The prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients

Vjollca Shpata,1 Ilir Ohri,2 Tatjana Nurka,1 Xhensila Prendushi1 1Faculty of Medical Technical Sciences, 2University Hospital Center of Tirana “Mother Theresa”, Faculty of Medicine, University of Medicine in Tirana, Tirana, Albania Purpose: Many investigators have reported r...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Shpata V, Ohri I, Nurka T, Prendushi X
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	critically ill elderly ICU mortality morbidity malnutrition Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/c1679346d75e414094e18e45c337fc89
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:c1679346d75e414094e18e45c337fc89
record_format	dspace
spelling	oai:doaj.org-article:c1679346d75e414094e18e45c337fc892021-12-02T00:28:35ZThe prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients1178-1998https://doaj.org/article/c1679346d75e414094e18e45c337fc892015-02-01T00:00:00Zhttps://www.dovepress.com/the-prevalence-and-consequences-of-malnutrition-risk-in-elderly-albani-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Vjollca Shpata,1 Ilir Ohri,2 Tatjana Nurka,1 Xhensila Prendushi1 1Faculty of Medical Technical Sciences, 2University Hospital Center of Tirana “Mother Theresa”, Faculty of Medicine, University of Medicine in Tirana, Tirana, Albania Purpose: Many investigators have reported rising numbers of elderly patients admitted to the intensive care units (ICUs). The aim of the study was to estimate the prevalence of malnutrition risk in the ICU by comparing the prevalence of malnutrition between older adults (aged 65 years and above) and adults (aged 18–64 years), and to examine the negative consequences associated with risk of malnutrition in older adults. Materials and methods: A prospective cohort study in the ICU of the University Hospital Center of Tirana, Albania, was conducted. Logistic regression analysis was used to analyze the effect of malnutrition risk on the length of ICU stay, the duration of being on the ventilator, the total complications, the infectious complications, and the mortality. Results: In this study, 963 patients participated, of whom 459 patients (47.7%) were aged ≥65 years. The prevalence of malnutrition risk at the time of ICU admission of the patients aged ≥65 years old was 71.24%. Logistic regression adjusted for confounders showed that malnutrition risk was an independent risk factor of poor clinical outcome for elderly ICU patients, for 1) infections (odds ratio [OR] =4.37; 95% confidence interval [CI]: 2.61–7.31); 2) complications (OR =6.73; 95% CI: 4.26–10.62); 3) mortality (OR =2.68; 95% CI: 1.72–4.18); and 4) ICU length of stay >14 days (OR =5.18, 95% CI: 2.43–11.06). Conclusion: Malnutrition risk is highly prevalent among elderly ICU patients, especially among severely ill patients with malignancy admitted to the emergency ward. ICU elderly patients at malnutrition risk will have higher complication and infection rates, longer duration of ICU stay, and increased mortality. Efforts should be made to implement a variety of nutritional care strategies, to change the nutritional practices not only at ward level, but nationally, according to the best clinical practice and recent guidelines. Keywords: elderly ICU patients, ICU mortality, morbidity, malnutrition riskShpata VOhri INurka TPrendushi XDove Medical Pressarticlecritically illelderlyICU mortalitymorbiditymalnutritionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 481-486 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	critically ill elderly ICU mortality morbidity malnutrition Geriatrics RC952-954.6
spellingShingle	critically ill elderly ICU mortality morbidity malnutrition Geriatrics RC952-954.6 Shpata V Ohri I Nurka T Prendushi X The prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients
description	Vjollca Shpata,1 Ilir Ohri,2 Tatjana Nurka,1 Xhensila Prendushi1 1Faculty of Medical Technical Sciences, 2University Hospital Center of Tirana “Mother Theresa”, Faculty of Medicine, University of Medicine in Tirana, Tirana, Albania Purpose: Many investigators have reported rising numbers of elderly patients admitted to the intensive care units (ICUs). The aim of the study was to estimate the prevalence of malnutrition risk in the ICU by comparing the prevalence of malnutrition between older adults (aged 65 years and above) and adults (aged 18–64 years), and to examine the negative consequences associated with risk of malnutrition in older adults. Materials and methods: A prospective cohort study in the ICU of the University Hospital Center of Tirana, Albania, was conducted. Logistic regression analysis was used to analyze the effect of malnutrition risk on the length of ICU stay, the duration of being on the ventilator, the total complications, the infectious complications, and the mortality. Results: In this study, 963 patients participated, of whom 459 patients (47.7%) were aged ≥65 years. The prevalence of malnutrition risk at the time of ICU admission of the patients aged ≥65 years old was 71.24%. Logistic regression adjusted for confounders showed that malnutrition risk was an independent risk factor of poor clinical outcome for elderly ICU patients, for 1) infections (odds ratio [OR] =4.37; 95% confidence interval [CI]: 2.61–7.31); 2) complications (OR =6.73; 95% CI: 4.26–10.62); 3) mortality (OR =2.68; 95% CI: 1.72–4.18); and 4) ICU length of stay >14 days (OR =5.18, 95% CI: 2.43–11.06). Conclusion: Malnutrition risk is highly prevalent among elderly ICU patients, especially among severely ill patients with malignancy admitted to the emergency ward. ICU elderly patients at malnutrition risk will have higher complication and infection rates, longer duration of ICU stay, and increased mortality. Efforts should be made to implement a variety of nutritional care strategies, to change the nutritional practices not only at ward level, but nationally, according to the best clinical practice and recent guidelines. Keywords: elderly ICU patients, ICU mortality, morbidity, malnutrition risk
format	article
author	Shpata V Ohri I Nurka T Prendushi X
author_facet	Shpata V Ohri I Nurka T Prendushi X
author_sort	Shpata V
title	The prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients
title_short	The prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients
title_full	The prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients
title_fullStr	The prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients
title_full_unstemmed	The prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients
title_sort	prevalence and consequences of malnutrition risk in elderly albanian intensive care unit patients
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/c1679346d75e414094e18e45c337fc89
work_keys_str_mv	AT shpatav theprevalenceandconsequencesofmalnutritionriskinelderlyalbanianintensivecareunitpatients AT ohrii theprevalenceandconsequencesofmalnutritionriskinelderlyalbanianintensivecareunitpatients AT nurkat theprevalenceandconsequencesofmalnutritionriskinelderlyalbanianintensivecareunitpatients AT prendushix theprevalenceandconsequencesofmalnutritionriskinelderlyalbanianintensivecareunitpatients AT shpatav prevalenceandconsequencesofmalnutritionriskinelderlyalbanianintensivecareunitpatients AT ohrii prevalenceandconsequencesofmalnutritionriskinelderlyalbanianintensivecareunitpatients AT nurkat prevalenceandconsequencesofmalnutritionriskinelderlyalbanianintensivecareunitpatients AT prendushix prevalenceandconsequencesofmalnutritionriskinelderlyalbanianintensivecareunitpatients
_version_	1718403704147673088

The prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients

Ejemplares similares