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
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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.
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Supporting Agencies
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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.
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