoyi Hu Jing Chen Haozhong Wang Lei Zhang Birong Dong Ming Yang
author_facet	Jiaojiao Jiang Xiaoyi Hu Jing Chen Haozhong Wang Lei Zhang Birong Dong Ming Yang
author_sort	Jiaojiao Jiang
title	Predicting long-term mortality in hospitalized elderly patients using the new ESPEN definition
title_short	Predicting long-term mortality in hospitalized elderly patients using the new ESPEN definition
title_full	Predicting long-term mortality in hospitalized elderly patients using the new ESPEN definition
title_fullStr	Predicting long-term mortality in hospitalized elderly patients using the new ESPEN definition
title_full_unstemmed	Predicting long-term mortality in hospitalized elderly patients using the new ESPEN definition
title_sort	predicting long-term mortality in hospitalized elderly patients using the new espen definition
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/bfbe67982fc44036aacc57b835233e65
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Predicting long-term mortality in hospitalized elderly patients using the new ESPEN definition

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