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Centre for Policy on Ageing | |
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Changes in nutritional status during the hospital stay
— a predictor of long-term survival | | Author(s) | R Antonelli Incalzi, F Landi, F Pagano |
| Journal title | Aging: Clinical and Experimental Research, vol 10, no 6, December 1998 |
| Pages | pp 490-496 |
| Keywords | Nutrition ; Diet ; Health [elderly] ; Hospital services ; Discharged patients ; Death ; Variance analysis ; Italy. |
| Annotation | Nutritional assessment has proved a key component of multidimensional assessment in recognising older patients at risk of death and disability. This prospective observational study aimed to assess whether mid-arm circumference (MAC), previously shown to predict in-hospital mortality, maintains its prognostic implication after discharge; and whether in-hospital changes in specific indicators of health status are predictors of long-term survival. 249 Italian patients aged 70 to 99 and discharged from geriatric and medical wards, had had changes in health status and health-related variables recorded while in hospital. The relationship of both sets of variables to survival over 3 years was assessed by Cox's proportional hazards regression analysis. Serum albumin and dependency in at least one activity of daily living (ADL) were found to be associated with increased mortality and MAC, i.e. there was a positive change or no change in MAC from admission to discharge, with increased survival. Effects on survival of individual variables varied in magnitude and dependency on time. Measuring in-hospital changes in nutritional status might improve prediction of long-term survival, but requires tailoring to specific prognoses. (RH). |
| Accession Number | CPA-990505004 A |
| Classmark | CF: CFD: CC: LD: LFD: CW: 3YA: 76V |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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