Cent Eur J Nurs Midw 2020, 11(2):70-77 | DOI: 10.15452/cejnm.2020.11.0012

Nutritional status of hospitalized elderly with coronary heart disease

Katka Bobčíková, Hana Lukšová
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Czech Republic

Aim: The quantitative study aimed to assess nutritional status of elderly patients with coronary heart disease using two standardized tools.

Design: A quantitative study.

Methods: Data were obtained with the Mini Nutritional Assessment (MNA) and Malnutrition Universal Screening Tool (MUST). In addition, sociodemographic data were collected and the Barthel Index of Activities of Daily Living was used to assess patients’ functional independence. The sample comprised 103 patients staying on a cardiovascular ward between April and September 2018.

Results: Based on assessment with MNA and MUST, malnutrition or the risk of malnutrition was revealed in approximately 37% and 26% of participants, respectively. Comparison of the two tools revealed significant statistical asymmetry between the results (p = 0.028). Full agreement was observed in 75.7% of participants, with a kappa coefficient of 0.44; this may be interpreted as “average” statistically significant agreement (p < 0.001). The study revealed statistically significant relationships between functional independence and nutritional status assessed with both the MNA (p < 0.001) and MUST (p = 0.001). There was also a statistically significant relationship between age and nutritional status assessed with both tools (p = 0.038).

Conclusion: Over a third of elderly patients diagnosed with coronary heart disease staying on a cardiovascular ward suffered from malnutrition. Therefore, more attention should be paid to nutritional status of cardiac patients.

Keywords: coronary heart disease, Malnutrition Universal Screening Tool, Mini Nutritional Assessment, nutritional status, elderly

Received: October 16, 2019; Revised: April 27, 2020; Accepted: May 3, 2020; Published: June 5, 2020  Show citation

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Bobčíková K, Lukšová H. Nutritional status of hospitalized elderly with coronary heart disease. Central European Journal of Nursing and Midwifery. 2020;11(2):70-77. doi: 10.15452/cejnm.2020.11.0012.
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    References

