The Mini Nutritional Assessment for Preoperative Nutritional Evaluation: A Study on 419 Elderly Surgical Patients

1999 ◽  
pp. 117-121 ◽  
Author(s):  
R Cohendy
Keyword(s):  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Surgical Patients ◽  
Nutritional Evaluation

Challenges in nutritional evaluation of hospitalized elderly; always with mini-nutritional assessment?

2013 ◽  
Vol 4 (4) ◽  
pp. 231-236 ◽  
Author(s):  
M.E. Kuyumcu ◽  
Y. Yeşil ◽  
Z.A. Oztürk ◽  
M. Halil ◽  
Z. Ulger ◽  
...  
Keyword(s):  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Nutritional Evaluation ◽  
Hospitalized Elderly

scholarly journals The Geriatric Nutrition Risk Index versus the Mini-Nutritional Assessment Short Form in predicting postoperative delirium and hospital length of stay among older non-cardiac surgical patients: a prospective cohort study

2019 ◽  
Author(s):  
Yanli Zhao ◽  
Ning Ge ◽  
Dongmei Xie ◽  
Langli Gao ◽  
Yanyan Wang ◽  
...  
Keyword(s):  
Linear Regression ◽  
Length Of Stay ◽  
Postoperative Delirium ◽  
Nutritional Assessment ◽  
Short Form ◽  
Risk Index ◽  
Area Under The Curve ◽  
Mini Nutritional Assessment ◽  
Nutritional Risk ◽  
Surgical Patients

Abstract Backgrounds: Malnutrition has been shown to be associated with a poor prognosis in older surgical patients. Several tools are available for detecting malnutrition. But little is known about their ability to assess risks of postoperative adverse outcomes. The study aimed to compare the ability of the Geriatric Nutritional Risk Index (GNRI) and the Mini-Nutritional Assessment Short Form (MNA-SF) in predicting postoperative delirium (POD) and length of stay (LOS) among older non-cardiac surgical patients. Methods : Prospective study of 288 older non-cardiac surgical patients from the West China Hospital of Sichuan University. Preoperative nutritional status was assessed using the GNRI and MNA-SF, and patients were followed for the occurrence of POD and LOS. Multivariate logistic regression and linear regression analyses were used to identify predictors of these outcomes. The relative performance of the GNRI and MNA-SF as predictors of these outcomes were determined by Receive Operator Characteristic curves (ROC) analyses and the area under the curve (AUC). Results : Multivariate analysis revealed that high nutritional risk (GNRI < 92) and malnutrition/ risk of malnutrition (MNA-SF < 8 and MNA-SF=8-11) were significantly associated with POD. Linear regression analysis showed that low/high nutritional risk (GNRI=92-98 and GNRI < 92) and malnutrition (MNA-SF < 8) were independent predictors of prolonged LOS. Moreover, the area under the curve (AUC) of MNA-SF scores (AUC=0.718, P <0.001, 95%CI: 0.64-0.80) for POD was better than GNRI scores (AUC=0.606, P= 0.019, 95%CI: 0.52-0.69), whereas, GNRI scores (AUC=0.611, P= 0.006, 95%CI: 0.54-0.69) had larger AUC when predicting prolonged LOS as compared to MNA-SF scores (AUC=0.533, P= 0.421, 95%CI: 0.45-0.62). Conclusion : The GNRI was more effective than the MNA-SF at predicting prolonged LOS, but the MNA-SF was a superior predictor of POD in older non-cardiac surgical patients.

scholarly journals The Geriatric Nutrition Risk Index versus the Mini-Nutritional Assessment Short Form in predicting postoperative delirium and hospital length of stay among older non-cardiac surgical patients: a prospective cohort study

2020 ◽  
Author(s):  
Yanli Zhao ◽  
Ning Ge ◽  
Dongmei Xie ◽  
Langli Gao ◽  
Yanyan Wang ◽  
...  
Keyword(s):  
Linear Regression ◽  
Length Of Stay ◽  
Postoperative Delirium ◽  
Nutritional Assessment ◽  
Short Form ◽  
Risk Index ◽  
Area Under The Curve ◽  
Mini Nutritional Assessment ◽  
Nutritional Risk ◽  
Surgical Patients

