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Cited by 31Nutrition and Health in AgingGeriatric Care and Nursing HomesClinical Nutrition and Gastroenterology

Predicting the outcome of long-term care by clinical and functional indices: The role of nutritional status

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Donini, Lorenzo M., de Felice, M.R., Savina, C., Coletti, C., Paolini, M., Laviano, A., Scavone, L., Neri, B. +1 more·2011·The Journal of nutrition, health and aging
DOI 10.1007/s12603-011-0030-8PMC PMC12876335
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Abstract

UNLABELLED: In elderly subjects, past researches have already underlined the role of nutritional status as a basic factor able to influence the prognosis either in acute wards or in rehabilitation and long-term care settings. Aim of the study is that of retrospectively verify, through a multivariate analysis, the factors able to condition mortality in long-term care, paying particular attention to the nutritional status. METHODS: The survey included 513 patients aged more than 65 years admitted to a long-term care unit during a three years period. Exitus within the first three months of hospitalization was considered the outcome variable, while baseline functional, cognitive, clinical and nutritional status were considered the independent variables eventually related to mortality. RESULTS: The univariate analysis found that some variables were significantly correlated with the outcome: comorbidity, ADL, cognitive status, pressure sores, albumin, transferrin, CRP, mucoprotein, cholesterol, cholinesterase, MAMC and MNA. The predictive value of the block model of the logistic regression analysis was 77.9% (specificity = 85.3%, sensitivity = 63.9%). With the forward stepwise analysis only MNA, cholinesterase, CRP and mucoprotein were considered in the final model. In this case the predictive value of the model was 79.3% (specificity = 84.6%, sensitivity = 69.46%).

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  • Several studies demonstrate some improvement of nutritional state after initiation of enteral nutrition in older patients.

    “Several studies demonstrate some improvement of nutritional state after initiation of EN in older patients (129,130,(138)(139)(140)(141)(142)(143).”

    From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [142]

    The Discussion (page not available) reports that early nutritional interventions in long-term care improved nutritional status. It describes changes to the feeding environment and staff assistance, not improvement after initiation of enteral nutrition; that specific part of the claim is unsupported. (LLM, conf=0.82)

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Cited by

Sorted by citations

Authors
Donini, L. M., de Felice, M. R., Savina, C., Coletti, C., Paolini, M., Laviano, A., Scavone, L., Neri, B., & Cannella, C.
Affiliations
Sapienza University of Rome (IT)
Corresponding author
Donini, Lorenzo M.
ORCID
Venue
The Journal of nutrition, health and aging
Publisher
Elsevier BV
Published
2011-08
Volume
15
Issue
7
Pages
586-592
ISSN
1279-7707 (ISSN-L)
DOI
10.1007/s12603-011-0030-8
PMC
PMC12876335
OpenAlex
W1995698294
Cited by
31
References
1
Citations by year
2026: 3 · 2025: 2 · 2024: 1 · 2022: 2 · 2020: 2 · 2019: 3 · 2018: 3 · 2016: 1 · 2015: 1 · 2014: 4 · 2013: 6 · 2012: 3
FWCI
2.84
Type
journal article
Language
en
Open access
Licence
Locations
  • The journal of nutrition health & aging (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Keywords
long-term care, mortality prediction, nutritional status, older adults, Mini Nutritional Assessment, cholinesterase, C-reactive protein, mucoproteins, functional status, activities of daily living, prognostic factors, geriatric hospitalization
MeSH terms
Activities of Daily Living, Aged, Aged, 80 and over, C-Reactive Protein, Cholinesterases, Cognition, Female, Glycoproteins, Hospitalization, Humans, Long-Term Care, Male, Nutritional Status, Predictive Value of Tests, Prognosis, Retrospective Studies, Risk Factors, Biomarkers, Geriatric Assessment, Nutrition Assessment, Comorbidity, Multivariate Analysis, Logistic Models, Housing for the Elderly, Health Care Surveys, Malnutrition

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