Enteral tube feeding and mortality in hospitalized older patients: A multicenter longitudinal study.

Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition
Nicola VeroneseMPI_AGE Investigators

Abstract

The literature regarding enteral nutrition and mortality in older frail people is limited and still conflicting. Moreover, the potential role of comprehensive geriatric assessment is poorly explored. We therefore aimed to investigate whether the Multidimensional Prognostic Index (MPI), an established tool that assesses measures of frailty and predicts mortality, may help physicians in identifying patients in whom ETF (enteral tube feeding) is effective in terms of reduced mortality. Observational, longitudinal, multicenter study with one year of follow-up. Data regarding ETF were recorded through medical records. A standardized comprehensive geriatric assessment was used to calculate the MPI. Participants were divided in low (MPI-1), moderate (MPI-2) or severe (MPI-3) risk of mortality. Data regarding mortality were recorded through administrative information. 1064 patients were included, with 79 (13 in MPI 1-2 and 66 in MPI-3 class) receiving ETF. In multivariable analysis, patients receiving ETF experienced a higher risk of death (odds ratio, OR = 2.00; 95% confidence intervals, CI: 1.19-3.38). However, after stratifying for their MPI at admission, mortality was higher in MPI-3 class patients (OR = 2.03; 95%CI: 1.09-3.76), bu...Continue Reading

References

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Jul 22, 2014·Journal of the American Geriatrics Society·UNKNOWN American Geriatrics Society Ethics Committee and Clinical Practice and Models of Care Committee
Nov 3, 2015·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Dorothee VolkertStéphane M Schneider
Apr 18, 2016·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Emanuele CeredaRiccardo Caccialanza
Jun 14, 2016·Journal of the American Geriatrics Society·Alberto PilottoUNKNOWN Multidimensional Prognostic Index_Age Project Investigators
Sep 28, 2016·The American Journal of Cardiology·Alberto PilottoUNKNOWN MPI_AGE Project Investigators
Apr 30, 2017·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·David KernickNorma O'Flynn

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Citations

Jan 28, 2021·Nursing Open·Leticia Alves FreitasFernanda Raphael Escobar Gimenes
Feb 24, 2021·European Geriatric Medicine·Francesco Mattace-Raso, Alberto Pilotto
Jul 3, 2021·Journal of Clinical Medicine·Nicola VeroneseAlberto Pilotto

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