Impaired nutritional status in geriatric trauma patients

Background/Objectives: Malnutrition is an established risk factor for adverse clinical outcomes. Our aim was to assess nutritional status among geriatric trauma patients. Subjects/Methods: We enrolled 169 consecutive patients (⩾70 years) admitted to the Geriatric Traumatology Centre (University Hosp...

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Bibliographic Details
Published in:European journal of clinical nutrition 2017-05, Vol.71 (5), p.602-606
Main Authors: Müller, F S, Meyer, O W, Chocano-Bedoya, P, Schietzel, S, Gagesch, M, Freystaetter, G, Neuhaus, V, Simmen, H-P, Langhans, W, Bischoff-Ferrari, H A
Format: Article
Language:English
Subjects:
692/700/1518
692/700/2814
Activities of Daily Living
Aged
Aged patients
Analysis
Clinical Nutrition
Cognition
Cognitive ability
Comorbidity
Complications and side effects
Confidence intervals
Cross-Sectional Studies
Demographic aspects
Elderly patients
Epidemiology
Female
Food and nutrition
Frailty - epidemiology
Geriatric Assessment
Geriatrics
Hand Strength
Health aspects
Humans
Independent Living
Internal Medicine
Logistic Models
Male
Malnutrition
Malnutrition - diagnosis
Malnutrition - epidemiology
Medicine
Medicine & Public Health
Mental health
Metabolic Diseases
Nutrition
Nutrition Assessment
Nutritional assessment
Nutritional Status
Older people
original-article
Patients
Personal health
Prevalence
Prognosis
Prospective Studies
Public Health
Risk analysis
Risk Factors
Statistics
Switzerland
Trauma
Wounds and injuries
Wounds and Injuries - epidemiology
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Summary:Background/Objectives: Malnutrition is an established risk factor for adverse clinical outcomes. Our aim was to assess nutritional status among geriatric trauma patients. Subjects/Methods: We enrolled 169 consecutive patients (⩾70 years) admitted to the Geriatric Traumatology Centre (University Hospital Zurich, Switzerland). On admission to acute care, nutritional status was assessed with the mini nutritional assessment (score23.5=normal). At the same examination, we assessed mental (Geriatric Depression Scale; GDS) and cognitive function (Mini-Mental State Examination; MMSE), frailty status (Fried Scale), and number of comorbidities and medications. Further, discharge destination was documented. All analyses were adjusted for age and gender. Results: A total of 7.1% of patients were malnourished and 49.1% were ARM. Patients with reduced mental health (GDS⩾5: 30.5 vs 11.5%; P =0.004), impaired cognitive function (MMSE⩽26: 23.6±0.5 vs 26.0±0.6; P =0.004), prevalent frailty (32.5 vs 8%; P
ISSN:0954-3007
1476-5640
DOI:10.1038/ejcn.2017.25