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Nutritional screeni...
Nutritional screening and risk factors in elderly hospitalized patients : association to clinical outcome?
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Holst, Mette (författare)
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- Yifter-Lindgren, Elinor (författare)
- Umeå universitet,Geriatrik,Geriatric Center, Umeå
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Surowiak, Mirek (författare)
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Nielsen, Kari (författare)
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Mowe, Morten (författare)
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- Carlsson, Maine (författare)
- Umeå universitet,Geriatrik,Geriatric Center, Umeå
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Jacobsen, Bent (författare)
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- Cederholm, Tommy (författare)
- Karolinska Institutet,Uppsala universitet,Klinisk nutrition och metabolism,Geriatrik
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Fenger-Groen, Morten (författare)
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Rasmussen, Henrik (författare)
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(creator_code:org_t)
- 2012-11-26
- 2013
- Engelska.
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 27:4, s. 953-961
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- The aim of this study was to test the intervalidity of three different nutrition screening tools towards a broad population of elderly hospitalized patients. The association with risk factors and mortality was investigated. This is a prospective cohort study in three medical, surgical and geriatric settings, in Denmark and Sweden. Patients >65years were consecutively included. Patients were screened by mini-nutritional assessment (MNA), malnutrition universal screening tool (MUST) and nutritional risk screening (NRS-2002). Anthropometrics, cognitive test (SPMSQ), as well as a questionnaire investigation regarding eating problems and life situation, were performed. Mortality within 12months was investigated. In total, 233 patients mean (SD) age 81(7.64) years were included. A large variation in prevalence of nutritional risk was determined between the screening tools, MNA was 68% vs. MUST, 47% and NRS 54%, p<0.0001. An overall agreement of 67% was seen ( 0.52-0.55). Risk factors were associated with nutritional risk, including depressive mood. Only handgrip strength, fungus in mouth, serum albumin, CRP and cognitive function were associated with mortality. Fungus had the strongest association (OR 3.7; CI 1.19-11.30). The overall mortality rate was 27% during 12months. However, none of the three screening tools predicted 12-month mortality. The findings show great variation in the prevalence of nutritional risk of under nutrition both between the tools and the settings. The level of agreement between the tools was moderate, and none of the three tools were capable of predicting 12-month mortality. A functional and psychological evaluation including oral health seems recommendable in elderly patients at nutritional risk.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- elder care
- depression
- eating problems
- clinical decision-making
- multiprofessional care
- screening
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Holst, Mette
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Yifter-Lindgren, ...
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Surowiak, Mirek
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Nielsen, Kari
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Mowe, Morten
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Carlsson, Maine
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visa fler...
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Jacobsen, Bent
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Cederholm, Tommy
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Fenger-Groen, Mo ...
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Rasmussen, Henri ...
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Omvårdnad
- Artiklar i publikationen
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Scandinavian Jou ...
- Av lärosätet
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Uppsala universitet
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Umeå universitet
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Karolinska Institutet