Malnutrition at Admission Predicts In-Hospital Falls in Hospitalized Older Adults

Nutrients

卷:12

Yuria Ishida¹  Akio Shimizu²  Remi Matsuyama³  Yosuke Yamanaka³  Naoharu Mori⁴  Keisuke Maeda⁴  Tomoyuki Nonogaki⁵  Ryoko Kato⁵ 

[1] Department of Nutrition, Aichi Medical University Hospital, Nagakute 480-1195, Japan;

[2] Department of Nutrition, Hamamatsu City Rehabilitation Hospital, Hamamatsu 433-8511, Japan;

[3] Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Aichi Medical University, Nagakute 480-1195, Japan;

[4] Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute 480-1195, Japan;

[5] Department of Pharmacy, Aichi Medical University Hospital, Nagakute, Aichi 480-1195, Japan;

关键词: undernutrition;    fall;    hospitalization;    older adult;   

DOI  :  10.3390/nu12020541

来源: DOAJ

【 摘 要 】

Malnutrition leads to poor prognoses, including a predisposition to falls. Few studies have investigated the relationship between malnutrition and falls during hospitalization. This study aimed to determine malnutrition’s association with falls during hospitalization. A retrospective observational study was conducted. Patients aged ≥65 years that were admitted to and discharged from a university hospital between April 2018 and March 2019 were examined. Patients with independent basic activities of daily living were included. Diagnosis of malnutrition was based on the European Society for Clinical Nutrition and Metabolism (ESPEN) criteria at admission. Disease information such as the Charlson Comorbidity Index (CCI) and reasons for hospitalization were reviewed. Kaplan−Meier curve and multivariate Cox regression analyses were performed. Data from 6081 patients (mean age: 74.4 ± 6.1 years; males: 58.1%) were analyzed. The mean CCI was 2.3 ± 2.8 points. Malnutrition was detected in 668 (11.0%) and falls occurred in 55 (0.9%) patients. Malnourished patients experienced a higher fall rate than those without malnutrition (2.4% vs. 0.7%, log-rank test p < 0.001). In multivariate analysis, malnutrition had the highest hazard ratio for falls among covariates (hazard ratio 2.78, 95% confidence interval 1.51−5.00, p = 0.001). In conclusion, malnutrition at the time of admission to hospital predicts in-hospital falls.

【 授权许可】

Unknown