Relationship of Frailty and Nutritional Status with Laboratory Parameters in Older Adults Admitted to the Emergency Department

Yaşar Çatal

Makale detayları

Relationship of Frailty and Nutritional Status with Laboratory Parameters in Older Adults Admitted to the Emergency Department

Yazarlar:

Yaşar Çatal

Yayıncı:

Ankara University

Ana Başlıklar:

Emergency Medicine

Dergi:

Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 4, pp.381-388

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001349732

pISSN:

0365-8104

Anahtar kelimeler:

Özet:

 Objectives: Frailty and malnutrition in older adults are associated with many adverse outcomes. Our study aimed to compare malnutrition and frailty scales and laboratory test results in older adults admitted to the emergency department Materials and Methods: This single-center cross-sectional study was conducted in the emergency department of a university hospital. The frailty status of the patients was evaluated with the clinical frailty scale CFS, and the patients were grouped as frail and non-frail. Mini nutritional assessment-short form MNA-SF evaluated malnutrition status. The patients were grouped as malnourished, malnutrition risky, and normal nutritional status. In addition to the basic biochemical parameters of the patients, prealbumin, iron, fasting insulin, hemoglobin a1c, vitamin B12, and parathyroid hormone levels were measured. The relationship between laboratory results and CFS and MNA-SF results was analyzed statistically. Results: One hundred-six patients were included in the study. Sixty-six patients were female, and the mean age was 78.17.43 years. According to the CFS scale, 87.7 of the patients were found to be frail. According to MNA-SF, the rate of patients was 18.9 malnourished and 47.2 at risk of malnutrition. When the scales and laboratory results were compared, frail patients had lower levels of prealbumin, iron, total protein, hemoglobin, and sodium, which was statistically significant. In malnourished patients, prealbumin, fasting insulin, total protein, albumin, hemoglobin, and calcium levels were lower.

 Objectives: Frailty and malnutrition in older adults are associated with many adverse outcomes. Our study aimed to compare malnutrition and frailty scales and laboratory test results in older adults admitted to the emergency department Materials and Methods: This single-center cross-sectional study was conducted in the emergency department of a university hospital. The frailty status of the patients was evaluated with the clinical frailty scale CFS, and the patients were grouped as frail and non-frail. Mini nutritional assessment-short form MNA-SF evaluated malnutrition status. The patients were grouped as malnourished, malnutrition risky, and normal nutritional status. In addition to the basic biochemical parameters of the patients, prealbumin, iron, fasting insulin, hemoglobin a1c, vitamin B12, and parathyroid hormone levels were measured. The relationship between laboratory results and CFS and MNA-SF results was analyzed statistically. Results: One hundred-six patients were included in the study. Sixty-six patients were female, and the mean age was 78.17.43 years. According to the CFS scale, 87.7 of the patients were found to be frail. According to MNA-SF, the rate of patients was 18.9 malnourished and 47.2 at risk of malnutrition. When the scales and laboratory results were compared, frail patients had lower levels of prealbumin, iron, total protein, hemoglobin, and sodium, which was statistically significant. In malnourished patients, prealbumin, fasting insulin, total protein, albumin, hemoglobin, and calcium levels were lower.

 Objectives: Frailty and malnutrition in older adults are associated with many adverse outcomes. Our study aimed to compare malnutrition and frailty scales and laboratory test results in older adults admitted to the emergency department Materials and Methods: This single-center cross-sectional study was conducted in the emergency department of a university hospital. The frailty status of the patients was evaluated with the clinical frailty scale CFS, and the patients were grouped as frail and non-frail. Mini nutritional assessment-short form MNA-SF evaluated malnutrition status. The patients were grouped as malnourished, malnutrition risky, and normal nutritional status. In addition to the basic biochemical parameters of the patients, prealbumin, iron, fasting insulin, hemoglobin a1c, vitamin B12, and parathyroid hormone levels were measured. The relationship between laboratory results and CFS and MNA-SF results was analyzed statistically. Results: One hundred-six patients were included in the study. Sixty-six patients were female, and the mean age was 78.17.43 years. According to the CFS scale, 87.7 of the patients were found to be frail. According to MNA-SF, the rate of patients was 18.9 malnourished and 47.2 at risk of malnutrition. When the scales and laboratory results were compared, frail patients had lower levels of prealbumin, iron, total protein, hemoglobin, and sodium, which was statistically significant. In malnourished patients, prealbumin, fasting insulin, total protein, albumin, hemoglobin, and calcium levels were lower.

 Amaç: Yaşlı yetişkinlerde kırılganlık ve yetersiz beslenme birçok olumsuz sonuçla ilişkilidir. Çalışmamızda acil servise başvuran yaşlı yetişkinlerde malnütrisyon ve kırılganlık ölçekleri ile laboratuvar test sonuçlarının karşılaştırılması amaçlandı. Gereç ve Yöntem: Bu tek merkezli kesitsel çalışma bir üniversite hastanesinin acil servisinde gerçekleştirildi. Hastaların kırılganlık durumu klinik kırılganlık ölçeği CFS ile değerlendirildi ve hastalar kırılgan ve kırılgan olmayan olarak gruplandırıldı. Mini beslenme değerlendirmesi-kısa formu MNA-SF yetersiz beslenme durumunu değerlendirdi. Hastalar malnütrisyonlu, malnütrisyon riskli ve beslenme durumu normal olarak gruplandırıldı. Hastaların temel biyokimyasal parametrelerinin yanı sıra prealbümin, demir, açlık insülini, hemoglobin a1c, B12 vitamini ve paratiroid hormon düzeyleri ölçüldü. Laboratuvar sonuçları ile CFS ve MNA-SF sonuçları arasındaki ilişki istatistiksel olarak analiz edildi. Bulgular: Çalışmaya 106 hasta dahil edildi. Hastaların 66sı kadındı ve yaş ortalaması 78,17,43 yıldı. CFS skalasına göre hastaların 87,7sinin kırılgan olduğu belirlendi. MNA-SFye göre yetersiz beslenen hastaların oranı 18,9, yetersiz beslenme riski taşıyanların oranı ise 47,2 oldu. Ölçekler ve laboratuvar sonuçları karşılaştırıldığında, kırılgan hastalarda prealbümin, demir, total protein, hemoglobin ve sodyum düzeyleri istatistiksel olarak anlamlı derecede düşüktü. Yetersiz beslenen hastalarda prealbümin, açlık insülini, toplam protein, albümin, hemoglobin ve kalsiyum düzeyleri daha düşüktü. Sonuç: Çalışmamızda laboratuvar parametrelerinin kırılganlık ve malnütrisyonun erken teşhisinde yardımcı olabileceğini düşünüyoruz.

Makale detayları

Relationship of Frailty and Nutritional Status with Laboratory Parameters in Older Adults Admitted to the Emergency Department

Yazarlar:

Yaşar Çatal

Yayıncı:

Ankara University

Ana Başlıklar:

Emergency Medicine

Dergi:

Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 4, pp.381-388

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001349732

pISSN:

0365-8104

Frailty

malnutrition

older adults

emergency medicineKırılganlık

malnütrisyon

yaşlılar

acil tıp

Sayı

Makale detayları

Yazarlar: Yaşar Çatal

Yayıncı: Ankara University

Ana Başlıklar: Emergency Medicine

Dergi: Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 4, pp.381-388

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001349732

pISSN: 0365-8104

Sayı

Yazarlar:

Yaşar Çatal

Yayıncı:

Ankara University

Ana Başlıklar:

Emergency Medicine

Dergi:

Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 4, pp.381-388

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001349732

pISSN:

0365-8104