Relationship between nutrition and ASA-classification in the elderly
Old age and bad nourishment are risk factors for the postoperative period. In this study, the "mini nutritional assessment" (MNA) of elderly patients was evaluated before the operation and compared with their ASA-classification. 215 outpatients (age > 60 years) were included. MNA-score...
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| Veröffentlicht in: | Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS, 2004-07, Vol.39 (7), p.400-405 |
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| container_title | Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS |
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| creator | Sakarya, M Karadağ, F Lüleci, N Tezcan Keleş, G Topçu, I Erinçler, T |
| description | Old age and bad nourishment are risk factors for the postoperative period. In this study, the "mini nutritional assessment" (MNA) of elderly patients was evaluated before the operation and compared with their ASA-classification.
215 outpatients (age > 60 years) were included. MNA-score was fixed as follows: MNA 24 - 30 = normal (MNA I); MNA 17 - 23.5 = risk of malnutrition (MNA II; MNA < 17 = undernourished (MNA III). In addition, the ASA-score of all patients was registered. chi (2)-, Mann-Whitney-U- and correlation analysis were used for statistical analysis. A cut off-value of 24 was fixed for MNA and correlated with the ASA-score.
34.9 % of all patients were allocated to MNA II or III, but only 19.9 % to ASA III or IV. The sensitivity of the ASA-classification for evaluation of the nutritional status was 0.33, selectivity was 0.87, positive predictive value was 0.58 and negative predictive value was 0.70.
ASA evaluation is not suitable for assessment of the nutritional status. With regard to typical postoperative complications, the nutritional status of patients should be assessed separately. |
| doi_str_mv | 10.1055/s-2004-814440 |
| format | Article |
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215 outpatients (age > 60 years) were included. MNA-score was fixed as follows: MNA 24 - 30 = normal (MNA I); MNA 17 - 23.5 = risk of malnutrition (MNA II; MNA < 17 = undernourished (MNA III). In addition, the ASA-score of all patients was registered. chi (2)-, Mann-Whitney-U- and correlation analysis were used for statistical analysis. A cut off-value of 24 was fixed for MNA and correlated with the ASA-score.
34.9 % of all patients were allocated to MNA II or III, but only 19.9 % to ASA III or IV. The sensitivity of the ASA-classification for evaluation of the nutritional status was 0.33, selectivity was 0.87, positive predictive value was 0.58 and negative predictive value was 0.70.
ASA evaluation is not suitable for assessment of the nutritional status. With regard to typical postoperative complications, the nutritional status of patients should be assessed separately.</description><identifier>ISSN: 0939-2661</identifier><identifier>DOI: 10.1055/s-2004-814440</identifier><identifier>PMID: 15273928</identifier><language>ger</language><publisher>Germany</publisher><subject>Aged - physiology ; Aged, 80 and over ; Anesthesia ; Body Mass Index ; Female ; Humans ; Lymphocyte Count ; Male ; Middle Aged ; Nutritional Status ; Predictive Value of Tests ; Serum Albumin - analysis</subject><ispartof>Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS, 2004-07, Vol.39 (7), p.400-405</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15273928$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sakarya, M</creatorcontrib><creatorcontrib>Karadağ, F</creatorcontrib><creatorcontrib>Lüleci, N</creatorcontrib><creatorcontrib>Tezcan Keleş, G</creatorcontrib><creatorcontrib>Topçu, I</creatorcontrib><creatorcontrib>Erinçler, T</creatorcontrib><title>Relationship between nutrition and ASA-classification in the elderly</title><title>Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS</title><addtitle>Anasthesiol Intensivmed Notfallmed Schmerzther</addtitle><description>Old age and bad nourishment are risk factors for the postoperative period. In this study, the "mini nutritional assessment" (MNA) of elderly patients was evaluated before the operation and compared with their ASA-classification.
215 outpatients (age > 60 years) were included. MNA-score was fixed as follows: MNA 24 - 30 = normal (MNA I); MNA 17 - 23.5 = risk of malnutrition (MNA II; MNA < 17 = undernourished (MNA III). In addition, the ASA-score of all patients was registered. chi (2)-, Mann-Whitney-U- and correlation analysis were used for statistical analysis. A cut off-value of 24 was fixed for MNA and correlated with the ASA-score.
34.9 % of all patients were allocated to MNA II or III, but only 19.9 % to ASA III or IV. The sensitivity of the ASA-classification for evaluation of the nutritional status was 0.33, selectivity was 0.87, positive predictive value was 0.58 and negative predictive value was 0.70.
