PD995 - PREVALENCE AND NUTRITIONAL CHARACTERISTICS OF FRAIL GERIATRIC INPATIENTS IN SWEDEN

PD995

PREVALENCE AND NUTRITIONAL CHARACTERISTICS OF FRAIL GERIATRIC INPATIENTS IN SWEDEN

K. Bengtsson Juul Frederiksen^1,*, J. Pavlovic², E. Rothenberg³, A. Sjöberg², K. Sygnestveit^4,5, S. Vejby⁶, A. M. Beck⁷

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

Rationale: Frailty and malnutrition are prevalent geriatric conditions associated with negative health outcomes. We aimed to study the nutritional characteristics of frail geriatric inpatients when assessed by CFS.

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

Results: According to CFS ≥5 88% were frail. Frail were older than non-frail, 82.5 yrs vs 77.8 yrs (p<0.009). Quality of life (EQ5D5L, EQ5DVAS) was lower in the frail group (p<0.001). Non-frail were more independent in relation to mobility, 68% vs 10% (p<0.001) and in relation to ADL, 84% vs 29% (p<0.001). Those with CFS ≥5 tended to be prescribed more medications, both regular (p=0.068) and PRN (p=0.065). According to the modified Norton scale those with CFS ≥5 showed an increased risk of pressure ulcers (p<0.001). Risk of falling (modified Downtown fall index) were higher in frail (p=0.002). Differences in sex between frail and non-frail groups (ns). 74% of frail were at risk of malnutrition according to Mini Nutrition Assessment-SF (MNA-SF) ≤11, vs 68% of non-frail (p=0.0395). 16% were malnourished MNA-SF ≤7 in both groups (p=0.633). 32% of frail experienced nutrition impact symptoms (NIS) compared to 26% of non-frail (p=0.404). There were no significant differences regarding dietary and fluid intake (total and in relation to estimated need), or BMI between those CFS ≥5 and <5.

Conclusion: Surprisingly there were no differences in nutritional characteristics of those who were frail and non-frail indicating that CFS could not be used to identify those in need of nutritional treatment.

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