    1. Castro-Vega, I., Veses Martin, S., Cantero Llorca, J., Barrios Marta, C., Monzó Albiach, N., Bañuls Morant, C., & Hernández-Mijares, A. (2017). Prevalencia de riesgo de desnutrición y desnutrición establecida en población ambulatoria, institucionalizada y hospitalizada en un departamento de salud. Nutrición Hospitalaria, 34(4), 889-898. https://dx.doi.org/10.20960/nh.847 (in Spanish) Go to original source... Go to PubMed...
    2. Cereda, E., Pedrolli, C., Klersy, C., Bonardi, C., Quarleri, L., Cappello, S., Turri. A., Rondanelli, M., & Caccialanza, R. (2016). Nutritional status in older persons according to healthcare setting: A systematic review and meta-analysis of prevalence data using MNA®. Clinical Nutrition, 35(6), 1282-1290. https://doi.org/10.1016/j.clnu.2016.03.008 Go to original source... Go to PubMed...
    3. Báčová, P. (2016, November 14). Češi nejčastěji umírají na nemoci oběhové soustavy. Český statistický úřad. https://www.czso.cz/csu/czso/cesi-nejcasteji-umiraji-na-nemoci-obehove-soustavy (in Czech)
    4. Diekmann, R., Winning, K., Uter, W., Kaiser, M. J., Sieber, C. C., Volkert, D., & Bauer, J. M. (2013). Screening for malnutrition among nursing home residents - a comparative analysis of the Mini Nutritional Assessment, the Nutritional Risk Screening, and the Malnutrition Universal Screening Tool. The Journal of Nutrition Health and Aging, 17(4), 326-331. https://doi.org/10.1007/s12603-012-0396-2 Go to original source... Go to PubMed...
    5. Donini, L. M., Poggiogalle, E., Molfino, A., Rosano, A., Lenzi, A., Rossi Fanelli, F., & Muscaritoli, M. (2016). Mini-Nutritional Assessment, Malnutrition Universal Screening Tool, and Nutrition Risk Screening Tool for the nutritional evaluation of older nursing home residents. Journal of the American Medical Directors Association, 17(10), 959.e11-18. https://doi.org/10.1016/j.jamda.2016.06.028 Go to original source... Go to PubMed...
    6. Doundoulakis, I., Poulia, K. A., Antza, C., Bouras, E., Kasapidou, E., Klek, S., & Chourdakis, M. (2018). Screening for malnutrition among people accessing health services at Greek public hospitals: results from an observational multicenter study. Journal of Parenteral and Enteral Nutrition, 42(4), 709-718. https://doi.org/10.1177/0148607117722748 Go to original source... Go to PubMed...
    7. Elia, M. (2003). The ʽMUSTʼ report. Nutritional screening for adults: a multidisciplinary responsibility. Development and use of the ʽMalnutrition Universal Screening Toolʼ (MUST) for adults. British Association for Parenteral and Enteral Nutrition (BAPEN).
    8. Furuta, M., Komiya-Nonaka, M., Akifusa, S., Shimazaki, Y., Adachi, M., Kinoshita, T., Kikutani, T., & Yamashita, Y. (2013). Interrelationship of oral health status, swallowing function, nutritional status, and cognitive ability with activities of daily living in Japanese elderly people receiving home care services due to physical disabilities. Community Dentistry and Oral Epidemiology, 41(2), 173-181. https://doi.org/10.1111/cdoe.12000 Go to original source... Go to PubMed...
    9. Guigoz, Y., Vellas, B., & Garry, P. J. (1994). Mini Nutritional Assessment: a practical assessment tool for grading the nutritional state of elderly patient. In. Y. Guigoz, B. Vellas, & P. J. Garry. The Mini Nutritional Assessment: MNA. Nutrition in the elderly. Fact and research in gerontology (Supplement 2: pp. 15-59). Serdi Publishing Company.
    10. Guigoz, Y. (2006). The Mini Nutritional Assessment (MNA) review of the literature - what does it tell us? The Journal of Nutrition, Health and Aging, 10(6), 466-487.
    11. Kalvach, Z., Zadák, Z., Jirák, R., Zavázalová, H., Sucharda P., Baštecký, J., Benešová, V., Branald, P., Broulík, P., Burcin, B., Bureš, I., Čanaklisová, K., Češka, R., Drábková, J., Dušková, J., Fait, T., Grivna, M., Haber, J., Hanuš, M., Hanuš, T., & Žižkovský, P. (2004). Geriatrie a gerontologie. Grada Publishing, a.s. (in Czech)
    12. Kasper, H., & Burghardt, W. (2015). Výživa v medicíně a dietetika. Grada Publishing, a.s. (in Czech)
