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ワカバヤシ ヒデタカ
WAKABAYASHI Hidetaka
若林 秀隆 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Predictive validity of the Mini Nutritional Assessment Short-Form for rehabilitation patients: A retrospective analysis of the Japan Rehabilitation Nutrition Database. |
| 掲載誌名 | 正式名：Journal of human nutrition and dietetics : the official journal of the British Dietetic Association 略 称：J Hum Nutr Diet ISSNコード：1365277X/09523871 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 34,pp.1 |
| 著者・共著者 | Nishioka Shinta, Wakabayashi Hidetaka, Kayashita Jun, Taketani Yutaka, Momosaki Ryo |
| 担当区分 | 2nd著者 |
| 発行年月 | 2021/03 |
| 概要 | AIM:Malnutrition is associated with worse outcome in rehabilitation patients; however, appropriate malnutrition screening tools for this population have not been investigated. We examined the predictive validity of specific cut-off values of the Mini Nutritional Assessment Short Form version 2 (MNA-SFv2) for Japanese rehabilitation patients.METHODS:This retrospective cohort study analyzed adult patients (≥20 years) in the Japan Rehabilitation Nutrition Database who were in convalescent rehabilitation wards after stroke or hip fracture. Patients were classified into three categories based on MNA-SFv2 original (0-7, 8-11 and 12-14 points, respectively) or modified (0-5, 6-7 and 8-14 points, respectively) cut-off values: malnutrition, at risk of malnutrition, or well-nourished. Functional Independence Measure (FIM) and home discharge were compared between the categories.RESULTS:Overall, 489 patients were analyzed. Based on the MNA-SFv2 original and modified cut-off values, 64.4% and 36.0% were malnourished, 32.3% and 28.4% were at risk of malnutrition, and 3.3% and 35.6% were well-nourished, respectively. Malnutrition defined by both cut-off values was significantly associated with the FIM at admission, whereas only those defined by modified cut-off values predicted the FIM at discharge (B, -7.1; 95% confidence interval, -12.3 to -1.9). Neither original nor modified cut-off values predicted discharge to home and long-term care facilities.CONCLUSIONS:An MNA-SFv2 score of 0-5 points may be useful to identify Japanese patients with poor outcomes in a rehabilitation setting. |
| DOI | 10.1111/jhn.12887 |
| PMID | 33713369 |