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Impact of nutritional status and sleep quality on hospital utilisation in the oldest old with heart failure
Lund University ; Blekinge Institute of Technology.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Blekinge Institute of Technology ; Blekinge Centre of Competence.
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
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.

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
Research subject
Medicine, Gerontology
Identifiers
URN: urn:nbn:se:lnu:diva-51870DOI: 10.1007/s12603-015-0594-9ISI: 000374701200011PubMedID: 26812513Scopus ID: 2-s2.0-84957838844OAI: oai:DiVA.org:lnu-51870DiVA, id: diva2:916314
Available from: 2016-04-01 Created: 2016-04-01 Last updated: 2018-03-29Bibliographically approved

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Hellström, AmandaFagerström, Cecilia

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