Cent Eur J Nurs Midw 2011, 2(1):179-183

Nutritional assessment of patients in long-term care institutions

Radka Kozáková*, Lenka Kroulíková, Darja Jarošová
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava

Aim: The prevalence of malnutrition in hospitalized elderly patients is in the range between 30-60% and is associated with a higher incidence of morbidity and mortality. Scale for assessment of nutritional status (MNA) and malnourished universal screening tool (MUST) are screening and assessment tools aimed at identifying malnutrition and people at risk of malnutrition. The aim of this study was to find out the nutritional status of elderly hospitalized patients in two medical institutions for long-term ill.

Methods: The study included 100 patients (54 women and 46 men, mean age 77.17 years). Statistical analysis was performed using software SPSS version 17.0. ANOVA test was used for testing the relationships and dependencies. Testing of measuring instruments, the MNA and MUST took place in the elderly hospitalized patients in two medical institutions for long-term ill.

Results: The MNA test revealed more high-risk patients or patients at risk of malnutrition (n = 64) than the test MUST (n = 28) and also confirmed a statistically significant relationship between length of stay, and these tests evaluating malnutrition.

Conclusion: Problematic of nutrition in elderly patients in medical institutions must not be neglected area in the care of the elderly, because good nutritional status is a prerequisite for quicker recovery and return to normal life.

Keywords: patients elder 65 years of age, nutrition, evaluation, Mini Nutritional Assessment (MNA), Malnutrition Universal Screening Tool (MUST)

Published: March 30, 2011  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Kozáková R, Kroulíková L, Jarošová D. Nutritional assessment of patients in long-term care institutions. Ošetřovatelství a porodní asistence. 2011;2(1):179-183.
Download citation

References

  1. ADAMS, N. E. et al. 2008. Recognition by medical and nursing professional of malnutrition and risk of malnutrition in elderly hospitalised patients. Nutrition &Dietetics. 2008, vol. 68, no. 2, s. 144-150. Go to original source...
  2. BUFFA R. et al. 2010. Nutritional status in the healthy longeval population from Sardinia. Nutrition Health aging. 2010, vol. 14, no. 2, p. 97-102. Go to original source... Go to PubMed...
  3. CACCIALANZA, R. et al. 2010. Nutritional parameters associated with prolonged hospitAl stay among ambulatory adult patients. Canadian Medical Association. 2010, vol. 182, no. 17, p. 1831-1832. Go to original source... Go to PubMed...
  4. CORISH, C. A., KENNEDY, N. P. 2000. Protein energy undernutrition in hospital i patiens. British Journal of Nutrition. 2000, vol. 83, no. 6, p. 575-591. Go to original source... Go to PubMed...
  5. ELIA, M. 2003. Screening for Malnutrition: A Multidisciplinary Responsibility. Development and Use of the Malnutrition Universal Screening Tool (MUST) for adults. Redditch: Bapen. 2003.
  6. GUIGOZ, Y., HELLAS, B., GARRY, P. J. 1996. Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation. Nutr Rev. 1996, vol. 54, p. 59-65. Go to original source... Go to PubMed...
  7. HUMPHREYS, J. et al. 2002. Muscle strength as a predictor of loss of functional status in hospitalized patients. Nutrition, vol. 18, no. 7-8, p. 616-620. Go to original source... Go to PubMed...
  8. KELLY, I. et al. 2000. Still hungry in hospital identifying malnutrition in acute hospital admissions. International Journal of Medicíně. 2000, vol. 93, no. 2, p. 93-98. Go to original source... Go to PubMed...
  9. KUBEŠOVÁ, H., WEBER, P. 2008. Poruchy příjmu potravy ve stáří. Interní. Med. 2008, roč. 10, č.1, s. 64-68.
  10. KULNIK, D., ELMADFA, I. 2008. Assessment of the nutritional situation of elderly nursing home residents in Vienna. Annals of nutrition. 2008, vol. 52, no. 1, s. 51-53. Go to original source... Go to PubMed...
  11. LANGIANO, E. et. al. 2009. Nutritional status of elderly institutionalized subjects in a health district in Frosinone (Italy). Ig Sanita Pubbl. 2009, vol. 65, no. 1, p. 17-28. Go to PubMed...
  12. LOBO TÁMER, G., RUIZ LÓPEZ, M. D., PERÉZ DE LA CRUZ. 2010. Hospital malnutrition: relation between the hospital length of stay and the rate of early readmissions. Medicina cloníc. 2010, vol. 21, no. 10, p. 382-383.
  13. LJUNGQVIST, O. 2009. The European fight against malnutrition. Clinical Nutrition. 2009. [cit. 2011-03-01]. dostupné z : www.europeannutrition.org/files/pdf_pdf_76.pdf
  14. MEYER, R. 2006. Nutritional Support Recommendations. (An Evidence based Approach and the Application in Europe). ESPEN-FELANPE Symposium Istanbul 2006.
  15. NORMAN, K. et al. 2008. Prognostic impact of diseaserelated malnutrition. Clin Nutr. 2008, vol. 27, no. 1, p. 5-15. Go to original source... Go to PubMed...
  16. OLIVEIRA, M. R. et al. 2009. Nutritional status and functional capacity of hospitalized elderly. Nutrition Journal. 2009, vol. 17, no. 8, p. 54. Go to original source... Go to PubMed...
  17. OZTURK, E., CAN, M., DAG., B. 2009. Comparison of Nutritional risk screening tool (NRS 2002) and Subjective Global Assessment (SGA) for nutritional screening and assessment at hospital admission. Clinical Nutrition Supplements. 2009 vol. 4, no. 2, p. 88. Go to original source...
  18. PERÉZ, D. et al. 2010. Nutritional status in elderly patients with a hip fracture. Nutr. Hosp. 2010, vol. 25, no. 4, p. 676681. Go to PubMed...
  19. RASLAN, M., GONZALES, M., WAITZBERG, D. 2009. Complementarity between Subjective global assessment (SGA) and Nutritional risk screening (NRS 2002) to predict clinical outcomes. Clinical Nutrition Supplements, Vol. 4, No. 2, p. 97. Go to original source...
  20. SCHNEIDER, S. M. et al. 2004. Malnutrition is an independent factor associated with nosocomial infections. Br J Nutr. 2004, vol. 92, no. 1, p. 105-111. Go to original source... Go to PubMed...
  21. SORENSEN, J. et al. 2008. EuroOOPS: an international, multicentre study to implement nutritional risk screening and evaluate clinical outcome. Clin Nutr. 2008, vol. 27, no. 3, p 340-349. Go to original source... Go to PubMed...
  22. STRATTON, R. J. et al. 2006. Malnutrition Universal Screening Tool' predicts mortality and length of hospital stay in acutely ill elderly. Br. J. Nutrition. 2006 vol. 95, no. 2, p. 325-330. Go to original source... Go to PubMed...
  23. STRATTON, R. J., GREEN, C. J., ELIA, M. 2003. Diseaserelated malnutrition: an evidence based approach to treatment. Wallingford: CABI Publishing. 2003. Go to original source...
  24. TOMÍŠKA, M. 2007. Umělá klinická výživa [online]. Brno: Masarykova univerzita. [cit. 2008-07-18]. Dostupné z WWW: http://www.med.muni.cz/~mpesl/trafficjam/Interny/zIHOKu/vyziva.ppt
  25. TOPINKOVÁ, E. 2003. Využití standardizovaných škál pro hodnocení výživy u starších nemocných. Česká geriatrická revue. 2003, vol. 1, no. 1, s. 6-11.

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.