naa a22 4500 510786359 CHVBK 20180411083303.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12603-012-0398-0 doi (NATIONALLICENCE)springer-10.1007/s12603-012-0398-0 Malnutrition: A highly predictive risk factor of short-term mortality in elderly presenting to the emergency department [Elektronische Daten] [S. Gentile, O. Lacroix, A. Durand, E. Cretel, M. Alazia, R. Sambuc, S. Bonin-Guillaume] Objectives: To identify independent risk factors of mortality among elderly patients in the 3 months after their visit (T3) to an emergency department (ED). Design: Prospective cohort study. Setting: University hospital ED in an urban setting in France. Participants: One hundred seventy-three patients aged 75 and older were admitted to the ED over two weeks (18.7% of the 924 ED visits). Of these, 164 patients (94.8%) were included in our study, and 157 (95.7%) of them were followed three months after their ED visit. Measurements: During the inclusion period (T0), a standardized questionnaire was used to collect data on socio-demographic and environmental characteristics, ED visit circumstances, medical conditions and geriatric assessment including functional and nutritional status. Three months after the ED visits (T3), patients or their caregivers were interviewed to collect data on vital status, and ED return or hospitalization. Results: Among the 157 patients followed at T3, 14.6% had died, 19.9% had repeated ED visits, and 63.1% had been hospitalized. The two independent predictive factors for mortality within the 3 months after ED visit were: malnutrition screened by the Mini Nutritional Assessment short-form (MNA-SF) (OR=20.2; 95% CI: 5.74-71.35; p<.001) and the Cumulative Illness Rating Scale for Geriatrics (CIRS-G) score (OR=1.1; 95% CI: 1.01-1.22; p=.024). Conclusion: Malnutrition is the strongest independent risk factor predicting short-term mortality in elderly patients visiting the ED, and it was easily detected by MNA-SF and supported from the ED visit. Serdi and Springer-Verlag France, 2013 Gentile S. Laboratoire de Santé Publique, EA 3279, Faculté de Médecine, Université de La Méditerranée, Marseille, France aut Lacroix O. Service de Médicine Interne Gériatrie, Hôpitaux Sud, Assistance Publique Hôpitaux de Marseille, Marseille, France aut Durand A. Laboratoire de Santé Publique, EA 3279, Faculté de Médecine, Université de La Méditerranée, Marseille, France aut Cretel E. Unité Mobile de Gériatrie, Hôpital La Timone Adultes, Assistance Publique Hôpitaux de Marseille, Marseille, France aut Alazia M. Service d'Accueil des Urgences, Hôpitaux Sud, Assistance Publique Hôpitaux de Marseille, Marseille, France aut Sambuc R. Laboratoire de Santé Publique, EA 3279, Faculté de Médecine, Université de La Méditerranée, Marseille, France aut Bonin-Guillaume S. Service de Médicine Interne Gériatrie, Hôpitaux Sud, Assistance Publique Hôpitaux de Marseille, Marseille, France aut The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 290-294 1279-7707 17:4<290 2013 17 12603 https://doi.org/10.1007/s12603-012-0398-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-012-0398-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gentile S. Laboratoire de Santé Publique, EA 3279, Faculté de Médecine, Université de La Méditerranée, Marseille, France aut NATIONALLICENCE 700 1- Lacroix O. Service de Médicine Interne Gériatrie, Hôpitaux Sud, Assistance Publique Hôpitaux de Marseille, Marseille, France aut NATIONALLICENCE 700 1- Durand A. Laboratoire de Santé Publique, EA 3279, Faculté de Médecine, Université de La Méditerranée, Marseille, France aut NATIONALLICENCE 700 1- Cretel E. Unité Mobile de Gériatrie, Hôpital La Timone Adultes, Assistance Publique Hôpitaux de Marseille, Marseille, France aut NATIONALLICENCE 700 1- Alazia M. Service d'Accueil des Urgences, Hôpitaux Sud, Assistance Publique Hôpitaux de Marseille, Marseille, France aut NATIONALLICENCE 700 1- Sambuc R. Laboratoire de Santé Publique, EA 3279, Faculté de Médecine, Université de La Méditerranée, Marseille, France aut NATIONALLICENCE 700 1- Bonin-Guillaume S. Service de Médicine Interne Gériatrie, Hôpitaux Sud, Assistance Publique Hôpitaux de Marseille, Marseille, France aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 290-294 1279-7707 17:4<290 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer