https://doi.org/10.4081/monaldi.2021.1960
Malnutrition in patients admitted to in-hospital cardiac rehabilitation: Clinical correlates and association with mortality
Submitted: June 1, 2021
Accepted: October 5, 2021
Published: November 24, 2021
Accepted: October 5, 2021
Abstract Views: 1456
PDF: 592
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Malnutrition is highly prevalent among hospitalized patients; thus, an accurate identification of malnutrition could improve the outcome of these patients. The aim of the present paper was to apply multiple methods to evaluate the prevalence of malnutrition and clinical correlates in patients admitted to in-hospital cardiac rehabilitation. We performed a prospective study of 426 patients admitted to in-hospital cardiac rehabilitation: 282 (66.2%) had undergone a major cardiac surgery and 144 (34.8%) had experienced heart failure. The albumin level and Mini Nutritional Assessment (MNA) scores were applied to evaluate the nutritional status of these patients. Serum albumin levels were < 3.5 g/dl in 147 (34.5%) patients, and MNA scores were < 24 in 179 (42.0%) patients. Patients with malnutrition or a risk of malnutrition had lower haemoglobin values, lower EuroQol scores and poorer functional status. Female gender, age, functional status and Cumulative Illness Rating Scale severity were predictors of malnutrition. Over a median follow-up of 47 months, MNA scores <24 were associated with higher mortality, even after correction for confounding variables. In conclusion, in patients admitted to in-hospital cardiac rehabilitation, malnutrition and risk of malnutrition frequently occur and are associated with poor functional status, higher clinical complication rates and long-term mortality.
Jensen GL, Bistrian B, Roubenoff R, Heimburger DC. Malnutrition syndromes: a conundrum vs continuum. JPEN J Parenter Enteral Nutr 2009;33:710-6.
DOI: https://doi.org/10.1177/0148607109344724
ASPEN Board of Directors and the Clinical Guidelines Task Force. Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. JPEN J Parenter Enteral Nutr 2002;26:1SA-138SA.
DOI: https://doi.org/10.1177/0148607102026001011
Malone A, Hamilton C. The Academy of Nutrition and Dietetics/the American Society for Parenteral and Enteral Nutrition consensus malnutrition characteristics: application in practice. Nutr Clin Pract 2013;28:639-50.
DOI: https://doi.org/10.1177/0884533613508435
Niedert KC, American Dietetic Association. Position of the American Dietetic Association: Liberalization of the diet prescription improves quality of life for older adults in long-term care. J Am Diet Assoc 2005;105:1955-65.
DOI: https://doi.org/10.1016/j.jada.2005.10.004
Dávalos A, Ricart W, Gonzalez-Huix F, et al. Effect of malnutrition after acute stroke on clinical outcome. Stroke 1996;27:1028-32.
DOI: https://doi.org/10.1161/01.STR.27.6.1028
Davis JP, Wong AA, Schluter PJ, et al. Impact of premorbid undernutrition on outcome in stroke patients. Stroke 2004;35:1930-4.
DOI: https://doi.org/10.1161/01.STR.0000135227.10451.c9
Fuhrman MP, Charney P, Mueller CM. Hepatic proteins and nutrition assessment. J Am Diet Assoc 2004;104:1258-64.
DOI: https://doi.org/10.1016/j.jada.2004.05.213
Correia MI, Waitzberg DL. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr 2003;22:235-9.
DOI: https://doi.org/10.1016/S0261-5614(02)00215-7
Guerra RS, Sousa AS, Fonseca I, et al. Comparative analysis of undernutrition screening and diagnostic tools as predictors of hospitalisation costs. J Hum Nutr Diet 2016;29:165-7.
DOI: https://doi.org/10.1111/jhn.12288
Guigoz Y, Vallas BJ, Garry PJ. Mini Nutritional Assessment: a practical assessment tool for grading the nutritional state of elderly patients. Facts Res Gerontol 1994;4:s15-59.
Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med 2002;18:737-57.
DOI: https://doi.org/10.1016/S0749-0690(02)00059-9
Vellas B. Guigoz Y, Garry PJ, et al. The Mini Nutritional assessment (MAN) and its use in grading the nutritional state to elderly patients. Nutriton 1999;15:116-22.
DOI: https://doi.org/10.1016/S0899-9007(98)00171-3
Kuzuya M1, Izawa S, Enoki H, et al. Is serum albumin a good marker for malnutrition in the physically impaired elderly? Clin Nutr 2007; 26:84-90.
