Table 7.
Differences in reported patient outcomes across MNA-SF categories among 353 older adults at 6 month follow-up from index visit in an Irish ED. There were no differences between the MNA categories and the 6-month outcomes
| Differences in 6-month follow-up outcomes by MNA category | ||||||
|---|---|---|---|---|---|---|
| Full Sample (n = 353) |
MNA categories | |||||
| Normal nutrition (n = 227) |
At risk of malnutrition (n = 99) |
Malnourished (n = 27) |
p-value (Effect size) |
|||
| Functional decline | No change | 136 (44.9) | 98 (48.5) | 31 (39.7) | 7 (30.4) | 0.05 (0.13) |
| Reduced function | 94 (31.0) | 56 (27.7) | 25 (32.1) | 13 (56.5) | ||
| Improved function | 73 (24.1) | 48 (23.8) | 22 (28.3) | 3 (13.0) | ||
| QOL decline | No change | 76 (25.2) | 57 (28.2) | 17 (22.1) | 2 (8.7) | 0.07 (0.12) |
| Reduced QOL | 85 (28.1) | 57 (28.2) | 24 (31.2) | 4 (17.4) | ||
| Improved QOL | 141 (46.7) | 88 (43.6) | 36 (46.8) | 17 (73.9) | ||
| ED revisit | No | 221 (63.3) | 150 (66.7) | 53 (54.6) | 18 (66.7) | 0.11 (0.11) |
| Yes | 128 (36.7) | 75 (33.3) | 44 (45.4) | 9 (33.3) | ||
| Number of ED visits | 0 | 221 (63.3) | 151 (67.1) | 52 (53.6) | 18 (66.7) | 0.16 (0.10) |
| 1 | 90 (25.5)) | 54 (24.0) | 31 (32.0) | 5 (18.5) | ||
| 2+ | 38 (10.9) | 20 (8.9) | 14 (14.4) | 4 (14.8) | ||
| Hospital admissions | No | 258 (73.9) | 173 (76.9) | 66 (68.0) | 19 (70.4) | 0.23 (0.09) |
| Yes | 91 (26.1) | 52 (23.1) | 31 (32.0) | 8 (29.6) | ||
| HoLOS at revisita | 12 (19) | 9 (20.0) | 13 (17.5) | 8.5 (64.25) | 0.51 (0.15) | |
| Healthcare use | No | 78 (22.3) | 40 (17.8) | 25 (25.8) | 13 (48.1) | 0.001 (0.20) |
| Yes | 271 (77.7) | 185 (82.2) | 72 (74.2) | 14 (51.9) | ||
| Frequency of healthcare usea | 5 (8) | 7 (9.0) | 3.5 (4.0) | 3 (9.5) | 0.72 (0.05) | |
| Nursing home admission | No | 335 (96.0) | 216 (96.0) | 93 (95.9) | 26 (96.3) | 0.99 (0.01) |
| Yes | 14 (4.0) | 9 (4.0) | 4 (4.1) | 1 (3.7) | ||
amedian (IQR) is presented
MNA mini nutritional assessment, QOL quality of life, ED emergency department, HoLOS hospital length of stay