Abstract Backgrounds : Malnutrition has been shown to be associated with poor prognosis in older surgical patients. Several tools are available for detecting malnutrition. But little is known about their ability to assess risks of postoperative adverse outcomes. The study aimed to compare the ability of the Geriatric Nutritional Risk Index (GNRI) and the Mini-Nutritional Assessment Short Form (MNA-SF) in predicting postoperative delirium (POD) and length of stay (LOS) among older non-cardiac surgical patients. Methods : Prospective study of 288 older non-cardiac surgical patients from the West China Hospital of Sichuan University. Preoperative nutritional status was assessed using the GNRI and MNA-SF, and patients were followed for the occurrence of POD and LOS. Multivariable logistic regression and linear regression analyses were used to identify predictors of these outcomes. The relative performance of the GNRI and MNA-SF as predictors of these outcomes were determined by Receiver Operating Characteristic curves (ROC) analyses and the area under the curve (AUC) . Results : Multivariable analysis revealed that preoperative malnutrition by the MNA-SF was significantly associated with POD. Linear regression analysis showed that preoperative low/high nutritional risk of the GNRI and malnutrition by the MNA-SF were independent predictors of prolonged LOS. Moreover, the area under the curve (AUC) of MNA-SF scores for POD was better than GNRI scores (AUC=0.718, 95%CI: 0.64-0.80, P <0.001 vs AUC=0.606, 95%CI: 0.52-0.69, P= 0.019; Delong’s test, P=0.006), but the AUC of GNRI scores and MNA-SF scores have no significant difference when predicting prolonged LOS (AUC=0.611, 95%CI: 0.54-0.69, P= 0.006 vs AUC=0.533, 95%CI: 0.45-0.62, P= 0.421; Delong’s test, P=0.079). Conclusion : The MNA-SF was more effective than the GNRI at predicting the development of POD, but the two nutrition screening methods have similar performance in predicting prolonged LOS among older non-cardiac surgical patients.

Preoperative nutritional evaluation of elderly patients: the Mini Nutritional Assessment as a practical tool

1999 ◽  
Vol 18 (6) ◽  
pp. 345-348 ◽  
Author(s):  
R. Cohendy ◽  
T. Gros ◽  
F. Arnaud-Battandier ◽  
G. Tran ◽  
J.M. Plaze ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Nutritional Evaluation ◽  
Practical Tool

Mangelernährung bei geriatrischen Traumapatienten

2014 ◽  
Vol 23 (01) ◽  
pp. 5-10
Author(s):  
E.C. Bliemel ◽  
R. Aigner ◽  
C. Rolfes ◽  
S. Ruchholtz ◽  
B. Buecking ◽  
...  
Keyword(s):  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Nutritional Risk ◽  
Risk Screening ◽  
Prädiktive Validität ◽  
Nutritional Risk Screening

ZusammenfassungDie Inzidenz von Mangelernährung geriatrischer Patienten wird im Allgemeinen mit über 50 % angegeben. Mangelernährung bei geriatrischen Traumapatienten rangiert im Kollektiv der proximalen Femurfrakturen zwischen 30 und 50 %. Insgesamt erscheinen sowohl die angegebenen Häufigkeiten als auch die angewandten Messinstrumente inhomogen. Malnutrition führt zu einer Verschlechterung der Wundheilung, einer längeren postoperativen Immobilität, einem verlängerten Krankenhausaufenthalt sowie zu einer Steigerung der Mortalität. Unter Hinzuziehung bestehender Leitlinien erreichen das Mini Nutritional Assessment (MNA) sowie das Nutritional Risk Screening (NRS) eine ausreichende prädiktive Validität in diesem geriatrischen Patientengut, um ein Screening auf Mangelernährung durchzuführen. Bezüglich möglicher therapeutischer Interventionen ist die Studienlage limitiert: Vorhandene Studien zeigen oft eine geringe Patientenzahl und demente Patienten, die besonders häufig mangelernährt sind, wurden häufig ausgeschlossen. Eine Leitlinie explizit für dieses spezielle Patientengut existiert aktuell nicht. Ein suffizientes Screening des Ernährungszustandes sowie Daten zur Durchführbarkeit und Effizienz einer kurzfristigen perioperativen Nahrungsergänzung könnten einen wichtigen Beitrag zur Stabilisierung dieser oft multimorbiden und fragilen Patienten leisten.

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