ASA evaluation is not suitable for assessment of the nutritional status. With regard to typical postoperative complications, the nutritional status of patients should be assessed separately.</description><subject>Aged - physiology</subject><subject>Aged, 80 and over</subject><subject>Anesthesia</subject><subject>Body Mass Index</subject><subject>Female</subject><subject>Humans</subject><subject>Lymphocyte Count</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nutritional Status</subject><subject>Predictive Value of Tests</subject><subject>Serum Albumin - analysis</subject><issn>0939-2661</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j0tLxDAUhbNQnHF06VaychfNTdI0WZbxCQOCj3VJm1smkj5sWmT-vaOOq8N3-DhwCLkAfg08y24SE5wrZkApxY_IkltpmdAaFuQ0pQ_OQRihTsgCMpFLK8yS3L5gdFPou7QNA61w-kLsaDdPY_hpqes8LV4LVkeXUmhC_SvT0NFpixSjxzHuzshx42LC80OuyPv93dv6kW2eH57WxYYNIO3ENCJYBLAWq6puNIDJjUKfK-_zvJEeOe4Jm8yjA6kM10oqYcGoysiskity9bc7jP3njGkq25BqjNF12M-p1DpXUmqzFy8P4ly16MthDK0bd-X_b_kNmzhX9g</recordid><startdate>200407</startdate><enddate>200407</enddate><creator>Sakarya, M</creator><creator>Karadağ, F</creator><creator>Lüleci, N</creator><creator>Tezcan Keleş, G</creator><creator>Topçu, I</creator><creator>Erinçler, T</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200407</creationdate><title>Relationship between nutrition and ASA-classification in the elderly</title><author>Sakarya, M ; Karadağ, F ; Lüleci, N ; Tezcan Keleş, G ; Topçu, I ; Erinçler, T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-6ee19e1199ebbcf6118784ed74dd77f3de0eed7ef5dea13480643429184b835b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ger</language><creationdate>2004</creationdate><topic>Aged - physiology</topic><topic>Aged, 80 and over</topic><topic>Anesthesia</topic><topic>Body Mass Index</topic><topic>Female</topic><topic>Humans</topic><topic>Lymphocyte Count</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nutritional Status</topic><topic>Predictive Value of Tests</topic><topic>Serum Albumin - analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sakarya, M</creatorcontrib><creatorcontrib>Karadağ, F</creatorcontrib><creatorcontrib>Lüleci, N</creatorcontrib><creatorcontrib>Tezcan Keleş, G</creatorcontrib><creatorcontrib>Topçu, I</creatorcontrib><creatorcontrib>Erinçler, T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sakarya, M</au><au>Karadağ, F</au><au>Lüleci, N</au><au>Tezcan Keleş, G</au><au>Topçu, I</au><au>Erinçler, T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between nutrition and ASA-classification in the elderly</atitle><jtitle>Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS</jtitle><addtitle>Anasthesiol Intensivmed Notfallmed Schmerzther</addtitle><date>2004-07</date><risdate>2004</risdate><volume>39</volume><issue>7</issue><spage>400</spage><epage>405</epage><pages>400-405</pages><issn>0939-2661</issn><abstract>Old age and bad nourishment are risk factors for the postoperative period. In this study, the "mini nutritional assessment" (MNA) of elderly patients was evaluated before the operation and compared with their ASA-classification.
215 outpatients (age > 60 years) were included. MNA-score was fixed as follows: MNA 24 - 30 = normal (MNA I); MNA 17 - 23.5 = risk of malnutrition (MNA II; MNA < 17 = undernourished (MNA III). In addition, the ASA-score of all patients was registered. chi (2)-, Mann-Whitney-U- and correlation analysis were used for statistical analysis. A cut off-value of 24 was fixed for MNA and correlated with the ASA-score.
34.9 % of all patients were allocated to MNA II or III, but only 19.9 % to ASA III or IV. The sensitivity of the ASA-classification for evaluation of the nutritional status was 0.33, selectivity was 0.87, positive predictive value was 0.58 and negative predictive value was 0.70.
ASA evaluation is not suitable for assessment of the nutritional status. With regard to typical postoperative complications, the nutritional status of patients should be assessed separately.</abstract><cop>Germany</cop><pmid>15273928</pmid><doi>10.1055/s-2004-814440</doi><tpages>6</tpages></addata></record> |
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| ispartof | Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS, 2004-07, Vol.39 (7), p.400-405 |
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| language | ger |
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| source | Thieme - Connect here FIRST to enable access; MEDLINE |
| subjects | Aged - physiology Aged, 80 and over Anesthesia Body Mass Index Female Humans Lymphocyte Count Male Middle Aged Nutritional Status Predictive Value of Tests Serum Albumin - analysis |
| title | Relationship between nutrition and ASA-classification in the elderly |
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