University of Oulu

Helminen, H., Luukkaala, T., Saarnio, J., & Nuotio, M. S. (2018). Predictive value of the mini-nutritional assessment short form (MNA-SF) and nutritional risk screening (NRS2002) in hip fracture. European Journal of Clinical Nutrition, 73(1), 112–120. https://doi.org/10.1038/s41430-018-0267-y

Predictive value of the mini-nutritional assessment short form (MNA-SF) and nutritional risk screening (NRS2002) in hip fracture

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Author: Helminen, Heli1; Luukkaala, Tiina2,3; Saarnio, Juha4;
Organizations: 1Department of Surgical, Seinäjoki Central Hospital, Seinäjoki, Finland
2Science Center Pirkanmaa Hospital District, Tampere, Finland
3School of Health Sciences, University of Tampere, Tampere, Finland
4Department of Surgical, Oulu University Hospital, Oulu, Finland
5Department of Geriatric Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 1.5 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2019092029058
Language: English
Published: Springer Nature, 2019
Publish Date: 2019-09-20
Description:

Abstract

Background/Objectives: To examine Mini-Nutritional Assessment short form (MNA-SF) and Nutritional Risk Screening 2002 (NRS2002) as prognostic indicators of postoperative complications, length of hospital stay (LOS), readmissions, mobility, living arrangements and mortality after hip fracture.

Subjects/Methods: Population-based prospective data were collected on 265 consecutive hip fracture patients aged 65 and over. Nutritional status according to MNA-SF and NRS2002 was assessed on admission. Outcomes were postoperative complications, LOS, readmissions and mortality 1 and 4 months post fracture and changes in mobility level and living arrangements 4 months post fracture.

Results: At baseline, 18 (7%) patients were malnourished and 108 (41%) at risk of malnutrition according to MNA-SF. According to NRS2002, 11 (4%) patients were at severe risk and 56 (21%) patients at moderate risk of malnutrition. Only MNA-SF predicted mortality, LOS and readmissions. Both instruments proved ineffective in predicting changes in mobility level and living arrangements.

Conclusions: MNA-SF is superior to NRS2002 in predicting short-term hip fracture outcomes.

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Series: European journal of clinical nutrition
ISSN: 0954-3007
ISSN-E: 1476-5640
ISSN-L: 0954-3007
Volume: 73
Issue: 1
Pages: 112 - 120
DOI: 10.1038/s41430-018-0267-y
OADOI: https://oadoi.org/10.1038/s41430-018-0267-y
Type of Publication: A1 Journal article – refereed
Field of Science: 3141 Health care science
Subjects:
Funding: This study was financially supported by the State Research Financing of Seinäjoki Central Hospital.
Copyright information: This is a post-peer-review, pre-copyedit version of an article published in European Journal of Clinical Nutrition. The final authenticated version is available online at: https://doi.org/10.1038/s41430-018-0267-y