ICOP 营养学 - 第一年

IF 6 2区医学 Q1 GERIATRICS & GERONTOLOGY

Age and ageing Pub Date : 2024-09-30 DOI:10.1093/ageing/afae178.127

Aideen McGuinness

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引用次数: 0

摘要

背景所有因跌倒、体弱或功能衰退而被转介到老年人综合护理项目（ICOP）的患者都要接受包括营养筛查在内的老年病综合评估（CGA），这可能会引发营养师的转介。方法对一名高级营养师（0.5WTE）最初一年的工作进行回顾性分析。结果转介 172 人，占 ICOP 客户的 28%。14 人未参与。年龄 56-95 岁，临床虚弱量表 3-8（中位数 5）。304 次咨询：40% 为一次咨询，40% 为 1-2 次复查，20% 为 3-6 次复查。营养筛查 Mini Nutritional Assessment-Short Form (MNA-SF)1 评分 ≤ 7 16% 营养不良，8-11 55% 有营养不良风险，12-14 29% 无营养风险。因此，71%的人被归类为营养不良或有营养风险。虽然没有对所有病例进行评估，但有 42% 的受试者通过握力证明可能患有肌肉疏松症2。包括个性化建议（人数=158）：141 人在接受营养师个别建议后出院。7 名患者死亡。其余（9 人）仍在治疗中。结论参加 ICOP 的患者营养问题发生率较高，营养筛查非常重要，专家的营养建议对确保指导以证据为基础和资源的适当性至关重要。

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ICOP Dietetics – The First Year

Background All clients referred to Integrated Care for Older Persons (ICOP) for falls, frailty or functional decline have a Comprehensive Geriatric Assessment (CGA) including nutrition screening, which may trigger dietetic referral. Methods Retrospective analysis of initial year of a Senior Dietitian (0.5WTE). Results 172 referrals - representing 28% of ICOP clients. 14 did not engage. Age 56-95, Clinical Frailty Scale 3-8 (median 5). 304 consults: 40% one consultation, 40% 1-2 reviews, 20% 3-6 reviews. Nutrition screening Mini Nutritional Assessment-Short Form (MNA-SF)1 score ≤ 7 16% malnourished, 8-11 55% at risk of malnutrition, 12-14 29% not nutritionally at risk. So, 71% categorised as either malnourished or nutritionally at risk. While not assessed in all cases, probable sarcopenia2 was documented in 42% clients using grip strength. Individually tailored advice included (n=158): 141 discharged after individualised dietetic advice. Seven clients deceased. Remainder (nine) ongoing. Conclusion Those attending ICOP have a high prevalence of nutrition concerns, nutrition screening is important, and expert dietetic advice is essential to ensure guidance is evidence-based and resources are appropriate.

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来源期刊

Age and ageing 医学-老年医学

CiteScore

9.20

自引率

6.00%

发文量

796

审稿时长

4-8 weeks

期刊介绍： Age and Ageing is an international journal publishing refereed original articles and commissioned reviews on geriatric medicine and gerontology. Its range includes research on ageing and clinical, epidemiological, and psychological aspects of later life.