Nearly half of the older hospitalized patients with COPD met the criteria for malnutrition.
Malnutrition is common in older patients with COPD , who also experience high rates of hospital readmission, but the association between nutrition status and readmission has not been examined, wrote Huan Liu, PhD, of Sichuan University, Chengdu, China, and colleagues.
The median age of the study population was 76 years, and 65.52% were men. The baseline median length of hospital stay was 12 days, and the patients had a median of five comorbidities. Based on the Global Leadership Initiative on Malnutrition criteria, 49.53% of the patients were considered malnourished.
"Malnutrition is identified as one of the modifiable factors in several high-quality studies related to readmission," the researchers wrote in their discussion."Nutritional intervention can increase lean body mass in malnourished COPD patients, enhance their respiratory muscle function, and improve their overall health status. Therefore, active nutritional interventions should be implemented for patients with malnutrition," they said.
The findings were limited by several factors, including the cross-sectional design and inability to prove causal relationships, the potential lack of generalizability to older patients with COPD in the community or in rehab hospitals, and the use of grip strength as an assessment of muscle mass reduction , the researchers noted. However, the results indicate that malnutrition is a risk factor for 180-day readmission in older adults with COPD.
COPD - Chronic Obstructive Pulmonary Disease COPD Chronic Obstructive Lung Disease COAD - Chronic Obstructive Airway Disease COAD Malnutrition Nutritional Deficiency Hospitals Airway Airway Management Management Of The Airway Geriatrics Elder Care Geriatric Medicine Older Adults Seniors Senior Citizens Elderly Nutrition Muscles
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