    13. Kozáková, R., Kroulíková, L., & Jarošová, D. (2011a). Hodnocení stavu výživy pacientů v zařízeních dlouhodobé péče. Ošetřovatelství a porodní asistence, 2(1), 179-183. (in Czech)
    14. Kozáková R., Jarošová, D., Zeleníková, R., & Bocková, S. (2011b). Nástroje k hodnocení nutričního stavu hospitalizovaných pacientů. Hygiena, 56(1), 18-21. (in Czech)
    15. Kozáková, R., & Adamčíková, B. (2013). Hodnocení stavu výživy hospitalizovaných seniorů na gerontropsychiatrii. Hygiena, 58(3), 121-124. (in Czech) Go to original source...
    16. Lukšová, H., & Vrublová, Y. (2014). Stav výživy seniorů v institucionální péči. Hygiena, 59(1), 17-20. (in Czech) Go to original source...
    17. Miao, J. P., Quan, X. Q., Zhang, C. T., Zhu, H., Ye, M., Shen, L. Y., Guo, Q. H., Zhu, G. Y, Mei, Q. J., Wu, Y. X., Li, S. G., & Zhou, H. L. (2019). Comparison of two malnutrition risk screening tools with nutritional biochemical parameters, BMI and length of stay in Chinese geriatric inpatients: a multicenter, cross-sectional study. BMJ Open, 9, e022993. https://doi.org/10.1136/bmjopen-2018-022993 Go to original source... Go to PubMed...
    18. Pathirana, A. K., Lokunarangoda, N., Ranathunga, I., Santharaj, W. S., Ekanayake, R., & Jayawardena, R. (2014). Prevalence of hospital malnutrition among cardiac patients: results from six nutrition screening tools. SpringerPlus, 3, 412. https://doi.org/10.1186/2193-1801-3-412 Go to original source... Go to PubMed...
    19. Smith, S., Chamblee, T. B., Falder-Saeed, K., Haight, K., Horbal Shuster, M., Waldo, M. J., & Lan Yoon, H. (2017, January). Malnutrition in Hospitalized Adult Patients. NACNS. https://nacns.org/wp-content/uploads/2017/01/Malnutrition-Report.pdf
    20. Sobotka, L. (2010). Stáří. In Š. Svačina, I. Aldhoon Hainerová, A. Bretšnajdrová, P. Broulík, R. Češka, S. Dusilová Sulková, M. Haluzík, I. Holcátová, J. Horáček, J. Housová, J. Hradec, A. Jabor, A. Kazda, E. Kotrlíková, J. Křížová, J. Lebl, P. Martásek, M. Matoulek, D. Müllerová, ... & J. Živný. Poruchy metabolismu a výživy (pp. 453-460). Galén. (in Czech)
    21. Stratton, R. J. , King, C. L., Stroud, M. A., Jackson, A. A., & Elia, M. (2006). ʽMalnutrition Universal Screening Tool' predicts mortality and length of hospital stay in acutely ill elderly. British Journal of Nutrition, 95(2), 325-330. https://doi.org/10.1079/bjn20051622 Go to original source... Go to PubMed...
    22. Šenkyřík, M. (2015). Poruchy výživy ve stáří. In. H. Matějovská Kubešová, P. Weber, H. Meluzínová, D. Weberová, S. Sellner Švestková, J. Kissová, J. Matějovský, J. Trna, M. Šenkyřík, V. Prudius, V. Polcarová, K. Starý, V. Marek, K. Greplová, & K. Bielaková. Vybrané klinické stavy u seniorů. Úskalí diagnostiky a terapie (pp. 117-136). Mladá fronta. (in Czech)
    23. Špinar, J., Vítovec, J., Soška, V., Chaloupka, V., Špinarová, L., Bakala, J., Groch, L., Špác, J., Hlinomaz, O., Novák, M., Mullerová, J., Semrád, B., Kozák, M., Souček, M., & Kala, P. (2003). Ischemická choroba srdeční. Grada Publishing, a.s. (in Czech)
    24. Štejfa, M., Bakala, J., Bravený, P., Brázdová, Z., Bruthans, J., Čerbák, R., Černý, J., Dostálek, M., Dvořák, K., Elbl, L., Fiala, M., Fráňa, P., Gerylovová, A., Groch, L., Heine, P., Hlinomaz, O., Hobzová, M., Hofírek, I., Holčík, I., Hude, P., … & Zeman, K. (2007). Kardiologie (3rd ed.). Grada Publishing, a.s. (in Czech)
    25. Topinková, E. (2003). Využití standardizovaných škál pro hodnocení stavu výživy u starších nemocných. Česká Geriatrická Revue, 1(1), 6-11. (in Czech)
    26. Topinková, E. (2005). Geriatrie pro praxi. Galén. (in Czech)
    27. Valentini, A., Federici, M., Assunta Cianfarani, M., Tarantino, U., & Bertoli, A. (2018). Frailty and nutritional status in older people: the Mini Nutritional Assessment as a screening tool for the identification of frail subjects. Clinical Interventions in Aging, 13, 1237-1244. https://doi.org/10.2147/CIA.S164174 Go to original source... Go to PubMed...

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