Preoperative nutritional evaluation of elderly patients: the Mini Nutritional Assessment as a practical tool

Age and malnutrition are each surgical risk factors. Because the Mini Nutritional Assessment (MNA) has been specifically designed for assessing the nutritional status of elderly patients, it can be used for preoperative nutritional evaluation. Therefore, the MNA was included in the preoperative clin...

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Bibliographic Details
Published in:Clinical nutrition (Edinburgh, Scotland) Scotland), 1999-12, Vol.18 (6), p.345-348
Main Authors: Cohendy, R., Gros, T., Arnaud-Battandier, F., Tran, G., Plaze, J.M., Eledjam, J.-J.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Body Mass Index
elderly
Elective Surgical Procedures
Female
Geriatric Assessment
Humans
Male
Medical sciences
Metabolic diseases
Middle Aged
Nutrition Assessment
Nutrition Disorders - diagnosis
Nutritional Status
Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)
preoperative assessment
Preoperative Care
Risk Factors
surgery
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Summary:Age and malnutrition are each surgical risk factors. Because the Mini Nutritional Assessment (MNA) has been specifically designed for assessing the nutritional status of elderly patients, it can be used for preoperative nutritional evaluation. Therefore, the MNA was included in the preoperative clinical evaluation of patients over 60 years of age to describe their nutritional status. Every patient over 60 years of age, scheduled for elective surgery, was seen in anaesthesiology consultation and was submitted to the MNA. The MNA is a clinical score consisting of four additive items: ‘Anthropometric assessment’ based on BMI, mid-arm and calf circumferences, weight loss; global evaluation; dietetic assessment, and subjective assessment - these last three items being obtained through a specific questionnaire. It requires no biological marker. Awarding to the obtained score, the MNA stratifies patients in the following categories: well-nourished (24
ISSN:0261-5614
1532-1983
DOI:10.1016/S0261-5614(99)80013-2