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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

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

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)

 
  1. Statistical difference is reported in bold between categories of nutritional status (p ≤ 0.05)
  2. amean (SD) is presented
  3. bmedian (IQR) is presented
  4. MNA-SF mini nutritional assessment,-short form QOL quality of life, ED emergency department, HoLOS hospital length of stay