Key result
Admission fall, functional, and nutritional assessments predict in-hospital adverse outcomes in AF patients.
Why the study?
The association between routinely collected admission nursing assessment indicators and in-hospital adverse outcomes among hospitalized patients with AF was examined.
Are routinely collected admission nursing assessment indicators (Morse Fall Scale, Barthel Index, NRS-2002, and Braden Scale) and serum albumin associated with in-hospital adverse outcomes in hospitalized patients with atrial fibrillation?
Observational (n=312)
No
Are routinely collected admission nursing assessment indicators (Morse Fall Scale, Barthel Index, NRS-2002, and Braden Scale) and serum albumin associated with in-hospital adverse outcomes in hospitalized patients with atrial fibrillation?
Routine admission nursing assessments of fall risk (Morse Fall Scale), functional independence (Barthel Index), and nutritional risk (NRS-2002), alongside serum albumin, are independently associated with in-hospital clinical deterioration in patients with atrial fibrillation, serving as complementary markers of patient vulnerability.
Answers are grounded in this paper and cite their sources.
May support enhanced monitoring using admission nursing data in AF; leaves open whether modifying these risks alters outcomes.
This retrospective observational study examines the association between routinely collected admission nursing assessment indicators and in-hospital adverse outcomes among hospitalized patients with atrial fibrillation (AF). A total of 312 hospitalized patients with AF admitted to a tertiary teaching hospital between January 2021 and December 2024 were included. The Morse Fall Scale, Barthel Index, Nutritional Risk Screening 2002 (NRS-2002), and Braden Scale were assessed within 24 hours of admission. Clinical characteristics, vital signs, and laboratory data were extracted from electronic medical records. The composite adverse outcome comprised in-hospital death, unplanned intensive care unit admission, worsening heart failure requiring treatment escalation, major bleeding requiring medical intervention, or thromboembolic events. Univariable and multivariable logistic regression analyses were used to examine associations with the composite outcome. Among 312 patients, 68 (21.8%) experienced at least one adverse outcome. In the adjusted analysis, a higher Morse Fall Scale score was associated with higher odds of adverse outcomes (OR 1.031, 95% CI 1.012–1.051; P = .002), whereas a higher Barthel Index score was associated with lower odds (OR 0.978, 95% CI 0.961–0.995; P = .012). A higher NRS-2002 score was associated with higher odds (OR 1.376, 95% CI 1.083–1.748; P = .009), and a higher serum albumin level was associated with lower odds (OR 0.953, 95% CI 0.920–0.988; P = .010). AF type and Braden Scale score were not independently associated with the composite outcome after adjustment. Admission nursing assessments of fall risk, functional status, and nutritional risk, together with serum albumin, were independently associated with in-hospital adverse outcomes. These results support their use as complementary markers of vulnerability and for closer clinical surveillance, but they do not establish causality or justify changing guideline-directed AF treatment. Prospective multicenter studies are required before these measures can be incorporated into validated clinical decision tools.
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Han et al. (2026) conducted an observational in Atrial fibrillation (n=312). Admission nursing assessment indicators (Morse Fall Scale, Barthel Index, NRS-2002, Braden Scale) and serum albumin vs. Lower risk scores / continuous scale comparison was evaluated on Composite in-hospital adverse outcome (in-hospital death, unplanned ICU admission, worsening heart failure requiring treatment escalation, major bleeding requiring medical intervention, or thromboembolic events) (OR 1.031 (Morse Fall Scale); OR 0.978 (Barthel Index); OR 1.376 (NRS-2002); OR 0.953 (Serum albumin), 95% CI 1.012-1.051, p=0.002). Admission nursing assessments of fall risk, functional status, and nutritional risk were independently associated with in-hospital adverse outcomes in AF patients.
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