Evaluation of Prognostic Nutritional Index of Home Care Patients over 65 years of age.
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https://doi.org/10.5281/zenodo.8404311Keywords:
Aging, Home care service, Prognostic nutritional indexAbstract
Objective: Assessment of nutritional status and Prognostic Nutritional Index (PNI) of frail elderly individuals.
Methods: The retrospective, cross-sectional study was applied to individuals over the age of 65 who were registered with Home Care Services at Giresun University Training and Research Hospital Home Health Services between January and March 2023. Biochemical data and sociodemographic institutional database of registered individuals were created. PNI is classified as high risk with >50%, intermediate risk between 40% and 49%, and low risk below 40%. Medical status, nutritional status and prognostic nutritional index were evaluated.
Results: A statistically weak negative correlation was found between the age of the participants and PNI values (r= -0.228; p=0.012). A statistically positive, moderate correlation was found between the albumin levels of the participants and PNI values (r= 0.558; p=0.003). There was no statistically significant relationship between PNI categories and nutritional status (p=0.459). There was no statistically significant relationship between the PNI values of the participants and other parameters (p>0.050).
Conclusion: In individuals over 65 years of age, we could not determine PNI alone as a suitable tool to assess malnutrition status. Further studies are needed to correlate PNI with nutrition-related parameters such as oral nutrition, nutritional product use, and nutritional adequacy when we evaluate nutritional status.
References
Atas, D. B., Tugcu, M., Asicioglu, E., Velioglu, A., & al, e. (2022). Prognostic nutritional index is a predictor of mortality in elderly patients with chronic kidney disease. Int Urol Nephrol., 54(5), 1155-1162. doi:10.1007/s11255-021-03002-6
Bullock, A., Greenley, S., McKenzie, G., Paton, L., & Johnson, M. (2020). Relationship between markers of malnutrition and clinical outcomes in older adults with cancer: systematic review, narrative synthesis and meta-analysis. Eur J Clin Nutr., 74(11), 1519-1535. doi:10.1038/s41430-020-0629-0
Çayır, Y. (2020). Evde Sağlık Hizmetleri. Türkiye Aile Hekimliği ve Birinci Basamak Dergisi, 147-152.
Çayır, Y., & Işık, M. (2012). Terminal dönem kanser hastalarında evde sağlık hizmetleri. Smyrna Tıp Dergisi(2), 87-9.
Franzosa, E., Wyte-Lake, T., Tsui, E., Reckrey, J., & Sterling, M. (2022). Essential but Excluded: Building Disaster Preparedness Capacity for Home Health Care Workers and Home Care Agencies. J Am Med Dir Assoc., 23(12), 1990-1996. doi:doi:10.1016/j.jamda.2022.09.012
García, R. M., Chacón, R. F., Mora, A. L., & Anta, R. O. (2021). La nutrición en la prevención y curación de heridas crónicas. Importancia en la mejora del pie diabético [Nutrition in the prevention and healing of chronic wounds. Importance in improving the diabetic foot]. Nutr Hosp., 38(2), 60-63. doi:10.20960/nh.03800
Karadüz, E. G., & Yurdalan, U. (2021). Does Cardiac Physiology also Take Age in Geriatric Population? Journal of Geriatric Science, 4(3), 93-102. doi:Doi:10.47141/geriatrik.1022619
Liu, T., Zheng, Y., Tang, J., & al, e. (2022, Jan-Dec.). Prognostic Nutritional Index as a Novel Predictor of Long-Term Prognosis in Patients with Coronary Artery Disease After Percutaneous Coronary Intervention. Clin Appl Thromb Hemost. Clin Appl Thromb Hemost.(28), 10760296221103271. doi:10.1177/10760296221103271
Mendieta, M., Geest, S. D., Goderis, G., & al., e. (2022, November 3). . A multi-level perspective on perceived unmet needs for home support in home-dwelling older adults in the Swiss context: a secondary data analysis of a population study. BMC Geriatr., 22(1), 833. doi:doi:10.1186/s12877-022-03479-5
Mullen, J., Buzby, G., Waldman, M., Gertner, M., & al., e. (1979). Prediction of operative morbidity and mortality by preoperative nutritional assessment. Surg Forum(30), 80-82.
Rondel, A., Langius, J., Schueren, M. d., & Kruizenga, H. (2018). The new ESPEN diagnostic criteria for malnutrition predict overall survival in hospitalised patients. Clin Nutr., 37(1), 163-168. doi:10.1016/j.clnu.2016.11.018
Serón-Arbeloa, C., Labarta-Monzón, L., Puzo-Foncillas, L., & al, e. (2022, June 9). Malnutrition Screening and Assessment. Nutrients, 14(12), 2392. doi:10.3390/nu14122392
Silva, C., Carvalho, Figueiredo, M., Silva-Júnior, & al., e. (2019). Health promotion of frail elderly individuals and at risk of frailty. Rev Bras Enferm. Rev Bras Enferm., 72(2), 319-27. doi:http://dx.doi.org/10.1590/0034-7167-2018-0575
Tak, B., Ekizler, F., Kafes, H., Cay, S., & Cetin, E. e. (2020). Low prognostic nutritional index is associated with adverse outcomes in patients with hypertrophic cardiomyopathy. Turk J Clin Lab(11), 136-145. doi:10.18663/tjcl.731609
Toya, Y., Endo, M., Nakamura, S., & al., e. (2019). Long-term outcomes and prognostic factors with non-curative endoscopic submucosal dissection for gastric cancer in elderly patients aged ≥ 75 years. Gastric Cancer(22), 838-844. doi:https://doi.org/10.1007/s10120-018-00913-9
World Health Organization. Ageing and Health. (2022, 04 23). Available from 03 24, 2023 https://www.who.int/news-room/factsheets/detail/ageing-and-health.
Zhang, J., Xiao, X., Wu, Y., Yang, J., & al, e. (2022). Prognostic Nutritional Index as a Predictor of Diabetic Nephropathy Progression. Nutrients., 14(17), 3634. doi:10.3390/nu14173634.
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