Highlights
- •The frequency of risk of malnutrition is high in seniors with acute heart failure.
- •The risk of malnutrition is associated with 30-day mortality.
- •The routine screening may help emergency physicians in establishing a care plan.
Abstract
Background
Little is known about the prevalence and impact of risk of malnutrition on short-term
mortality among seniors presenting with acute heart failure (AHF) in emergency setting.
The objective was to determine the impact of risk of malnutrition on 30-day mortality
risk among older patients who attended in Emergency Departments (EDs) for AHF.
Material and methods
We performed a secondary analysis of the OAK-3 Registry including all consecutive
patients ≥65 years attending in 16 Spanish EDs for AHF. Risk of malnutrition was defined
by the Mini Nutritional Assessment Short Form (MNA-SF) < 12 points. Unadjusted and
adjusted logistic regression models were used to assess the association between risk
of malnutrition and 30-day mortality.
Results
We included 749 patients (mean age: 85 (SD 6); 55.8% females). Risk of malnutrition
was observed in 594 (79.3%) patients. The rate of 30-day mortality was 8.8%. After
adjusting for MEESSI-AHF risk score clinical categories (model 1) and after adding
all variables showing a significantly different distribution among groups (model 2),
the risk of malnutrition was an independent factor associated with 30-day mortality
(adjusted OR by model 1 = 3.4; 95%CI 1.2–9.7; p = .020 and adjusted OR by model 2 = 3.1; 95%CI 1.1–9.0; p = .033) compared to normal nutritional status.
Conclusions
The risk of malnutrition assessed by the MNA-SF is associated with 30-day mortality
in older patients with AHF who were attended in EDs. Routine screening of risk of
malnutrition may help emergency physicians in decision-making and establishing a care
plan.
Keywords
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Article info
Publication history
Published online: May 07, 2019
Accepted:
April 23,
2019
Received in revised form:
March 19,
2019
Received:
January 26,
2019
Identification
Copyright
© 2019 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
