The relationship between clinical assessments of nutritional status and adverse outcomes in older hospitalized medical patients

Journal of the American Geriatrics Society

Volumn 47, Issue 5, 1999, Pages 532-538

  Covinsky, Kenneth E ^a,b   Martin, Gay E ^c   Beyth, Rebecca J ^c   Justice, Amy C ^c   Sehgal, Ashwini R ^c   Landefeld, C Seth ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c NONE

Author keywords

Activities of daily living; Health status; Nutritional status; Outcome assessment; Protein energy malnutrition

Indexed keywords

AGED; ARTICLE; CLINICAL EXAMINATION; DISEASE SEVERITY; FEMALE; HOSPITAL PATIENT; HUMAN; MAJOR CLINICAL STUDY; MALE; MALNUTRITION; NUTRITIONAL STATUS; OUTCOMES RESEARCH; PROSPECTIVE STUDY;

EID: 0032913503     PISSN: 00028614     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1532-5415.1999.tb02566.x     Document Type: Article

References (42)

1. McVey LJ, Becker PM, Saltz GC et al. Effect of a geriatric consultation team on functional status of elderly hospitalized patients. Ann Intern Med 1989; 110:79-84.
2. Gillick MR, Serell NA, Gillick LS. Adverse consequences of hospitalization in the elderly. Soc Sci Med 1982;16:1033-1038.
3. Creditor MC. Hazards of hospitalization in the elderly. Ann Intern Med 1993;118:219-223.
4. Landefeld CS, Palmer RM, Kresevic DM et al. A randomized trial of care in a hospital medical unit especially designed to improve the functional outcomes of acutely ill older patients. N Engl J Med 1995;332:1338-1344.
5. Covinsky KE, Justice AC, Rosenthal GE et al. Measuring prognosis and case-mix in hospitalized elders: The importance of functional status. J Gen Intern Med 1997;12:203-208.
6. Covinsky KE, Fortinsky RH, Palmer RM et al. The relationship of depressive symptoms to health status outcomes in acutely ill hospitalized elders. Ann Intern Med 1997;126:417-425.
7. McWhirter JP, Pennington CR. Incidence and recognition of malnutrition in hospital. BMJ 1994;308:945-948.
8. Potter JF, Schafer DF, Bohi RL. In-hospital mortality as a function of body mass index: An age-dependent variable. J Gerontol:Med Sci 1988;43:M59-63.
9. Constans T, Bacq Y, Brechot J-F et al. Protein-energy malnutrition in elder medical patients. J Am Geriatr Soc 1992;40:263-268.
10. Cederholm T, Jagren C, Hellstrom K. Outcome of protein-energy malnutrition in elderly medical patients. Am J Med 1995;98:67-74.
11. Mowe M, Bohmer T. The prevalence of undiagnosed protein-calorie undernutrition in a population of hospitalized elder patients. J Am Geriatr Soc 1991;39:1089-1092.
12. Abbasi AA, Rudman D. Observations on the prevalence of protein-calorie undernutrition in VA nursing homes. J Am Geriatr Soc 1993;41:117-121.
13. Bistrian BR, Blackburn GL, Hallowell E, Heddle R. Protein status of general surgical patients. JAMA 1974;230:858-860.
14. Bistrian BR, Blackburn GL, Vitale J et al. Prevalence of malnutrition in general medical patients. JAMA 1976;235:1567-1570.
15. Linn BS. Outcomes of older and younger malnourished and well-nourished patients one year after hospitalization. Am J Clin Nutr 1984;39:66-73.
16. McMurtry CT, Rosenthal A. Predictors of 2-year mortality among older male veterans on a geriatric rehabilitation unit. J Am Geriatr Soc 1995;43: 1123-1126.
17. Sullivan DH, Patch GA, Walls RC, Lipschitz DA. Inpact of nutrition status on morbidity and mortality in a select population of geriatric rehabilitation patients. Am J Clin Nutr 1990;51:749-758.
18. Sullivan DH, Walls RC. Impact of nutritional status on mortality in a population of geriatric rehabilitation patients. J Am Geriatr Soc 1994;42:471-477.
19. Volkert D, Kruse W, Oster P, Schlierf G. Malnutrition in geriatric patients: Diagnostic and prognostic significance of nutritional parameters. Ann Nutr Metab 1992;36:97-112.
