Skip to main content

Table 3 Baseline characteristics of patients (n 353) on admission to ED according to nutrition status as categorised by the MNA-SF

From: The prevalence of malnutrition and impact on patient outcomes among older adults presenting at an Irish emergency department: a secondary analysis of the OPTI-MEND trial

  

MNA-SF categories

 

Characteristics, n (%) or mean (SD) or median (IQR)

 

Full sample

n = 353

Normal nutrition

n = 227

At risk of malnutrition

n = 99

Malnourished

n = 27

p-value (effect size)

Demographic information

 Sex

Male

144 (40.8)

101 (44.5)

36 (36.4)

7 (25.9)

0.10 (0.11)

 

Female

 209 (59.2)

126 (55.5)

63 (63.6)

20 (71.4)

 

 Age

60–74

83 (23.5)

60 (26.4)

21 (21.2)

2 (7.4)

0.19 (0.09)

 

75–84

171 (48.4)

108 (47.6)

49 (49.5)

14 (51.9)

 
 

85+

99 (28.0)

59 (26.0)

29 (29.3)

11 (40.7)

 

 Marital status

Married

135 (38.2)

94 (41.8)

34 (34.7)

7 (25.9)

0.29 (0.11)

 

Single

51 (14.4)

33 (14.7)

14 (14.3)

4 (14.8)

 
 

Divorced

11 (3.1)

5 (2.2)

6 (6.1)

0 (0.0)

 
 

Widowed

153 (43.3)

93 (41.3)

44 (44.9)

16 (59.3)

 

 Residential status

Lives alone

153 (43.3)

103 (45.4)

39 (39.4)

11 (40.7)

0.46 (0.07)

 

Lives with family

183 (51.8)

115 (50.7)

55 (55.6)

13 (48.1)

 
 

Other

17 (4.8)

9 (4.0)

5 (5.1)

3 (11.1)

 

 Mode of Entry

Ambulance

171 (48.4)

98 (43.2)

57 (57.6)

16 (59.3)

0.17 (0.10)

 

Private Transport

177 (50.1)

125 (55.1)

41 (41.4)

11 (40.7)

 
 

Public Transport / walk in

5 (1.4)

4 (1.8)

1 (1.0)

0 (0.0)

 

 Source of Referral

GP

124 (35.1)

75 (33.0)

36 (36.4)

13 (48.1)

0.05 (0.12)

 

Self-referral

210 (59.5)

140 (61.7)

60 (60.6)

10 (37.0)

 
 

Otherb

19 (5.4)

12 (5.3)

3 (3.0)

4 (14.8)

 

 Presenting Problem

Acute disease / injury (moderate)

317 (89.8)

204 (89.9)

88 (88.9)

25 (92.6)

0.12 (0.10)

 

Acute disease / injury (severe)

23 (6.5)

18 (7.9)

5 (5.1)

0 (0.0)

 
 

Gastro complaint

13 (3.7)

5 (2.2)

6 (6.1)

2 (7.4)

 

 Triage

Orange

 36 (10.2)

25 (11.0)

9 (9.1)

2 (7.4)

0.74 (0.06)

 

Yellow

 295 (83.6)

187 (82.4)

83 (83.8)

25 (92.6)

 
 

Green

 22 (6.2)

15 (6.6)

7 (7.1)

0 (0.0)

 

 EQ-5D totalc

 

12 (6)

11 (6)

12 (7)

15 (6.0)

< 0.001 (0.17)

 EQ VASc

 

60 (30)

65 (30)

50 (30)

50 (20.0)

< 0.001 (0.19)

 Barthel indexc

 

 18 (5)

18.0 (5)

17.0 (6.0)

13.0 (9.0)

< 0.001 (0.32)

 ISAR scorea

 

 2.52 (1.2)

2.3 (1.2)

2.8 (1.3)

3.7 (1.0)

< 0.001 (0.32)

 Clinical frailty scorea

 

 4.1 (1.4)

3.7 (1.2)

4.5 (3.7)

5.6 (1.1)

< 0.001 (0.41)

 Falls past 3 months

No

 164 (46.6)

96 (42.3)

57 (58.2)

11 (40.7)

0.03 (0.14)

 

Yes

 188 (53.4)

131 (57.7)

41 (41.8)

16 (59.3)

 

 Hospitalised past 6 months

No

 239 (67.9)

169 (74.8)

56 (56.6)

14 (51.9)

0.001 (0.20)

 

Yes

 113 (32.1)

57 (25.2)

43 (43.4)

13 (48.1)

 

Outcome of index visit

 PETc

 

18.1 (15.1)

17.2 (14.4)

18.1 (17.2)

22.6 (11.4)

< 0.001 (0.22)

 Outcome

Admission

220 (62.3)

162 (71.4)

46 (46.5)

12 (44.4)

< 0.001 (0.19)

 

Discharge home

95 (26.9)

46 (20.3)

40 (40.4)

9 (33.3)

 
 

Transfer to other hospital

38 (10.8)

19 (8.4)

13 (13.1)

6 (22.2)

 

HoLOSc

 

9.0 (15)

8 (12)

9 (23)

10 (12)

0.21 (0.19)

  1. Statistical difference is reported in bold between categories of nutritional status (P ≤ 0.05)
  2. amean (SD) is presented
  3. bother includes injury unit, nursing home, Out of Hours clinic, walk in clinic
  4. cmedian (IQR) is presented
  5. MNA mini nutritional assessment, HoLOS hospital length of stay in days, PET patient length of stay in ED in hours, EQ-5D total quality of life score, EQ VAS visual analogue scale score, ISAR score identification of seniors at risk