title: Short-form nutrition assessment in patients with advanced heart failure evaluated for ventricular assist device placement or cardiac transplantation.
abstract: BACKGROUND
  It has been shown that malnutrition affects clinical outcomes in patients with advanced heart failure and that nutrition status, as determined by the Mini Nutritional Assessment (MNA), can be used as an independent predictor of mortality. The aim of this study was to evaluate the prognostic utility of the short-form MNA (MNA-SF) as a surrogate to the MNA in patients with advanced heart failure.
  
  
  METHODS
  Data retrospectively gathered from nutrition assessments of 162 patients were analyzed.
  
  
  RESULTS
  As defined by the MNA, the cohort included 40 (24.7%) patients classified as malnourished, 106 (65.4%) classified as at risk, and 16 (9.9%) classified as well nourished. The mortality for the groups was 37.3%, 47.4%, and 40.5%, respectively. A linear regression showed strong correlation between the MNA and MNA-SF (r = 0.778, P < .0001). A significant difference was observed in survival between the undernourished state (at risk + malnourished) and the well-nourished state, as determined by the MNA-SF (P < .001).
  
  
  CONCLUSIONS
  The MNA-SF is a rapid nutrition assessment that correlates strongly with the full-form MNA and is an independent predictor of mortality.
authors.affiliation: Center for Heart Transplant and Assist Devices, Advocate Christ Medical Center, Oak Lawn, Illinois.
authors.forename: Gardner
authors.initials: G
authors.lastname: Yost
authors.affiliation: Department of Clinical Nutrition, Advocate Christ Medical Center, Oak Lawn, Illinois.
authors.forename: Mary
authors.initials: M
authors.lastname: Gregory
authors.affiliation: Center for Heart Transplant and Assist Devices, Advocate Christ Medical Center, Oak Lawn, Illinois geetha.bhat@advocatehealth.com.
authors.forename: Geetha
authors.initials: G
authors.lastname: Bhat
mesh_terms: D000328:Adult; D005260:Female; D006333:Heart Failure / Q000401:mortality* / Q000628:therapy; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000453:epidemiology*; D009026:Mortality; D015596:Nutrition Assessment; D009752:Nutritional Status; D011379:Prognosis; D012189:Retrospective Studies; D011795:Surveys and Questionnaires / Q000592:standards*
keywords: heart failure; heart transplantation; heart-assist devices; malnutrition; nutrition assessment; nutritional status; screening