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Age and Ageing Advance Access originally published online on June 13, 2005
Age and Ageing 2005 34(5):444-449; doi:10.1093/ageing/afi125
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© The Author 2005. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Research Paper

Older hospitalised patients at risk of malnutrition: correlation with quality of life, aid from the social welfare system and length of stay?

Åsa M. Brantervik1, Ingrid E. Jacobsson1, Agneta Grimby1, Thomas C. E. Wallén1 and Ingvar G. Bosaeus2

1 Department of Geriatric Medicine, Göteborg University, Sweden
2 Department of Clinical Nutrition, Göteborg University, Sweden

Address correspondence to: Å. Brantervik, Sahlgrenska University Hospital, Bruna StrOEket 11B, SE-413 45 Gsteborg, Sweden. Fax: (+46) 31 207258. Email: asa.brantervik{at}vgregion.se
The work was done at the Department of Geriatric Medicine, Sahlgrenska University Hospital, Vasa, Gibraltargatan 1C, SE-411 33 Gsteborg and the Department of Geriatric Medicine, Sahlgrenska University Hospital, Hsgsbo, Tunnlandsgatan 2, SE-400 43 Gsteborg, Sweden

Abstract

Background: malnutrition is regarded as a major risk factor for complications and delayed recovery in hospitalised elderly patients.

Objective: to examine the prevalence of malnutrition in hospitalised elderly patients and evaluate simple clinical screening criteria. To investigate whether malnutrition was related to lack of care from the health care or social welfare system, quality of life and hospital length of stay (LOS).

Setting: non-acute geriatric hospital.

Subjects: 294 elderly patients admitted for rehabilitation after acute hospital care; 244 patients were available for assessment.

Methods: questionnaire interview about nutrition, social network and quality of life. Anthropometric and biochemical measurements, assessment of physical and cognitive function, recording of LOS, discharge destination and diagnosis.

Results: 126 patients (51.6%) were at risk of malnutrition using the criteria of body mass index <22kg/m2 and/or weight loss ≥5%/6 months. Poor quality of life in women (P<0.04) and loss of the health of a spouse (P<0.02) correlated with weight loss. No differences were found in patients at risk regarding LOS, discharge destination, or aid from the social welfare system.

Conclusions: this study confirms a high prevalence of malnutrition risk in hospitalised elderly patients. The health care and social welfare system appeared to be unaware of the problem. Poor quality of life in females and loss of the health of a spouse were related to malnutrition risk. The screening variables that were used appeared not to predict hospital length of stay or discharge destination.

Keywords: malnutrition, elderly, hospital care, quality of life, social welfare system

Received September 27, 2004; accepted in revised form May 4, 2005.


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