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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

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

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)

 
  1. amedian (IQR) is presented
  2. MNA mini nutritional assessment, QOL quality of life, ED emergency department, HoLOS hospital length of stay