Fall risk in hospitalized geriatric patients with malnutrition
Authors:
J. Madleňák; I. Bóriková
Authors place of work:
Vedúca ústavu: prof. Mgr. Katarína Žiaková, PhD.
; Jesseniova lekárska fakulta v Martine
; Ústav ošetrovateľstva
; Univerzita Komenského v Bratislave
Published in the journal:
Prakt. Lék. 2023; 103(5): 264-268
Category:
Of different specialties
Summary
Aim: To determine the presence of a risk of falls in hospitalized geriatric patients with malnutrition in the internal medicine department.
Methods: Quantitative, descriptive, correlational study. Hospitalized geriatric patients were included in the research group. Each respondent completed a research protocol containing socio-demographic data, health characteristics, and selected laboratory parameters of nutritional status, fall risk screening according to MFS and nutritional status screening according to MNA®-SF.
Results: The file consisted of n = 200 respondents (50% men, 50% women), of which the majority were in the age category 65–74 years (52%). According to the MFS, 2% had a low risk of falling, 26% had a medium risk of falling, and 72% had a high risk of falling. According to MNA®-SF, 31% had normal nutritional status, 51% were at risk of malnutrition, and 18% (n = 35) had malnutrition. In that of malnourished patients, 5 respondents had a medium risk of falling and 30 respondents had a high risk of falling.
Conclusions: The timely risk screening for geriatric patients must be performed already when the patient is admitted to the hospital. Medical personnel play a key role in the early identification of the risk of malnutrition and fall, which is the starting point for timely and targeted interventions.
Zdroje
- Agresti A. An Introduction to Categorical Data Analysis, 2nd Ed. New York: John Wiley & Sons; 2007.
- Avanecean D, Calliste D, Contreras T, et al. Effectiveness of patient-centered interventions on falls in the acute care setting compared to usual care: A systematic review. JBI Database of Systematic Reviews and Implementation Reports 2017; 15(12): 3006–3048.
- Blanco JA, Díaz LM, Fernández EF, et al. Evaluation of inpatients’ nutritional status and prognostic involvement. J Aging Res Clin Practice 2019; 8(1): 15–19.
- Bóriková I, Tomagová M, Miertová M, a kol. Predictive value of the Morse Fall Scale. Central European Journal of Nursing and Midwifery 2017; 8(1): 588–595.
- Bóriková I, Tomagová M, Miertová M. Pády a ich prevencia u hospitalizovaných pacientov. Martin: Osveta 2019.
- Griffin A, Neill AO, Connor MO, et al. The prevalence of malnutrition and impact on patient outcomes among older adults presenting at an Irish emergency department: a secondary analysis of the OPTI-MEND trial. BMC Geriatrics 2020; 20(1): 1–11.
- Hollander M, Wolfe DA, Chicken E. Nonparametric Statistical Methods. New York: John Wiley & Sons 1973.
- Hoozová J. Malnutrícia u seniorov. Paliatívna medicína a liečba bolesti 2015; 8(1): 6–12.
- Hoozová, J, Németh F, Leitmann T. Komplexné vyšetrenie geriatrické. Štandardný postup. Bratislava. Ministerstvo zdravotníctva Slovenskej republiky 2021.
- Ji T, Zhang L, Han R, et al. Management of Malnutrition Based on Multidisciplinary Team Decision Making in Chinese Older Adults (3M Study): A Prospective, Multicenter, Randomized, Controlled Study Protocol. Frontiers in Nutrition 2022; 9(1): 1–12.
- 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. Journal of Nutrition, Health and Aging 2009; 13(9): 782–788.
- Mahto A. Splitstackshape: Stack and Reshape Datasets After Splitting Concatenated Values. R package version 1.4.8. [on line]. 2019 [cit. 2023-09-10]. Dostupný na: project.org/package=splitstackshape
- Meneses A, Silva C, Pinho-Reis C, et al. Mini nutritional assessment-short form test: criterion and predictive validity in older adults from a long-term care unity. Nutr Hosp 2023; 40(4): 763–770.
- Morse JM, Preventing Patient Falls. Establishing a Fall Intervention Program. (2th ed.). New York: Springer Publishing Company 2009.
- NCZI. Medzinárodná klasifikácia chorôb – MKCH-10. [on line]. 2022 [cit. 2023-10-01]. Dostupný na: https://www.nczisk.sk/ Standardy-vzdravotnictve/Pages/Medzinarodna-klasifikaciachorob-MKCH-10.aspx
- Noh HM, Song HJ, Park YS, et al. Fall predictors beyond fall risk assessment tool items for acute hospitalized older adults: a matched case-control study. Scientific Reports 2021; 11(1): 1–9.
- R Core Team R. A language and environment for statistical computing. R Foundation for Statistical Computing: Vienna 2022.
- Rossé CS, Delannoy VW, Maître I. Prevalence of Undernutrition and Risk of Undernutrition in Overweight and Obese Older People. Frontiers in Nutrition 2022; 9(1): 1–8.
- Růžičková V, Zeleníková R. Strach z pádu u seniorů ve zdravotnických a sociálních zařízeních. Ošetrovateľstvo 2017; 7(1): 6–11.
- Scherer R. PropCIs: Various Confidence Interval Methods for Proportions. R package version 0.3-0. [on line]. 2018 [cit. 2023-10-10]. Dostupný na: https://CRAN.R-project.org/package=PropCIs
- Schoberer D, Breimaier HE, Zuschnegg J, et al. Fall prevention in hospitals and nursing homes: Clinical practice guideline. In: Worldviews on Evidence-Based Nursing 2022; 19(2): 86–93.
- Silva AKM, Costa DCM, Reis AMM. Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital. Einstein 2019; 17(1): 1–7.
- Stalder L, Kaegi-Braun N, Gressies C, et al. Prospective validation of five malnutrition screening and assessment instruments among medical inpatients: Secondary analysis of a randomized clinical trial. Clinical Nutrition 2022; 41(6): 1307–1315.
- Volkert D, Beck AM, Cederholm T, et al. ESPEN practical guideline: Clinical nutrition and hydration in Geriatrics. Clinical Nutrition 2022; 41(4): 958–989.
- WHO. Falls [on line]. 2023 [cit. 2023-10-20]. Dostupný na: https:// www.who.int/news-room/fact-sheets/detail/falls
- Zeng XK, Shen SS, Chu JJ, et al. Relationship of serum vitamin D level on geriatric syndromes and physical performance impairment in elderly hypertensive patients. Journal of Geriatric Cardiology 2016; 13(6): 537–545.
Štítky
General practitioner for children and adolescents General practitioner for adultsČlánok vyšiel v časopise
General Practitioner
2023 Číslo 5
- Memantine Eases Daily Life for Patients and Caregivers
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole vs. Tramadol in Postoperative Analgesia
- Advances in the Treatment of Myasthenia Gravis on the Horizon
- What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
Najčítanejšie v tomto čísle
- Drug interactions with smoking and nicotine
- Health effects of coffee
- Liposarcoma of the spermatic cord
- Ethical aspects in gerontology and geriatrics