| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Original Research Communication |
1 From the Vanderbilt Center for Human Nutrition, Vanderbilt University Medical Center, Nashville, TN, and the Nutrition Department, The Pennsylvania State University, University Park.
Background: The potential for the use of nutritional screening to identify older persons at risk of hospitalization has not been contrasted with the use of tools developed for predicting hospital admissions.
Objective: Our goal was to compare the associations of items from the Level II Nutrition Screen (LII) and the Probability of Repeated Admissions (Pra) questionnaire with the outcome of hospitalization.
Design: This was a cohort study of participants in a Medicare managed-risk health plan who completed both the LII and Pra (n = 386). All hospitalizations within 1 y of screening were recorded. Hierarchical multivariate logistic regression was used to model associations with hospitalization.
Results: Pra items that retained significant associations with hospitalization were self-reported health, hospitalization in the past year, and >6 doctor visits in the past year (positive predictive value: 20%; sensitivity: 53.1; specificity: 69.7). LII items that retained significant associations with hospitalization were eating problems and polypharmacy (positive predictive value: 17.9%; sensitivity: 58.0; specificity: 56.3). Those persons designated by the Pra score as being at high risk of hospitalization (Pra 
0.30, 75th percentile) were also more likely to report weight loss, polypharmacy, consumption of a special diet, and functional limitation on the LII.
Conclusions: Retained items from the Pra and the LII were comparable in identifying participants at risk of hospitalization. These observations suggest that nutritional risk factors such as eating problems, weight loss, and consumption of special diets should be considered in the management of older persons at risk of hospitalization, irrespective of the screening approach selected.
This article has been cited by other articles:
|
|
 |
|
  R. L. Bailey, D. C. Mitchell, C. K. Miller, C. D. Still, G. L. Jensen, K. L. Tucker, and H. Smiciklas-Wright A Dietary Screening Questionnaire Identifies Dietary Patterns in Older Adults J. Nutr., February 1, 2007; 137(2): 421 - 426. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. L. Jensen Inflammation as the Key Interface of the Medical and Nutrition Universes: A Provocative Examination of the Future of Clinical Nutrition and Medicine JPEN J Parenter Enteral Nutr, September 1, 2006; 30(5): 453 - 463. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. H. Keller, T. Ostbye, and R. Goy Nutritional Risk Predicts Quality of Life in Elderly Community-Living Canadians J. Gerontol. A Biol. Sci. Med. Sci., January 1, 2004; 59(1): M68 - 74. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. H Ledikwe, H. Smiciklas-Wright, D. C Mitchell, G. L Jensen, J. M Friedmann, and C. D Still Nutritional risk assessment and obesity in rural older adults: a sex difference Am. J. Clinical Nutrition, March 1, 2003; 77(3): 551 - 558. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. A. MARSHALL, J. J. WARREN, J. S. HAND, X.-J. XIE, and P. J. STUMBO Oral health, nutrient intake and dietary quality in the very old J Am Dent Assoc, October 1, 2002; 133(10): 1369 - 1379. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. W Bales What does it mean to be ""at nutritional risk""? Seeking clarity on behalf of the elderly Am. J. Clinical Nutrition, August 1, 2001; 74(2): 155 - 156. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
