Malnutrition in patients admitted to in-hospital cardiac rehabilitation: Clinical correlates and association with mortality

Malnutrition is highly prevalent among hospitalized patients; thus, an accurate identification of malnutrition could improve the outcome of these patients. The aim of the present paper was to apply multiple methods to evaluate the prevalence of malnutrition and clinical correlates in patients admit...

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Autores principales:	Andrea Passantino, Pietro Guida, Caterina Rizzo, Rosa Carbonara, Roberta Ruggieri, Domenico Scrutinio
Formato:	article
Lenguaje:	EN
Publicado:	PAGEPress Publications 2021
Materias:	malnutrition cardiac rehabilitation heart failure cardiac surgery Mini Nutritional Assessment Medicine R
Acceso en línea:	https://doaj.org/article/dd958dec4ed44cffb15c6eb5610074df
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spelling	oai:doaj.org-article:dd958dec4ed44cffb15c6eb5610074df2021-11-25T07:45:00ZMalnutrition in patients admitted to in-hospital cardiac rehabilitation: Clinical correlates and association with mortality10.4081/monaldi.2021.19601122-06432532-5264https://doaj.org/article/dd958dec4ed44cffb15c6eb5610074df2021-11-01T00:00:00Zhttps://www.monaldi-archives.org/index.php/macd/article/view/1960https://doaj.org/toc/1122-0643https://doaj.org/toc/2532-5264 Malnutrition is highly prevalent among hospitalized patients; thus, an accurate identification of malnutrition could improve the outcome of these patients. The aim of the present paper was to apply multiple methods to evaluate the prevalence of malnutrition and clinical correlates in patients admitted to in-hospital cardiac rehabilitation. We performed a prospective study of 426 patients admitted to in-hospital cardiac rehabilitation: 282 (66.2%) had undergone a major cardiac surgery and 144 (34.8%) had experienced heart failure. The albumin level and Mini Nutritional Assessment (MNA) scores were applied to evaluate the nutritional status of these patients. Serum albumin levels were < 3.5 g/dl in 147 (34.5%) patients, and MNA scores were < 24 in 179 (42.0%) patients. Patients with malnutrition or a risk of malnutrition had lower haemoglobin values, lower EuroQol scores and poorer functional status. Female gender, age, functional status and Cumulative Illness Rating Scale severity were predictors of malnutrition. Over a median follow-up of 47 months, MNA scores <24 were associated with higher mortality, even after correction for confounding variables. In conclusion, in patients admitted to in-hospital cardiac rehabilitation, malnutrition and risk of malnutrition frequently occur and are associated with poor functional status, higher clinical complication rates and long-term mortality. Andrea PassantinoPietro GuidaCaterina RizzoRosa CarbonaraRoberta RuggieriDomenico ScrutinioPAGEPress Publicationsarticlemalnutritioncardiac rehabilitationheart failurecardiac surgeryMini Nutritional AssessmentMedicineRENMonaldi Archives for Chest Disease (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	malnutrition cardiac rehabilitation heart failure cardiac surgery Mini Nutritional Assessment Medicine R
spellingShingle	malnutrition cardiac rehabilitation heart failure cardiac surgery Mini Nutritional Assessment Medicine R Andrea Passantino Pietro Guida Caterina Rizzo Rosa Carbonara Roberta Ruggieri Domenico Scrutinio Malnutrition in patients admitted to in-hospital cardiac rehabilitation: Clinical correlates and association with mortality
description	Malnutrition is highly prevalent among hospitalized patients; thus, an accurate identification of malnutrition could improve the outcome of these patients. The aim of the present paper was to apply multiple methods to evaluate the prevalence of malnutrition and clinical correlates in patients admitted to in-hospital cardiac rehabilitation. We performed a prospective study of 426 patients admitted to in-hospital cardiac rehabilitation: 282 (66.2%) had undergone a major cardiac surgery and 144 (34.8%) had experienced heart failure. The albumin level and Mini Nutritional Assessment (MNA) scores were applied to evaluate the nutritional status of these patients. Serum albumin levels were < 3.5 g/dl in 147 (34.5%) patients, and MNA scores were < 24 in 179 (42.0%) patients. Patients with malnutrition or a risk of malnutrition had lower haemoglobin values, lower EuroQol scores and poorer functional status. Female gender, age, functional status and Cumulative Illness Rating Scale severity were predictors of malnutrition. Over a median follow-up of 47 months, MNA scores <24 were associated with higher mortality, even after correction for confounding variables. In conclusion, in patients admitted to in-hospital cardiac rehabilitation, malnutrition and risk of malnutrition frequently occur and are associated with poor functional status, higher clinical complication rates and long-term mortality.
format	article
author	Andrea Passantino Pietro Guida Caterina Rizzo Rosa Carbonara Roberta Ruggieri Domenico Scrutinio
author_facet	Andrea Passantino Pietro Guida Caterina Rizzo Rosa Carbonara Roberta Ruggieri Domenico Scrutinio
author_sort	Andrea Passantino
title	Malnutrition in patients admitted to in-hospital cardiac rehabilitation: Clinical correlates and association with mortality
title_short	Malnutrition in patients admitted to in-hospital cardiac rehabilitation: Clinical correlates and association with mortality
title_full	Malnutrition in patients admitted to in-hospital cardiac rehabilitation: Clinical correlates and association with mortality
title_fullStr	Malnutrition in patients admitted to in-hospital cardiac rehabilitation: Clinical correlates and association with mortality
title_full_unstemmed	Malnutrition in patients admitted to in-hospital cardiac rehabilitation: Clinical correlates and association with mortality
title_sort	malnutrition in patients admitted to in-hospital cardiac rehabilitation: clinical correlates and association with mortality
publisher	PAGEPress Publications
publishDate	2021
url	https://doaj.org/article/dd958dec4ed44cffb15c6eb5610074df
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Malnutrition in patients admitted to in-hospital cardiac rehabilitation: Clinical correlates and association with mortality

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