Analysis of Related Factors of Depression and Malnutrition in Elderly Hospitalized Patients v1

SUMMARY: BACKGROUND: Depression and malnutrition are very common among elderly hospitalized patients and may lead to undesirable consequences. OBJECTIVE: To explore the correlation between depression and malnutrition through statistical methods to provide a theoretical basis for preventing the occurrence of depression and malnutrition in elderly hospitalized patients so as to improve their quality of life. METHODS: This is a retrospective analysis of 179 elderly inpatients in the Cadre Ward Unit of the First Hospital of Jilin University. Relevant data of the participants required for the study were obtained from the electronic medical record system and comprehensive geriatric assessment (CGA) database of the First Hospital of Jilin University. The correlation between depression and malnutrition was determined using logistic regression analysis. RESULTS: The percentage of included elderly inpatients without depression was 64.8%（median age=78.4 ± 10.3 years）, while the percentage of patients with depression was 35.2%（median age of 81.8 ± 8.4 years） . The prevalence of depression among the participants in the study was 35.2%, and the highest prevalence of depression combined with malnutrition was 58.9%, followed by 42.4% prevalence of depression combined with risk of malnutrition. After controlling for other relevant factors, the Mini Nutritional Assessment(MNA)(P=0.008,OR=0.821), albumin (P=0.005,OR=0.834) and calf circumference (P=0.004,OR=0.790) were independently associated with depression. CONCLUSION: There is a correlation between depression and malnutrition, and MNA, albumin and calf circumference are independent protective factors for depression, respectively. KEYWORDS:depression;malnutrition;elderly

The Relationship between Nutrition and Cancer in Elderly Hospitalized Patients: A Retrospective Chart Analysis

Background: The purpose of the present study was to retrospectively analyze the relationship between nutrition and cancer in elderly hospitalized patients. Methods: A total of 339 elderly patients were divided into cancer and non-cancer groups. Information regarding nutritional blood parameters (NBP), including TP, ALB, PA, TLC, and Hb; nutritional risk screening (NRS), including ADL, MNA-SF, WST; and polypharmacy was collected and analyzed.Results: Among the 339 patients, 94 (27.7%) were women, 81 (23.9%) were cancer patients, and 258 (76.1%) were non-cancer patients. Overall, 25.3% of patients were malnourished. Patients in the cancer group were younger, with higher rates of inflammation, lower rates of polypharmacy and swallow dysfunction, increased ADL, and decreased MNA-SF score. The BMI, TP, PA, Hb, and TLC were notably decreased in cancer patients. The MNA-SF score had a positive correlation with BMI, TP, ALB, PA, Hb, TLC, and ADL, but a negative correlation with CRP, WST score, polypharmacy, and age. Conclusion: There was a close relationship between nutritional status and cancer in elderly patients. Geriatric patients with cancer were more prone to a poor nutritional status. Nutritional screening, assessment, and intervention should be increased to improve the prognosis in cancer patients.

Inter-examiner agreement in the application of an oral health assessment instrument in hospitalized elderly

ABSTRACT Objectives: to analyze the correspondence between nurse and dental surgeon assessments in the application of an Oral Health Assessment in dental screening of elderly hospitalized patients. Methods: cross-sectional study with elderly patients (n = 54) admitted to University Hospital from the Federal University of São Paulo. Data were collected through the assessment of oral cavity. Descriptive statistical techniques were used to analyze them, using tables and graphs. Results: there was correlation and agreement between nurse and dental surgeon assessments referring to application of an Oral Health Assessment in dental screening of hospitalized elderly. Conclusions: oral Health Assessment in dental screening for hospitalized elderly by nurses demonstrated excellent reproducibility and may be a resource to identify buccal alteration, helping the planning and execution of nurse care associated to oral health.

Development and validation of a nomogram for predicting carbapenem-resistant organism infection and prognostic risk factors analysis in elderly hospitalized patients

The authors have requested that this preprint be withdrawn due to author disagreement.