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Mini Nutritional Assessment as a useful method to predict the development of pressure ulcer among elderly inpatients

https://fmu.repo.nii.ac.jp/records/2000018
https://fmu.repo.nii.ac.jp/records/2000018
9c9c140e-13ed-4e26-b99b-67e4f8b362a6
名前 / ファイル ライセンス アクション
JAmGeriatrSoc_61_p1698.pdf JAmGeriatrSoc_61_p1698.pdf (395.2 KB)
Item type デフォルトアイテムタイプ(フル)fmu(1)
公開日 2013-06-28
タイトル
タイトル Mini Nutritional Assessment as a useful method to predict the development of pressure ulcer among elderly inpatients
言語 en
作成者 Yatabe, Midori Sasaki

× Yatabe, Midori Sasaki

en Yatabe, Midori Sasaki

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Taguchi, Fumie

× Taguchi, Fumie

en Taguchi, Fumie

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Ishida, Izumi

× Ishida, Izumi

en Ishida, Izumi

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Sato, Atsuko

× Sato, Atsuko

en Sato, Atsuko

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Kameda, Toshio

× Kameda, Toshio

en Kameda, Toshio

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Ueno, Shuichi

× Ueno, Shuichi

en Ueno, Shuichi

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Takano, Kozue

× Takano, Kozue

en Takano, Kozue

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Watanabe, Tsuyoshi

× Watanabe, Tsuyoshi

en Watanabe, Tsuyoshi

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Sanada, Hironobu

× Sanada, Hironobu

en Sanada, Hironobu

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Yatabe, Junichi

× Yatabe, Junichi

en Yatabe, Junichi

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権利情報
権利情報 © 2013, Copyright the Authors Journal compilation © 2013, The American Geriatrics Society. This is the peer reviewed version of the following article: J Am Geriatr Soc. 2013 Oct;61(10):1698-704, which has been published in final form at https://doi.org/10.1111/jgs.12455. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
内容記述
内容記述タイプ Abstract
内容記述 Abstract: OBJECTIVES: Malnutrition is a major risk factor of pressure ulcers (PU). However, the best method of nutritional assessment to prevent PU is still unclear. This study was designed to determine the usefulness of Mini Nutritional Assessment (MNA) and plasma amino acid analysis to predict the formation of PU among inpatients. DESIGN: This was a prospective, observational cohort study with a mean observation period of 62.2±86.4 days. SETTING: Intermediate and acute care wards of a hospital in rural Japan. PARTICIPANTS: The 422 patients analyzed had an average age of 85.0±7.6 years. MEASUREMENTS: MNA, Subjective Global Assessment (SGA), Braden Scale (PU prognostic score), pressure ulcer formation, and biochemical analysis including plasma amino acid concentrations. RESULTS: PU developed in 7.1% of the patients. A MNA score of less than 8 was more sensitive than a rating of moderate or severe malnourishment on the SGA combined with a Braden Scale score of <15 in predicting future PU. Area under the receiver operating characteristic curve (AUC) of MNA was superior to that of the Braden Scale. Braden Scale nutrition subscore had the lowest AUC among the six Braden Scale subscores. The PU group showed significantly lower plasma arginine concentrations than the No PU group. CONCLUSION: MNA was able to predict the development of PU. A MNA of <8 performed better than the SGA, Braden Scale, and plasma arginine levels in predicting PU development. Although lower plasma arginine concentration at time of admission was associated with PU development, the area under the ROC curve was not significant. The findings from this prospective study support the use of nutritional assessment among inpatients in order to predict PU risk and target appropriate interventions.
出版者
出版者 Wiley-Blackwell
言語
言語 eng
書誌情報 en : Journal of the American Geriatrics Society

巻 61, 号 10, p. 1698-1704, 発行日 2013-10
関連情報
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1111/jgs.12455
関連情報
識別子タイプ PMID
関連識別子 24083424
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0002-8614
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 1532-5415
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA00692748
主題
主題Scheme Other
主題 Pressure ulcers
主題
主題Scheme Other
主題 MNA
主題
主題Scheme Other
主題 Braden Scale
主題
主題Scheme Other
主題 arginine
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