title: Impact of Nutritional Status and Sleep Quality on Hospital Utilisation in the Oldest Old with Heart Failure.
abstract: OBJECTIVE
  To describe three-year trends in nutritional status and sleep quality and their impact on hospital utilisation in the oldest old (80 +) with heart failure (HF).
  
  
  METHODS
  Single-centred longitudinal observational study.
  
  
  METHODS
  South-eastern Sweden.
  
  
  METHODS
  90 elderly (80+) with objectively verified HF.
  
  
  METHODS
  Baseline data from the Mini Nutritional Assessment (MNA) and on sleep quality were collected through structured interviews following the HF diagnosis (n=90) and at a three-year follow-up (n=41). Data on hospital utilisation during the three years following the HF diagnosis were also collected.
  
  
  RESULTS
  Nineteen percent of the participants were found to have impaired nutritional status, a condition that increased hospital utilisation by four bed days per year. A majority (85%) had impaired sleep quality, but no impact on hospital utilisation was found. Nutritional status and sleep quality were stable over the three-year period.
  
  
  CONCLUSIONS
  In the oldest old with HF, impaired nutritional status and impaired sleep quality are already common at HF diagnosis. Impaired nutritional status increases hospital utilisation significantly. Therefore, it is of supreme importance to systematically evaluate nutritional status and sleep quality in the oldest old when they are diagnosed with HF, as well as to take action if impairments are present.
authors.affiliation: Suzana Selan, Department of Health, Blekinge Institute of Technology, Telephone: +46 70-211 82 87. E-mail: suzana.selan@ltblekinge.se.
authors.forename: S
authors.initials: S
authors.lastname: Selan
authors.forename: A
authors.initials: A
authors.lastname: Hellström
authors.forename: C
authors.initials: C
authors.lastname: Fagerström
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D015577:Geriatric Assessment; D006333:Heart Failure / Q000150:complications* / Q000628:therapy; D006760:Hospitalization; D006761:Hospitals; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D044342:Malnutrition / Q000150:complications* / Q000453:epidemiology; D009752:Nutritional Status; D012890:Sleep; D012893:Sleep Wake Disorders / Q000150:complications* / Q000453:epidemiology; D013548:Sweden / Q000453:epidemiology
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