Evidence map›Paper›PMID 39972249›Full record

ArticleBMC geriatrics2025

Mini nutritional assessment short-form as a risk factor for mortality in patients with respiratory disease undergoing urgent hospitalization.

Mayuko Ishiwari, Yuta Kono, Yuki Togashi, Kenichi Kobayashi, Ryota Kikuchi, Mariko Kogami, Ami Suekawa, Yasushi Miyazawa, Shinji Abe

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mayuko IshiwariDepartment of Respiratory Medicine, Tokyo Medical University Hospital, 6-7-1 Nishi-Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan. mayuko@tokyo-med.ac.jp.
Yuta KonoDepartment of Respiratory Medicine, Tokyo Medical University Hospital, 6-7-1 Nishi-Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Yuki TogashiDepartment of Respiratory Medicine, Tokyo Medical University Hospital, 6-7-1 Nishi-Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Kenichi KobayashiDepartment of Respiratory Medicine, Tokyo Medical University Hospital, 6-7-1 Nishi-Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Ryota KikuchiDepartment of Respiratory Medicine, Tokyo Medical University Hospital, 6-7-1 Nishi-Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Mariko KogamiDepartment of Respiratory Medicine, Tokyo Medical University Hospital, 6-7-1 Nishi-Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Ami SuekawaDepartment of Nutrition Management, Tokyo Medical University Hospital, Tokyo, Japan.
Yasushi MiyazawaDepartment of Nutrition Management, Tokyo Medical University Hospital, Tokyo, Japan.
Shinji AbeDepartment of Respiratory Medicine, Tokyo Medical University Hospital, 6-7-1 Nishi-Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies of nutritional status in geriatric patients with respiratory diseases are limited. The aim of this study was to investigate the mortality risk of older patients undergoing urgent hospitalization for various respiratory diseases.

methodsThis was a retrospective study of patients aged ≥ 65 years with respiratory diseases who were urgently hospitalized between April 2022 and November 2024. The Mini Nutritional Assessment Short-Form (MNA-SF) was evaluated at the time of urgent admission, and the malnutrition risk was defined by the MNA-SF score < 11. Comorbidities and frailty were assessed using the Charlson comorbidity index (CCI) and Clinical frailty scale (CFS), respectively. Biomarkers of inflammation and acute respiratory failure such as neutrophil-to-lymphocyte ratio (NLR), Glasgow Prognostic Score (GPS), Respiratory rate-oxygenation (ROX) index, and the pulse oximetric saturation (SpO

resultsA total of 168 consecutive patients were enrolled in the study with median age of 77 years (interquartile range [IQR]: 72-84). Thirty-nine patients (23.2%) died during hospitalization, and the median time to death was 17 days (IQR: 10-25). Univariate analysis demonstrated that older age (> 77 years), low S/F ratio (< 315), low ROX (< 8.3), high NLR (> 6), high CFS (> 5), and low MNA-SF (< 11) were associated with in-hospital mortality, multivariate analysis revealed that low MNA-SF was an independent predictor.

conclusionsThe MNA-SF is a risk factor for mortality in older patients undergoing urgent hospitalization due to various respiratory diseases.

Indexed as

Geriatric AssessmentHospitalizationHospital MortalityNutrition AssessmentRespiratory Tract DiseasesAgedAged, 80 and overFemaleHumansMaleMalnutritionNutritional StatusRetrospective StudiesRisk FactorsMini Nutritional Assessment Short-FormMNA-SFMortality riskRespiratory diseases

Identifiers

PMID39972249
PMCPMC11837705

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.