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Impact of nutritional status and sleep quality on hospital utilisation in the oldest old with heart failure
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
2016 (English)In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 20, no 2, p. 170-177Article in journal (Refereed) Published
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Abstract [en]

Objectives: To describe three-year trends in nutritional status and sleep quality and their impact on hospital utilisation in the oldest old (80 +) with heart failure (HF). Design: Single-centred longitudinal observational study. Setting: South-eastern Sweden. Participants: 90 elderly (80+) with objectively verified HF. Measurements: Baseline data from the Mini Nutritional Assessment (MNA) and on sleep quality were collected through structured interviews following the HF diagnosis (n=90) and at a three-year follow-up (n=41). Data on hospital utilisation during the three years following the HF diagnosis were also collected. Results: Nineteen percent of the participants were found to have impaired nutritional status, a condition that increased hospital utilisation by four bed days per year. A majority (85%) had impaired sleep quality, but no impact on hospital utilisation was found. Nutritional status and sleep quality were stable over the three-year period. Conclusion: In the oldest old with HF, impaired nutritional status and impaired sleep quality are already common at HF diagnosis. Impaired nutritional status increases hospital utilisation significantly. Therefore, it is of supreme importance to systematically evaluate nutritional status and sleep quality in the oldest old when they are diagnosed with HF, as well as to take action if impairments are present. © 2016, Serdi and Springer-Verlag France.

Place, publisher, year, edition, pages
Springer, 2016. Vol. 20, no 2, p. 170-177
Keywords [en]
80+; heart failure; hospital utilisation; nutritional status; sleep quality
National Category
Nursing
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URN: urn:nbn:se:bth-11673DOI: 10.1007/s12603-015-0594-9ISI: 000374701200011Scopus ID: 2-s2.0-84957838844OAI: oai:DiVA.org:bth-11673DiVA, id: diva2:908290
Available from: 2016-03-02 Created: 2016-02-29 Last updated: 2017-11-30Bibliographically approved

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Fagerström, Cecilia

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