Study of Mini Nutritional Assessment-Short Form in Predicting Clinical Outcomes of Older Inpatients_West China Medical Journal

Authors：

PU Hongshan , ZHAO Dongqing , DONG Birong.

Department of Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

Keywords：

微型营养评估简易法; 营养不良; 老年; 预后

DOI：

10.7507/1002-0179.20130280

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目的　探索微型营养评估简易法（MNA-SF）能否客观、正确地评估老年住院患者的营养状况以及对临床预后进行预测。方法　选择2012年3月－4月四川大学华西医院新入院老年患者407例，平均年龄（75.4 ± 7.10）岁，以MNA-SF评估其营养状态并根据营养状态分为两组，随访至出院或住院第30 d，分析其营养状况与住院时间，住院费用，全身炎症反应综合征（SIRS），死亡等临床结局的相关性。结果　营养不良者22.6%（92例），营养不良风险者31.9%（130例），营养状态良好者45.5%（185例）。其中34例营养不良者，18例营养不良风险者和4例营养良好者发生SIRS；另有11例营养不良者，7例营养不良风险者和1例营养良好者死亡。MNA-SF分值在0～7分的患者无论在发生SIRS还是临床不良结局方面显著高于分值为8～14分的患者（P＜0.05）。营养不良者住院时间为（14.6 ± 8.30）d，营养不良风险或营养良好者为（12.1 ± 7.99）d，差异具有统计学意义（P＜0.05）。结论　 MNA-SF是一可靠，简便易行，可以预测老年住院患者临床预后的营养评估工具。

Citation： PU Hongshan,ZHAO Dongqing,DONG Birong.. Study of Mini Nutritional Assessment-Short Form in Predicting Clinical Outcomes of Older Inpatients. West China Medical Journal, 2013, 28(6): 898-901. doi: 10.7507/1002-0179.20130280 Copy

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8.	汪海峰. 老年恶性肿瘤患者MNA-SF营养评价和SF-36生活质量评价[J]. 同济大学学报, 2009, 30(3): 129-131.
9.	何文英, 张晓斌, 魏喜玲, 等. MNA在炎症性肠病患者营养评价中的应用[J].河北医药, 2010, 32(21): 2977-2979.
10.	Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system[J]. Int J Environ Res Public Health, 2011, 8(2): 514-527.
11.	Al Snih S, Markides KS, Ottenbacher KJ. Raji MA;Hand grip strength and incident ADL disability in elderly Mexican Americans over a seven-year period[J]. Aging clinical and experimental research, 2004, 16(6):481-486.
12.	徐盛明, 刘明媛, 李保春.全身炎症反应综合征和多器官功能障碍综合征的治疗进展[J].第二军医大学学报, 2004, 25(8): 886-888.
13.	齐文杰, 张淑文. 全身炎症反应综合征评分在急性感染患者预后中的价值[J]. 临床和实验医学杂志, 2002, 1(2): 76-79.
14.	Braunschweig C, Gomez S, Sheean PM. Impact of declines in nutritional status on outcomes in adult patients hospitalized for more than 7 days [J]. J Am Diet Assoc, 2000, 100(11): 1316-1322.
15.	Middleton MH, Nazarenko G, Nivison-Smith I, et al. Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals [J]. Int Med J, 2001, 31(8): 455-61.
16.	Isabel TD, Correia M. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis [J]. Clin Nutr, 2003, 22(3): 235-239.
17.	Stratton RJ, King CL, Stroud MA, et al. “Malnutrition Universal Screening Tool” predicts mortality and length of hospital stay in acutely ill elderly [J]. Br J Nutr, 2006, 95(2): 325-330.

1. 　Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition[J]. Clin Geriatr Med, 2002, 18(4): 737-757.
2. 　Feldblum I, German L, Caste H, et al. Characteristics of undernourished older medical patients and the identification of predictors for undernutrition status[J]. Nutr J, 2007, 37(6): 1-9.
3. 　De Luis DA, López Mongil R, González Sagrado M, et al. Evaluation of the mini-nutritional assessment short-form(MNA-SF) among institutionalized older patients in Spain. Nutrición hospitalaria [J]. 2011, 26(6): 1350-1354.
4. 　Rubenstein LZ, Harker JO, Salva A, et al. Screening for under nutrition in geriatric practice: Developing the short form Mini-Nutrtional Assessment(MNA-SF)[J]. J Gerontol, 2001, 56(6): M366-372.
5. 　Kondrup J, Allison SP, Elia M, et al. ESPEN Guidelines for Nutrition Screening 2002 [J]. Clinical Nutrition, 2003(22): 415-421.
6. 　Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status[J]. J Nutr Health Aging, 2009, 13(9): 782-788.
7. 　刘学员, 唐伟雄, 唐慧明, 等. MNA、MNA-SF 在老年患者营养评价中的应用[J].解放军医学杂志, 2008, 33(2): 237.
8. 　汪海峰. 老年恶性肿瘤患者MNA-SF营养评价和SF-36生活质量评价[J]. 同济大学学报, 2009, 30(3): 129-131.
9. 　何文英, 张晓斌, 魏喜玲, 等. MNA在炎症性肠病患者营养评价中的应用[J].河北医药, 2010, 32(21): 2977-2979.
10. 　Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system[J]. Int J Environ Res Public Health, 2011, 8(2): 514-527.
11. 　Al Snih S, Markides KS, Ottenbacher KJ. Raji MA;Hand grip strength and incident ADL disability in elderly Mexican Americans over a seven-year period[J]. Aging clinical and experimental research, 2004, 16(6):481-486.
12. 　徐盛明, 刘明媛, 李保春.全身炎症反应综合征和多器官功能障碍综合征的治疗进展[J].第二军医大学学报, 2004, 25(8): 886-888.
13. 　齐文杰, 张淑文. 全身炎症反应综合征评分在急性感染患者预后中的价值[J]. 临床和实验医学杂志, 2002, 1(2): 76-79.
14. 　Braunschweig C, Gomez S, Sheean PM. Impact of declines in nutritional status on outcomes in adult patients hospitalized for more than 7 days [J]. J Am Diet Assoc, 2000, 100(11): 1316-1322.
15. 　Middleton MH, Nazarenko G, Nivison-Smith I, et al. Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals [J]. Int Med J, 2001, 31(8): 455-61.
16. 　Isabel TD, Correia M. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis [J]. Clin Nutr, 2003, 22(3): 235-239.
17. 　Stratton RJ, King CL, Stroud MA, et al. “Malnutrition Universal Screening Tool” predicts mortality and length of hospital stay in acutely ill elderly [J]. Br J Nutr, 2006, 95(2): 325-330.

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West China Medical Journal

Study of Mini Nutritional Assessment-Short Form in Predicting Clinical Outcomes of Older Inpatients

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