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Fast and simple screening for nutritional status in hospitalzed, elderly people. Anna Edda Asgeirsdottir, Clinical Dietitian Dietetic Department Landspitali-university Hospital, Iceland. Affiliations.

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Affiliations

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  1. Fast and simple screening for nutritional status in hospitalzed, elderly people.Anna Edda Asgeirsdottir, Clinical DietitianDietetic DepartmentLandspitali-university Hospital, Iceland

  2. Affiliations • Unit for Nutrition Research, Landspitali-University Hospital and Department of Food Science, Reykjavik, Iceland • Department of Geriatry, Faculty of Medicine and Landspitali-University Hospital, Reykjavik, Iceland • Deparment of Geriatry, Landspitali-University Hospital, Reykjavik, Iceland Thorsdottir et al., 2003

  3. Introduction • Undernutrition has been frequently reported among elderly hospitalized patients. • It has been shown that 30-50% hospital admissions are affected and that there is a failure in recognizing the existance of this problem • In the present study we investigated elderly people hospitalized in the Landspitali-University Hospital in Reykjavik

  4. Methods - Screening • Two seperate screening tools were used in this study • The SSM was based on previously published work by Elmore et at., (1994) and further developed and evaluated at the Unit for Nutrition Research at the Landspitali-University Hospital for as a screening for malnutrition among patients at submission to hospital by Thorsdottir et at., (2001)

  5. Methods - Screening • The MNA was used as the second screening tool. The MNA was designed to provide a rapid assessment of nutritional risk in old people (Guigoz et al., 2002) and is composed of four parts: antropometric measurements, global assessments, dietary questionnaire and subjective assessment

  6. Construction of a new screening tool • It was aimed to constuct a new screening tool which should contain fewer questions than MNA and SSM, but be more sensitive and specific, by combining questions from MNA and SSM. To extract the most important questions which matter in the screening of nutritional status

  7. Methods - Subjects • Data from 60 patients from the Department of Geriatrics, randomly assigned to participate in this study(> 65 years) were used to calculate sensitivity and specificity from MNA and SSM

  8. Assessment of nutritional status in elderly people • Full nutrition assessment (FNA) • Body mass index (BMI) • Information on unintended weight loss • Triceps skinfold thickness • Midarm muscle circumference • Serum albumin • Serum prealbumin • Total lymphocyte count • Patients were defined malnourished when at least • three of the seven parameters were below reference

  9. Discussion • More than 58% of the investigated patients were malnourished with no difference between men and women. This high prevalence of malnutrition demonstrates the importance of considering nutritional status in elderly hospitalized patients.

  10. Conclusion • Malnutrition is frequent in elderly hospitalized patients. A simple and fast screening tool containing only four questions is sufficient to conduct precise nutritional screening.

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