DOI: https://doi.org/10.1016/j.clnu.2006.07.009
World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and mineral nutrition information system. Available from: http://www.who.int/vmnis/indicators/haemoglobin
ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002;166:111-7.
DOI: https://doi.org/10.1164/ajrccm.166.1.at1102
Mahoney FI, Barthel DW. Functional evaluation: the BARTHEL Index. Md State Med J 1965;14:61-5.
DOI: https://doi.org/10.1037/t02366-000
EuroQol Group. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy 1990;16:199-208.
DOI: https://doi.org/10.1016/0168-8510(90)90421-9
Whynes DK, TOMBOLA Group. Correspondence between EQ-5D health state classifications and EQ VAS scores. Health Qual Life Outcomes 2008;6:94.
DOI: https://doi.org/10.1186/1477-7525-6-94
Miller MD, Paradis CF, Houck PR, et al. Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res 1992;41:237–48.
DOI: https://doi.org/10.1016/0165-1781(92)90005-N
Louw JA, Werbeck A, Louw ME, et al. Blood vitamin concentrations during the acute-phase response. Crit Care Med.1992; 20:934-41.
DOI: https://doi.org/10.1097/00003246-199207000-00007
Tevik K, Thürmer H, Husby MI et al. Nutritional risk screening in hospitalized patients with heart failure. Clin Nutr 2015;34:257-64.
DOI: https://doi.org/10.1016/j.clnu.2014.03.014
Rahman A1, Jafry S, Jeejeebhoy K et al. Malnutrition and cachexia in heart failure. JPEN J Parenter Enteral Nutr 2016;40:475-86.
DOI: https://doi.org/10.1177/0148607114566854
Aziz EF, Javed F, Pratap B, et al. Malnutrition as assessed by nutritional risk index is associated with worse outcome in patients admitted with acute decompensated heart failure: an ACAP-HF data analysis. Heart Int 2011;6:e2.
DOI: https://doi.org/10.4081/hi.2011.e2
Narumi T, Arimoto T, Funayama A, et al.Prognostic importance of objective nutritional indexes in patients with chronic heart failure. J Cardiol 2013;62:307-13.
DOI: https://doi.org/10.1016/j.jjcc.2013.05.007
Curtis JP, Selter JG, Wang Y, et al. The obesity paradox: body mass index and outcomes in patients with heart failure. Arch Intern Med 2005;165:55-61. Erratum in Arch Intern Med 2008;168:567.
DOI: https://doi.org/10.1001/archinte.165.1.55
Colín-Ramírez E, Orea-Tejeda A, Castillo-Martínez L, et al. Malnutrition syndrome, but not body mass index, is associated to worse prognosis in heart failure patients. Clin Nutr 2011;30:753-8.
DOI: https://doi.org/10.1016/j.clnu.2011.07.005
Van Venrooij LM, Visser M, de Vos R, et al. Cardiac surgery-specific screening tool identifies preoperative undernutrition in cardiac surgery. Ann Thorac Surg 2013;95:642-7.
DOI: https://doi.org/10.1016/j.athoracsur.2012.08.119
van Venrooij LM, de Vos R, Borgmeijer-Hoelen M, et al. Preoperative unintended weight loss and low body mass index in relation to complications and length of stay after cardiac surgery. Am J Clin Nutr 2008;87:1656-61.
DOI: https://doi.org/10.1093/ajcn/87.6.1656
van Venrooij LM, van Leeuwen PA, Hopmans W, et al. Accuracy of quick and easy undernutrition screening tools--Short Nutritional Assessment Questionnaire, Malnutrition Universal Screening Tool, and modified Malnutrition Universal Screening Tool--in patients undergoing cardiac surgery. J Am Diet Assoc 2011;111:1924-30.
DOI: https://doi.org/10.1016/j.jada.2011.09.009
Chermesh I, Hajos J, Mashiach T, et al. Malnutrition in cardiac surgery: food for thought. Eur J Prev Cardiol 2014;21:475-83.
DOI: https://doi.org/10.1177/2047487312452969
Racca V, Castiglioni P, Ripamonti V, et al. Nutrition markers in patients after heart surgery. JPEN J Parenter Enteral Nutr 2010; 34:143-50.
DOI: https://doi.org/10.1177/0148607109357627
Lee JL, Oh ES, Lee RW, Finucane TE. Serum albumin and prealbumin in calorically restricted, nondiseased individuals: A systematic review. Am J Med 2015;128:1023.e1-22.
