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Preventive Medicine 2018 Journal of Preventive Medicine
ISSN: 2572-5483 Page 41
July 16-17, 2018
London, UK
9th Edition of International Conference on
Preventive Medicine
& Public Health
Background & Aim: Malnutrition is said to be an under-
recognized and under-treated problem. Malnutrition universal
screening tool (MUST) has been used to rapidly and simply
identify subjects at risk of malnutrition. We re-evaluated
nutritional risk by using MUST in elderly patients on admission
differentially in winter and in summer.
Subjects & Methods: Patients at age of 65 or older who were
admitted to the Ward E3 of Matsumoto Medical Center in
February and August, 2017 were studied. The patients were
categorized by MUST score, and their serum albumin levels
were assessed.
Results: As shown in table 1, the frequency of patients
at malnutrition risk on admission (medium and high risk
according to MUST) was significantly (p<0.05, χ2 test) higher
in Aug (43.2%) than in Feb (26.5%). They were older than
those at low risk (p=0.018 in Feb and p=0.055 in Aug, unpaired
t test), and mostly not referred to dietitians. Considerable
hypoalbuminemia was seen in more than a few patients at low
risk. The frequency of patients at low risk with serum albumin
levels of 3 g/dl or less was significantly (p<0.05) higher in Feb
(19.7%) than in Aug (4.0%).
Conclusion: Malnutrition in elderly patients, which occurred
more likely in summer, was suggested to be under-estimated
also in our hospital. Dietitians should be more proactively
involved in identifying and treating such elderly patients at risk
of malnutrition.
Biography
Ayako Saito, RD is a Chief Dietician of Department of NutritionManagement,
National Hospital Organization, MatsumotoMedical Center, Matsumoto, Ja-
pan. She got a BS in Department of Food Science, Otsuma Women’s Univer-
sity in 2008. She is working for the nutrition management of patients with
malnutrition.
Re-evaluation of nutritional risk by malnutrition universal
screening tool (MUST) in elderly patients on admission to the
ward E3 of Matsumoto Medical Center
Ayako Saito1, Yumiko Aruga and Yuji Aoki
1National Hospital Organization Matsumoto Medical Center, Japan
Ayako Saito et al., J Prev Med 2018, Volume 3
DOI: 10.21767/2572-5483-C1-002