Table 4.
Differences in reported patient outcomes across MNA-SF categories among 353 older adults at 30-day follow-up from index visit in an Irish ED
| Patient outcome, n (%) | Full Sample | MNA categories | ||||
|---|---|---|---|---|---|---|
| Normal nutrition (n = 227) |
At risk of malnutrition (n = 99) |
Malnourished (n = 27) |
P-value (Effect size) |
|||
| Functional decline | No change | 141 (43.9) | 96 (45.7) | 39 (45.3) | 6 (24.0) | 0.02 (0.14) |
| Reduced function | 96 (29.9) | 52 (24.8) | 31 (36.0) | 13 (52.0) | ||
| Improved function | 84 (26.2) | 62 (29.5) | 16 (18.6) | 6 (24.0) | ||
| QOL decline | No change | 47 (13.3) | 32 (15.2) | 13 (15.1) | 2 (8.0) | 0.02 (0.14) |
| Reduced QOL | 51 (15.9) | 28 (13.3) | 13 (15.1) | 10 (40.0) | ||
| Improved QOL | 223 (69.5) | 150 (71.4) | 60 (69.8) | 13 (52.0) | ||
| ED revisit | No | 296 (83.9) | 189 (83.3) | 86 (86.9) | 21 (77.8) | 0.48 (0.06) |
| Yes | 57 (16.1) | 38 (16.7) | 13 (13.1) | 6 (22.2) | ||
| Number of ED visits | 0 | 298 (84.4) | 191 (84.1) | 86 (86.9) | 21 (77.8) | 0.49 (0.08) |
| 1 | 43 (12.2) | 27 (11.9) | 10 (10.1) | 6 (22.2) | ||
| 2+ | 12 (3.4) | 9 (4.0) | 3 (3.0) | 0 (0.0) | ||
| Hospital admissions | No | 309 (87.5) | 203 (89.4) | 87 (87.9) | 19 (70.4) | 0.02 (0.15) |
| Yes | 44 (12.5) | 24 (10.6) | 12 (12.1) | 8 (29.6) | ||
| HoLOS at revisita | 8.4 (4.7) | 8.7 (4.9) | 7.3 (4.2) | 9.3 (5.7) | 0.46 (0.21) | |
| Healthcare use | No | 110 (31.2) | 58 (25.6) | 42 (42.4) | 10 (37.0) | 0.008 (0.17) |
| Yes | 243 (68.8) | 169 (74.4) | 57 (57.6) | 17 (63.0) | ||
| Frequency of healthcare useb | 1 (2) | 1 (2) | 1 (1) | 1 (1) | 0.69 (0.05) | |
| Nursing home admission | No | 301 (85.3) | 208 (91.6) | 75 (75.8) | 18 (66.7) | < 0.001 (0.25) |
| Yes | 52 (14.7) | 19 (8.4) | 24 (24.2) | 9 (33.3) | ||
Statistical difference is reported in bold between categories of nutritional status (p ≤ 0.05)
amean (SD) is presented
bmedian (IQR) is presented
MNA-SF mini nutritional assessment,-short form QOL quality of life, ED emergency department, HoLOS hospital length of stay