Abstract：
UNASSIGNED: Malnutrition risk (MR) in older adults with neurological disorders is high, but there is little evidence for validated screening tools in this group, as well as for the clinical and socioeconomic factors associated with a high MR.
UNASSIGNED: To determine the association of MR using the Malnutrition Universal Screening Tool (MUST) with mortality and length of stay (LOS) in older adults with neurological diseases. Secondarily, the association of clinical, and socioeconomic factors with MR and clinical outcomes was sought.
UNASSIGNED: A retrospective cohort study was carried out at a third-level neurological disease referral center in Mexico. All patients older than 60 years admitted from January 2017 to December 2018 were considered. MUST, clinical and socioeconomic factors were assessed at hospital admission. Outcomes were followed up to hospital discharge or a maximum of 6 months.
UNASSIGNED: A total of 765 patients were included, of whom 24.7% (n = 189) were at high risk. A high MR was independently associated with mortality (OR 3.09; 95% CI 1.60-5.98, p = .001) and LOS >14 days (OR 4.38; 95% CI 2.79-6.89, p = <.001). The only factors independently associated with high MR was economic dependence and unemployment. Patients with high MR and economic dependence (OR 4.0; 95% CI 1.34-11.99, p = .013) or unemployment (OR 3.43; 95% CI 1.17-10.06, p = .025) had the highest mortality.
UNASSIGNED: In hospitalized older adults with neurological diseases, high MR is independently associated with increased mortality and LOS. Economic dependence or unemployment are associated with worse clinical outcomes in patients with high MR.
UNASSIGNED: To determine the association of MR using the Malnutrition Universal Screening Tool (MUST) with mortality and length of stay (LOS) in older adults with neurological diseases. Secondarily, the association of clinical, and socioeconomic factors with MR and clinical outcomes was sought.
UNASSIGNED: A retrospective cohort study was carried out at a third-level neurological disease referral center in Mexico. All patients older than 60 years admitted from January 2017 to December 2018 were considered. MUST, clinical and socioeconomic factors were assessed at hospital admission. Outcomes were followed up to hospital discharge or a maximum of 6 months.
UNASSIGNED: A total of 765 patients were included, of whom 24.7% (n = 189) were at high risk. A high MR was independently associated with mortality (OR 3.09; 95% CI 1.60-5.98, p = .001) and LOS >14 days (OR 4.38; 95% CI 2.79-6.89, p = <.001). The only factors independently associated with high MR was economic dependence and unemployment. Patients with high MR and economic dependence (OR 4.0; 95% CI 1.34-11.99, p = .013) or unemployment (OR 3.43; 95% CI 1.17-10.06, p = .025) had the highest mortality.
UNASSIGNED: In hospitalized older adults with neurological diseases, high MR is independently associated with increased mortality and LOS. Economic dependence or unemployment are associated with worse clinical outcomes in patients with high MR.
摘要：
■患有神经系统疾病的老年人的营养不良风险（MR）很高，但是在这个群体中几乎没有证据证明经过验证的筛查工具，以及与高MR相关的临床和社会经济因素。
■为了确定使用营养不良通用筛查工具（MUST）的MR与患有神经系统疾病的老年人的死亡率和住院时间（LOS）的关联。其次，临床的关联，并寻求MR和临床结局的社会经济因素.
■在墨西哥三级神经疾病转诊中心进行了一项回顾性队列研究。考虑2017年1月至2018年12月收治的所有60岁以上的患者。必须,在入院时评估临床和社会经济因素.结果随访至出院或最长6个月。
■共纳入765名患者，其中24.7%(n=189)处于高风险。高MR与死亡率（OR3.09；95％CI1.60-5.98，p=.001）和LOS>14天（OR4.38；95％CI2.79-6.89，p=<.001）独立相关。与高MR独立相关的唯一因素是经济依赖和失业。具有高MR和经济依赖性（OR4.0;95％CI1.34-11.99，p=.013）或失业（OR3.43;95％CI1.17-10.06，p=.025）的患者死亡率最高。
■在患有神经系统疾病的住院老年人中，高MR与死亡率和LOS增加独立相关.经济依赖或失业与高MR患者更差的临床结果相关。
■为了确定使用营养不良通用筛查工具（MUST）的MR与患有神经系统疾病的老年人的死亡率和住院时间（LOS）的关联。其次，临床的关联，并寻求MR和临床结局的社会经济因素.
■在墨西哥三级神经疾病转诊中心进行了一项回顾性队列研究。考虑2017年1月至2018年12月收治的所有60岁以上的患者。必须,在入院时评估临床和社会经济因素.结果随访至出院或最长6个月。
■共纳入765名患者，其中24.7%(n=189)处于高风险。高MR与死亡率（OR3.09；95％CI1.60-5.98，p=.001）和LOS>14天（OR4.38；95％CI2.79-6.89，p=<.001）独立相关。与高MR独立相关的唯一因素是经济依赖和失业。具有高MR和经济依赖性（OR4.0;95％CI1.34-11.99，p=.013）或失业（OR3.43;95％CI1.17-10.06，p=.025）的患者死亡率最高。
■在患有神经系统疾病的住院老年人中，高MR与死亡率和LOS增加独立相关.经济依赖或失业与高MR患者更差的临床结果相关。
