Cohort study reveals low nutritional assessment scores predict in-hospital mortality in acutely ill older respiratory patients, highlighting malnutrition as an independent prognostic marker.
BACKGROUND: Studies of nutritional status in geriatric patients with respiratory diseases are limited. The aim of this study was to investigate the mortality risk of older patients undergoing urgent hospitalization for various respiratory diseases. METHODS: ) [S/F] ratio were calculated and analyzed as risk factors of in-hospital mortality. RESULTS: A total of 168 consecutive patients were enrolled in the study with median age of 77 years (interquartile range [IQR]: 72-84). Thirty-nine patients (23.2%) died during hospitalization, and the median time to death was 17 days (IQR: 10-25). Univariate analysis demonstrated that older age (> 77 years), low S/F ratio (< 315), low ROX (< 8.3), high NLR (> 6), high CFS (> 5), and low MNA-SF (< 11) were associated with in-hospital mortality, multivariate analysis revealed that low MNA-SF was an independent predictor. CONCLUSIONS: The MNA-SF is a risk factor for mortality in older patients undergoing urgent hospitalization due to various respiratory diseases.
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Ishiwari et al. (2025) studied this question.
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