The utility of an admission assessment to predict in-hospital nutrient intake.

Abstract:

OBJECTIVE:To determine if pre-complication nutrient intake can be predicted based on an admission assessment. DESIGN:Survey (cross-sectional study). SETTING:Geriatric Rehabilitation Unit (GRU) of a Veterans Administration hospital. PATIENTS:Three-hundred-twelve randomly selected admissions to the GRU. MEASUREMENTS:At admission, each patient completed a comprehensive medical, neuropsychological, functional, and nutritional assessment. While remaining hospitalized, each subject was monitored on a daily basis for the development of complications. Complete calorie counts were obtained at least every other day, and the average pre-complication daily volitional nutrient intake was expressed as a percent of predicted requirements as determined using the Harris-Benedict equation. RESULTS:Based on a stepwise linear regression analysis, the strongest predictor of pre-complication volitional intake was the first day calorie count, followed by waist circumference, the percent of weight lost in the 6 months prior to admission, supra-iliac skinfold thickness, and admission Katz ADL score. The model R2 = 0.66. CONCLUSIONS:It is possible to predict pre-complication nutrient intake with a fair degree of accuracy based on an admission assessment, which includes a 1-day calorie count.

journal_name

J Am Geriatr Soc

authors

Sullivan DH

doi

10.1111/j.1532-5415.1994.tb04967.x

subject

Has Abstract

pub_date

1994-05-01 00:00:00

pages

478-80

issue

5

eissn

0002-8614

issn

1532-5415

journal_volume

42

pub_type

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