Table 1. Nutritional Status of Nursing Home Patients
Author (Reference) |
Year |
n |
Prevalence |
Time |
Outcome |
Shaver et al.
(54) |
1980 |
115 |
PCM 85% BMI 43% |
6 mo |
48% death rate in anergic residents |
Pinchocofsky-Devin et al.
(55) |
1987 |
227 |
PCM 52% |
|
|
Silver et al.
(1) |
1988 |
130 |
BMI 23% Low albumin 8% |
1 year |
Mortality not associated with BMI |
Thomas et al.
(3) |
1991 |
61 |
PCM 54% |
2 mo |
Mortality associated with malnutrition. Improvement in only 63% |
Larsson et al.
(56) |
1991 |
501 |
PCM 29% |
|
|
Nelson et al.
(57) |
1993 |
100 |
PCM 39% |
|
|
Wright
(58) |
1993 |
309 |
51% had 5% weight loss |
6 mo |
Slightly increased mortality (15% vs 12%) |
Abbasi/Rudman
(59) |
1993 |
2811 |
Underweight 11% Low albumin 27.5% |
|
Recognition by physicians from 7% to 100% |
Morley/Kraenzle
(44) |
1994 |
185 |
15% had 5% weight loss |
6 mo |
Depression most common cause of weight loss |
Blaum et al.
(18) |
1995 |
6832 |
9.9% had 5% weight loss Low BMI 25% |
|
Poor intake, eating dependency, depression predicts malnutrition |
|
Notes: PCM = protein calorie malnutrition; BMI = body mass index.