Short-form nutrition assessment in patients with advanced heart failure evaluated for ventricular assist device placement or cardiac transplantation

Gardner Yost, Mary Gregory, Geetha Bhat

Research output: Contribution to journalReview article

Abstract

Background: It has been shown that malnutrition affects clinical outcomes in patients with advanced heart failure and that nutrition status, as determined by the Mini Nutritional Assessment (MNA), can be used as an independent predictor of mortality. The aim of this study was to evaluate the prognostic utility of the short-form MNA (MNA-SF) as a surrogate to the MNA in patients with advanced heart failure. Methods: Data retrospectively gathered from nutrition assessments of 162 patients were analyzed. Results: As defined by the MNA, the cohort included 40 (24.7%) patients classified as malnourished, 106 (65.4%) classified as at risk, and 16 (9.9%) classified as well nourished. The mortality for the groups was 37.3%, 47.4%, and 40.5%, respectively. A linear regression showed strong correlation between the MNA and MNA-SF (r = 0.778, P <.0001). A significant difference was observed in survival between the undernourished state (at risk + malnourished) and the well-nourished state, as determined by the MNA-SF (P <.001). Conclusions: The MNA-SF is a rapid nutrition assessment that correlates strongly with the full-form MNA and is an independent predictor of mortality.

Original languageEnglish (US)
Pages (from-to)686-691
Number of pages6
JournalNutrition in Clinical Practice
Volume29
Issue number5
DOIs
Publication statusPublished - Oct 1 2014

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All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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