DOI: https://doi.org/10.1016/j.amjmed.2015.03.032
Supporting Agencies
noneHow to Cite
Passantino, Andrea, Pietro Guida, Caterina Rizzo, Rosa Carbonara, Roberta Ruggieri, and Domenico Scrutinio. 2021. “Malnutrition in Patients Admitted to in-Hospital Cardiac Rehabilitation: Clinical Correlates and Association With Mortality”. Monaldi Archives for Chest Disease 92 (2). https://doi.org/10.4081/monaldi.2021.1960.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Maurizio Bussotti, Marinella Sommaruga, Patrycja Krasinska, Laura Adelaide Dalla Vecchia, Effects of an outpatient service holistic rehabilitation program in a case of pulmonary atresia , Monaldi Archives for Chest Disease: Vol. 91 No. 1 (2021)
- Abdula Elawady, Ahmed Khalil, Omar Assaf, Samirah Toure, Christopher Cassidy, Telemedicine during COVID-19: a survey of Health Care Professionals’ perceptions , Monaldi Archives for Chest Disease: Vol. 90 No. 4 (2020)
- Dario Amore, Dino Casazza, Alessandro Saglia, Pasquale Imitazione, Umberto Caterino, Carlo Curcio, How to avoid "en masse" lobectomy using VATS technique in presence of hilar fibrosis , Monaldi Archives for Chest Disease: Vol. 91 No. 2 (2021)
- Vasiliki Epameinondas Georgakopoulou, Nikolaos Garmpis, Dimitrios Mermigkis, Christos Damaskos, Serafeim Chlapoutakis, Konstantinos Mantzouranis, Aikaterini Gkoufa, Chrysovalantis Papageorgiou, Anna Garmpi, Sotiria Makrodimitri, Evangelos Diamantis, Pagona Sklapani, Nikolaos Trakas, Xanthi Tsiafaki, Pulmonary adverse events due to immune checkpoint inhibitors: A literature review , Monaldi Archives for Chest Disease: Vol. 92 No. 2 (2022)
- Stefano Maffè, Paola Paffoni, Luca Bergamasco, Eleonora Prenna, Giulia Careri, Emanuela Facchini, Lara Baduena, Nicolò Franchetti Pardo, Pierfranco Dellavesa, A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium , Monaldi Archives for Chest Disease: Vol. 92 No. 2 (2022)
- Takeshi Terashima, Takahiro Nakajima, Tatsu Matsuzaki, Eri Iwami, Takeo Shibui, Takeshi Nomura, Akira Katakura, Chewing ability and desaturation during chewing in patients with COPD , Monaldi Archives for Chest Disease: Vol. 89 No. 3 (2019)
- Vasileios Karamouzos, Fotini Fligou, Charalambos Gogos, Dimitrios Velissaris, High flow nasal cannula oxygen therapy in adults with COVID-19 respiratory failure. A case report , Monaldi Archives for Chest Disease: Vol. 90 No. 2 (2020)
- Karina Vieira da Costa, Iara Tainá Cordeiro de Souza, João Victor dos Santos Felix, Celso Brendo Furtado Brandão, Vanessa Michelle de Souza Fernandes, Andressa Bomfim Lugon Favero, Maria Lucrécia de Aquino Gouveia, Dyego Tavares de Lima, José Heriston de Morais Lima, Rafaela Pedrosa, Tatiana Onofre, Geraldo Eduardo Guedes de Brito, Eduardo Eriko Tenorio de França, Efficacy of a rehabilitation protocol on pulmonary and respiratory muscle function and ultrasound evaluation of diaphragm and quadriceps femoris in patients with post-COVID-19 syndrome: a series of cases , Monaldi Archives for Chest Disease: Vol. 93 No. 1 (2023)
- Andrea Lanza, Maurizio Sommariva, Sara Mariani, Gabriela Ferreyra, Giuliana Enrica Stagni, Valeria Tombini, Angela Oppizzi, Catia Pontiggia, Andrea Bellone, Prolonged non-invasive respiratory supports in a COVID-19 patient with severe acute hypoxemic respiratory failure , Monaldi Archives for Chest Disease: Vol. 92 No. 1 (2022)
- Matteo Daverio, Mariaenrica Tine', Paolo Spagnolo, The milky way , Monaldi Archives for Chest Disease: Vol. 91 No. 4 (2021)
<< < 54 55 56 57 58 59 60 61 62 63 > >>
You may also start an advanced similarity search for this article.
