engleski

Monitoring nutritional status in the elderly via NRS 2002/GeroS/CEZIH web service

Inappropriate nutritional status in persons older than 65 in particular manifests as deterioration of their health condition and funcional ability, as well as increased mortality and geriatric consumption. Therefore, the NRS 2002 web service has been implementes in the GeroS/CEZIH gerontologic information system ; besides the Nutritional Risk Screening 2002 (NRS- 2002) as a fast method of nutritional screening, the NRS 2002 web service includes focused gerontologic- public health indicators such as age group, sex, primary and secondary diagnoses in geriatric patients, basic anthropometric measurements, functional ability, etc. Functional ability (physical and mental) of the elderly is one of the key determinants that is assessed, monitored and analysed in healthcare of the elderly. The innovative program of the NRS 2002/GeroS/CEZIH web service is used by physicians and other healthcare professionals in hospitals, family medicine teams, "geriatric" nurses in old people`s homes, and home visiting nurses in primary healthcare. The gerontologic-public health analysis of focused determinants of monitoring via NRS 2001/GeroS/CEZIH web service (1 March 2015 - 31 August 2017, Croatia) in individuals aged >65 (N=375 ; geriatric and gerontologic insurees) estimated the functional ability based on physical mobility and mental independence according to entities/site of nutritional screening. Resultats of the gerontologic-public health analysis of focused determinants of monitoring via NRS 2002/GeroS/CEZIH web service (1 March 2015 - 31 August 2017, Croatia) in individuals ages >65 (N=375 ; geriatric and gerontologic insurees) according to entities/site of nutritional screening showed that most of them were recorded in general/family medicine (n=141), whereas only one person was recorded in the Gerontologic Centre. Analysis of functional ability based on physical mobility revealed that most of the subjects were in the category of completely mobile (n=158) and according to mental independence in the category of completely independent (n=186). Results of the final screening revealed that 94 (25%) subjects were in the group of nutrional risk (≥3). Study results point to a high prevalence of the gerontologic- public health problem of the malnutrition in the elderly because data obtained via NRS 2002 web service revealed nutritional risk in as many as one quarter of the subjects. The NRS 2002/GeroS/CEZIH web service proved highly useful in timely determination of nutritional risk in persons aged >65, with concomitant monitoring of the defined and targeted determinants (e.g., functional ability) that are important in individualised gerontologic approach. In healthcare of the elderly with inappropriate nutritional status, evaluation of the indicators of therapeutic outcomes is of utmost importance, which is enabled promptly, in real time, by use of the NRS 2002/GeroS/CEZIH web service.

gerontologic ; malnutrition ; NRS 2002

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