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
|Author:||Helminen, Heli1; Luukkaala, Tiina2,3; Saarnio, Juha4;|
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
|Online Access:||PDF Full Text (PDF, 1.5 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe2019092029058
|Publish Date:|| 2019-09-20
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.
European journal of clinical nutrition
|Pages:||112 - 120|
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
3141 Health care science
This study was financially supported by the State Research Financing of Seinäjoki Central Hospital.
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