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Mini Nutritional Assessment-Short Form을 이용한 노인 입원환자의 영양불량 유병률 조사: A Cross-sectional, Multi-center Study
Prevalence of Malnutrition in Hospitalized Elderly Korean Patients Based on Mini Nutritional Assessment-Short Form

한국정맥경장영양학회지 2014년 6권 1호 p.24 ~ p.29

이호선(Lee Ho-Sun) - 세브란스병원 영양팀
강주희(Kang Ju-Hee) - 분당제생병원 영양과
김은미(Kim Eun-Mee) - 삼성서울병원 영양팀
김원경(Kim Won-Gyoung) - 보라매병원 영양팀

Abstract

Purpose: To determine the prevalence of malnutrition in hospitalized elderly Korean patients using Mini Nutritional Assessment-Short Form (MNA-SF) in Korea.

Methods: A cross-sectional, multi-center study was performed. We enrolled 300 patients aged ≥65 years from 10 hospitals. We collected subjects’ general characteristics, including age, sex, height, weight, and diagnosis. Patients’ nutritional status was assessed using MNA-SF within 48 hours since hospital admission.

Results: The subjects were 74.2±6.3 years old, and 155 patients were male (51.7%). Cancer was the most common diagnosis (26.3%), followed by musculoskeletal (11.3%), neuromuscular (10.3%), pulmonary (9.0%), and cardiovascular disease (8.7%). The length of hospital stay was 8.7±5.9 days. According to MNA-SF, 99 patients (33.0%) were at risk of malnutrition, and 51 patients (17.0%) were malnourished. MNA-SF score showed negative correlations with age (r=?0.259, P＜0.001) and hospital stay (r=?0.168, P=0.006). Patients in the malnourished or at risk of malnutrition groups were more likely to be admitted to and stayed longer in the intensive care unit (ICU) than those of normal nutritional status (8.7% vs. 17.3%, P=0.026; 1.6±1.0days vs. 3.7±3.2 days, P=0.033). The patients who were malnourished or at risk of malnutrition were hospitalized significantly longer than those of normal nutritional status (9.8±6.2 vs. 7.7.±5.4 days, P=0.004). After adjusting for age and ICU admission, nutritional status by MNA-SF was the only risk factor for prolonged hospitalization (β=1.384, P=0.005).

Conclusion: About half of hospitalized elderly patients were at risk of malnutrition or malnutrition status at admission, and nutritional status was the only risk factor for longer hospital stay. Thus, more attention should be paid to the nutritional care of elderly patients to improve clinical outcomes.

키워드

Aged, Malnutrition, Hospitalization, Length of stay

KMID : 1034120140060010024

원문 및 링크아웃 정보

등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

참여저자수(Authors)

대표저자

DOI

KCD코드

ICD 03

건강보험코드

Mini Nutritional Assessment-Short Form을 이용한 노인 입원환자의 영양불량 유병률 조사: A Cross-sectional, Multi-center Study Prevalence of Malnutrition in Hospitalized Elderly Korean Patients Based on Mini Nutritional Assessment-Short Form

Abstract

키워드

Mini Nutritional Assessment-Short Form을 이용한 노인 입원환자의 영양불량 유병률 조사: A Cross-sectional, Multi-center Study
Prevalence of Malnutrition in Hospitalized Elderly Korean Patients Based on Mini Nutritional Assessment-Short Form