Correlation Between Nutritional Status Screening by MNA-SF and Acute Stroke-associated Infections in Older Adults

Overview

Journal Aging Clin Exp Res

Publisher Springer

Specialty Geriatrics

Date 2023 Jan 19

PMID 36656506

Authors

Yi Zhou

Jin Li

Guofeng Fan

Fengjuan Gao

Jun Wang

Shuangshuang Gu

Affiliations

Soon will be listed here.

Abstract

Purpose: This study aimed to explore the correlation between nutritional status screening using the MNA-SF and stroke-associated infections (SAI) in older adults.

Methods: A retrospective study of patients aged over 70 years with acute stroke was conducted. The patients were divided into normal nutritional status, malnutrition risk, and malnutrition groups depending on their baseline MNA-SF scores. The correlation between nutritional status and SAI was identified using multivariate logistic regression. The receiver operating characteristic (ROC) curve was used to demonstrate the predicted value of MNA-SF.

Results: 497 patients were included, 101 (20.32%) developed SAI. 32.29% of patients with malnutrition developed SAI, while 25.14% of those with malnutrition risk developed SAI. Malnutrition (aOR 4.58, 95% CI 2.34-8.96, p < 0.001) and risk of malnutrition (aOR 3.70, 95%CI 2.01-6.85, p < 0.001) were independent risk factors for SAI in older stroke patients. The area under the curve (AUC) value of MNA-SF was 0.713.

Conclusion: MNA-SF is a simple and effective nutritional screening tool for predicting the occurrence of SAI in older patients with acute stroke.

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