PD1013 - A CROSS-SECTIONAL STUDY OF THE PREVALENCE OF FRAILTY AND MALNUTRITION AMONG INPATIENTS IN GERIATRIC CARE IN SWEDEN

PD1013

A CROSS-SECTIONAL STUDY OF THE PREVALENCE OF FRAILTY AND MALNUTRITION AMONG INPATIENTS IN GERIATRIC CARE IN SWEDEN

J. Pavlovic^1,*, A. M. Beck², K. Bengtsson Juul Frederiksen³, A. Sjöberg¹, K. Sygnestveit^4,5, S. Vejby⁶, E. Rothenberg⁷

¹Stockholms Sjukhem Hospital, Stockholm , Sweden, ²The dietetic and nutritional research unit EATEN, Herlev and Gentofte University Hospital, Herlev, ³Nyborg Municipality, Nyborg, Denmark, ⁴Department of Research and Development, Haukeland University Hospital, Bergen, ⁵Norwegian Network for Disease-Related Malnutrition, Oslo University Hospital, Oslo, Norway, ⁶Uppsala University Hospital, Uppsala, ⁷Department of Nursing and Integrated Health Sciences, Faculty of Health Science, Kristianstad University, Kristianstad, Sweden

Rationale: Frailty and malnutrition are prevalent geriatric conditions associated with negative health outcomes. We aimed to study if there is an association between these two conditions.

Methods: Variables were extracted from patient records and interviews in 65 yrs and older (N=162) during spring 2025. Ethical approval Dnr-2024-06779-01.

Results: According to Clinical Frailty Scale (CFS) ≥5 88% were frail and 73% were at risk of malnutrition according to Mini Nutrition Assessment-SF (MNA-SF) ≤11. The majority were community dwelling older adults. Those with CFS ≥5 were older compared to those with CFS <5, 82.5 yrs vs 77.8 yrs (p<0.009). Those with CFS ≥5 tended to be prescribed more medications, both regular (p=0.068) and PRN (p=0.065). Overlap between CFS ≥5 and MNA-SF≤11 was found in 69% of the population. Differences regarding dietary and fluid intake (total and in relation to estimated need), or BMI between those CFS ≥5 and <5 ns. Quality of life (EQ5D5L, EQ5DVAS) was lower in the frail group (both p<0.001). According to the modified Norton scale those with CFS ≥5 and MNA-SF ≤11 showed an increased risk of pressure ulcers (p<0.001) and (p=0.003), respectively.

Conclusion: A majority was found with both frailty and risk of malnutrition. Frail individuals were older and had worse QoL compared to non-frail. Those with frailty and risk of malnutrition had increased risk of pressure ulcers. Data indicates the need for prevention, treatment and follow-up interventions after hospital stay for older adults with frailty or at risk of malnutrition.

Disclosure of Interest: J. Pavlovic Other: The project has been part of the Nordic Nutrition Academy (NNA), which is sponsored by Baxter and Nestlé., A. M. Beck Other: The project has been part of the Nordic Nutrition Academy (NNA), which is sponsored by Baxter and Nestlé., K. Bengtsson Juul Frederiksen Other: The project has been part of the Nordic Nutrition Academy (NNA), which is sponsored by Baxter and Nestlé., A. Sjöberg Other: The project has been part of the Nordic Nutrition Academy (NNA), which is sponsored by Baxter and Nestlé., K. Sygnestveit Other: The project has been part of the Nordic Nutrition Academy (NNA), which is sponsored by Baxter and Nestlé., S. Vejby Other: The project has been part of the Nordic Nutrition Academy (NNA), which is sponsored by Baxter and Nestlé., E. Rothenberg Other: The project has been part of the Nordic Nutrition Academy (NNA), which is sponsored by Baxter and Nestlé.