20. Sullivan DH, Walls RC, Bopp MM. Protein-energy undernutrition and the risk of mortality within one year of hospital discharge: A follow-up study. J Am Geriatr Soc 1995;43:507-512.
21. Hermann FR, Safran C, Levkoff SE, Minaker KL. Serum albumin level on admission as a predictor of death, length of stay, and readmission. Arch Intern Med 1992;152:125-130.
22. Keller HH. Malnutrition in institutionalized elderly: How and why? J Am Geriatr Soc 1993;41:1212-1218.
23. Galanos AN, Pieper CF, Coroni-Huntley JC et al. Nutrition and function: Is there a relationship between body mass index and the functional capabilities of community-dwelling elderly? J Am Geriatr Soc 1994;42:368-373.
24. Baker JP, Detsky AS, Wesson DE et al. Nutritional assessment: A comparison of clinical judgment and objective measurements. N Engl J Med 1982; 306:969-972.
25. Collins JP, McCarthy ID, Hill GL. Assessment of protein nutrition in surgical patients: The value of anthropometrics. Am J Clin Nutr 1979;32:1527-1530.
26. Detsky AS, Baker JP, Mendelson RA et al. Evaluating the accuracy of nutritional assessment techniques applied to hospitalized patients: Methodology and comparisons. J Parenteral Enteral Nutr 1984;8:153-159.
27. Detsky AS, Smalley PS, Chang J. Is this patient malnourished? JAMA 1994; 271:54-58.
28. Detsky AS, Baker JP, O'Rourke K et al. Predicting nutrition-associated complications for patients undergoing gastrointestinal surgery. J Parenteral Enteral Nutr 1987;11:440-446.
29. Hirsch S, de Obaldia N, Petermann M et al. Subjective global assessment of nutritional status: Further validation, Nutrition 1991;7:35-38.
30. Katz S, Ford AB, Moskowitz RW et al. Studies of illness in the aged: The index of ADL: A standardized measure of biological and psychosocial function. JAMA 1963;185:914-919.
31. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis 1987;40:373-383.
32. Knaus WA, Draper EA, Wagner WP, Zimmerman JE. APACHE II. A severity of disease classification system. Crit Care Med 1985;13:818-829.
33. Klonoff-Cohen H, Barrett-Connor EL, Edelstein SL. Albumin levels as a predictor of mortality in the healthy elderly. J Clin Epidemiol 1992;45:207-212.
34. Puskarich-May CL, Sullivan DH, Nelson CL et al. The changes in serum protein concentration in response to the stress of total joint surgery: A comparison of older versus younger patients. J Am Geriatr Soc 1996;44:555-558.
35. Rosenthal AJ, McMurray CT, Sanders KM et al. The soluble interleukin-2 receptor predicts mortality in older hospitalized men. J Am Geriatr Soc 1997;45:1362-1364.
36. Hedlund JU, Hansson LO, Ortqvist AB. Hypoalbuminemia in hospitalized patients with community-acquired pneumonia. Arch Intern Med 1995;155: 1438-1442.
37. Doweiko J, Nompleggi D. The role of albumin in human physiology and pathophysiology: III. Albumin and disease states. J Patenter Enterai Nutr 1991;15:476-483.
38. Gordon HS, Rosenthal GE. Impact of marital status on outcomes in hospitalized patients: Evidence from an academic medical center. Arch Intern Med 1995;155:2465-2471.
39. Nelson K, Brown ME, Lurie N. Hunger in an adult patient population. JAMA 1998;279:1211-1214.
40. Incalzi RA, Gemma A, Capparella O et al. Energy intake and in-hospital starvation: A clinically relevant relationship. Arch Intern Med 1996;156: 425-429.
41. Buckler DA, Kelber ST, Goodwin JS. The use of dietary restrictions in malnourished nursing home patients. J Am Geriatr Soc 1994;42:1100-1102.
42. Covinsky KE, Palmer RM, Kresevic DM et al. Improving functional outcomes in hospitalized elders: Lessons from an Acute Care for Elders Unit. Jt Comm J Qual Improv 1998;24:63-76.