Relationship between nutrition and ASA-classification in the elderly; [Der zusammenhang von ernährungszustand und ASA-klassifikation bei älteren patienten]

dc.contributor.authorSakarya M.
dc.contributor.authorKaradaǧ F.
dc.contributor.authorLüleci N.
dc.contributor.authorKeleş G.T.
dc.contributor.authorTopçu I.
dc.contributor.authorErinçler T.
dc.date.accessioned2024-07-22T08:24:20Z
dc.date.available2024-07-22T08:24:20Z
dc.date.issued2004
dc.description.abstractObjective: Old age and bad nourishment are risk factors for the postoperative period. In this study, the "mini nutritional assessment" (MNA) of elderly patients was evaluated before the operation and compared with their ASA-classification. Methods: 215 outpatients (age > 60 years) were included. MNA-score was fixed as follows: MNA 24 - 30 = normal (MNA I); MNA 17 - 23.5 = risk of malnutrition (MNA II; MNA < 17 = undernourished (MNA III). In addition, the ASA-score of all patients was registered. χ2-, Mann-Whitney-U- and correlation analysis were used for statistical analysis. A cut off-value of 24 was fixed for MNA and correlated with the ASA-score. Results: 34,9% of all patients were allocated to MNA II or III, but only 19.9% to ASA III or IV. The sensivity of the ASA-classification for evaluation of the nutritional status was 0.33, selectivity was 0.87, positive predictive value was 0.58 and negative predictive value was 0.70. Conclusion: ASA evaluation is not suitable for assessment of the nutritional status. With regard to typical postoperative complications, the nutritional status of patients should be assessed separately.
dc.identifier.DOI-ID10.1055/s-2004-814440
dc.identifier.issn09392661
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19939
dc.language.isoGerman
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectAnesthesia
dc.subjectBody Mass Index
dc.subjectFemale
dc.subjectHumans
dc.subjectLymphocyte Count
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectNutritional Status
dc.subjectPredictive Value of Tests
dc.subjectSerum Albumin
dc.subjectserum albumin
dc.subjectserum albumin
dc.subjectadult
dc.subjectaged
dc.subjectarticle
dc.subjectbody mass
dc.subjectfemale
dc.subjectgeriatric anesthesia
dc.subjecthuman
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmalnutrition
dc.subjectmortality
dc.subjectnutritional status
dc.subjectpreoperative evaluation
dc.subjectrisk factor
dc.subjectstatistical analysis
dc.subjectsurvival
dc.subjectaged
dc.subjectanesthesia
dc.subjectlymphocyte count
dc.subjectmiddle aged
dc.subjectphysiology
dc.subjectprediction and forecasting
dc.titleRelationship between nutrition and ASA-classification in the elderly; [Der zusammenhang von ernährungszustand und ASA-klassifikation bei älteren patienten]
dc.typeArticle

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