Nutritional screening in a case management program for community-living older individuals at high risk of hospital admission

Fecha de publicación: 01/10/2018

Autores de IIS La Fe

Silvia Forcano Sanjuán

Autor
Elisa María Soriano Melchor

Autor
Bernardo Valdivieso Martínez

Autor
Vicente Ruiz García

Autor
Juan Francisco Merino Torres

Autor

Participantes ajenos a IIS La Fe

Cruz-Jentoft, AJ

Grupos

Unidad Mixta de Investigación en Endocrinología, Nutrición y Dietética clínica

Leader

Juan Francisco Merino Torres
Unidad Mixta de Investigacion en TICs aplicadas a la reingeniería en procesos sociosanitarios (ERPSS)

Investigador Principal

María Eugenia Gas López

Abstract

BackgroundThe prevalence of malnutrition in older persons depends on the healthcare setting. In recent years, hospital-based case management programs (CM Programs) targeting individuals in the community with chronic multimorbidity and high use of hospital resources (admissions or emergency visits) have been developed in many countries to reduce the need for complex health care. The objective of this study was to assess the prevalence of risk of malnutrition, using the Short Form of the Mini-Nutritional assessment, of community dwelling patients included in a chronic CM Program. Factors associated with malnutrition risk were also explored.MethodsPatients included in a hospital-based integrated CM Program for older persons at high risk for hospital readmission after an index admission were studied. MNA-SF was used at program inclusion to assess the risk of malnutrition. An array of factors potentially associated with malnutrition were explored (including feeding route, use of dental prosthesis, dysphagia, consistency of foods, specific therapeutic diets, use of oral nutritional supplements, polypharmacy, falls, and other diseases and geriatric syndromes).Results791 participants were included, mean age 79.8years, 50.1% females. Risk of malnutrition was present in 44.9%. Participants at risk of malnutrition were more frequently female, had a lower BMI, were less likely to be fed orally and used more nutritional supplements. They also had a higher prevalence of dysphagia, needing changes in food consistency or using specific therapeutic diets, and had dementia or cancer more frequently. They also showed a higher need for palliative care.ConclusionsRisk of malnutrition in patients included in a CM Program is higher than in non-selected community dwelling older individuals. This information may help inform screening policies in similar populations at risk of hospital readmission.

Datos de la publicación

ISSN/ISSNe:: 1878-7649, 1878-7657
Tipo:: Article
Páginas:: 691-696
DOI:: 10.1007/s41999-018-0083-x
Factor de Impacto:: 0,380 SCImago ℠
Cuartil:: Q3 SCImago ℠

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Filiaciones

Forcano-Sanjuan, S:: Hosp Univ & Politecn La Fe, Ave Fernando Abril Martorell 106, Valencia 46026, Spain
Soriano-Melchor, E:: Hosp Univ & Politecn La Fe, Ave Fernando Abril Martorell 106, Valencia 46026, Spain
Valdivieso-Martinez, B:: Hosp Univ & Politecn La Fe, Ave Fernando Abril Martorell 106, Valencia 46026, Spain
Ruiz-Garcia, V:: Hosp Univ & Politecn La Fe, Ave Fernando Abril Martorell 106, Valencia 46026, Spain
Merino-Torres, JF:: Hosp Univ & Politecn La Fe, Ave Fernando Abril Martorell 106, Valencia 46026, Spain
Cruz-Jentoft, AJ:: Hosp Ramon & Cajal, Ctra De Colmenar Viejo,Km 9,100, E-28034 Madrid, Spain