Malnutrition risk and hospitalization in elderly assisted in Primary Care

Author:

Rosa Carolina Böettge, ,Garces Solange Beatriz Billig,Hansen Dinara,Brunelli Ângela Vieira,Bianchi Patrícia Dall’Agnol,Coser Janaina,Krug Marília de Rosso,Schwanke Carla Helena Augustin,

Abstract

Abstract The aim of this study was to investigate the association of malnutrition risk and single items of the Mini Nutritional Assessment (MNA®) with hospitalization in the last 12 months in the elderly assisted in primary care. A cross-sectional study was conducted with the evaluation of 1229 elderly persons assisted in Family Health Strategies in seven cities of South Brazil. Malnutrition risk was evaluated using the MNA®, and hospitalization was determined by one question of the Probability of Repeated Admission (PRA) instrument. Most of the elderly were women (61.7%), with a mean age of 71.7 ± 7.7 years. The malnutrition risk rate was 23.3% and hospitalization was 32.9%. The frequency of malnutrition and risk of malnutrition was two times greater among the elderly who were hospitalized (36.8 versus 18.6% - P < 0.001). There was a significant association between hospitalization and 11 (64.7%) of the 17 items on the MNA® evaluated (P < 0.05). Of these, seven items were independently associated with hospitalization by multivariate analysis. We observed an association of malnutrition risk and most of the single MNA® items as well, with hospitalization in the elderly assisted in primary care.

Publisher

FapUNIFESP (SciELO)

Subject

Public Health, Environmental and Occupational Health,Health Policy

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