Maskophobia As A Cause Of Non-exertional Dyspnea In The Era Of Covid-19
HFSA ePoster Library. Tran J. 09/10/21; 343490; 255
Jasmine Tran
REGULAR CONTENT
Login now to access Regular content available to all registered users.
Abstract
Discussion Forum (0)
Introduction: In a consensus statement, the Academy of Nutrition and Dietetics (AND) and the American Society for Parenteral and Enteral Nutrition (ASPEN) introduced the malnutrition clinical characteristics (MCC). The MCC encompasses a standardized set of characteristics that clinicians can assess to support a diagnosis of malnutrition. Studies utilizing this tool in patients undergoing orthotopic heart transplant (OHT) or placement of a left ventricular assist device (LVAD) are limited.
Hypothesis: Malnutrition as identified using a modified MCC is associated with greater lengths of stay and rates of readmission following OHT or LVAD placement.
Methods: A single-center retrospective review of 240 completed nutrition assessments using a modified MCC in patients who underwent OHT (n= 70) or LVAD placement (n=170) between January 2016 and February 2020 was performed. Four MCC characteristics were assessed: weight loss, decreased energy intake, body fat depletion and muscle mass loss. A diagnosis of malnutrition was determined for patients who met two or more of the characteristics (MCC ≥ 2, n= 153). Patients who met less than two of the characteristics did not meet criteria for diagnosis of malnutrition (MCC < 2, n = 87). Comparisons were made between groups using Mann-Whitney U and Chi-Square tests where appropriate. All tests were two-tailed and a p-value of <0.05 was considered statistically significant. Primary outcome was hospital length of stay (LOS). Secondary outcomes included total ICU LOS, post-operative ICU LOS and 30-day readmission.
Results: No significant difference in age, gender, ethnicity or baseline comorbidities was observed between groups. BMI was significantly lower among patients with an MCC ≥ 2 (26.5, IQR 23.4-31.9) compared to MCC < 2 (29.9, IQR 26.5-34.0, p<0.01). Primary outcome of hospital LOS was significantly greater among patients with an MCC ≥ 2 (p<0.01, table 1). Secondary outcomes of total ICU LOS, post-operative ICU LOS and 30-day readmission were significantly greater among patients with an MCC ≥ 2 compared to MCC < 2 (p<0.01, table 1).
Conclusion: Malnutrition as identified using a modified MCC was associated with significantly greater hospital and ICU lengths of stay and rates of 30-day readmission following OHT or LVAD placement.
Hypothesis: Malnutrition as identified using a modified MCC is associated with greater lengths of stay and rates of readmission following OHT or LVAD placement.
Methods: A single-center retrospective review of 240 completed nutrition assessments using a modified MCC in patients who underwent OHT (n= 70) or LVAD placement (n=170) between January 2016 and February 2020 was performed. Four MCC characteristics were assessed: weight loss, decreased energy intake, body fat depletion and muscle mass loss. A diagnosis of malnutrition was determined for patients who met two or more of the characteristics (MCC ≥ 2, n= 153). Patients who met less than two of the characteristics did not meet criteria for diagnosis of malnutrition (MCC < 2, n = 87). Comparisons were made between groups using Mann-Whitney U and Chi-Square tests where appropriate. All tests were two-tailed and a p-value of <0.05 was considered statistically significant. Primary outcome was hospital length of stay (LOS). Secondary outcomes included total ICU LOS, post-operative ICU LOS and 30-day readmission.
Results: No significant difference in age, gender, ethnicity or baseline comorbidities was observed between groups. BMI was significantly lower among patients with an MCC ≥ 2 (26.5, IQR 23.4-31.9) compared to MCC < 2 (29.9, IQR 26.5-34.0, p<0.01). Primary outcome of hospital LOS was significantly greater among patients with an MCC ≥ 2 (p<0.01, table 1). Secondary outcomes of total ICU LOS, post-operative ICU LOS and 30-day readmission were significantly greater among patients with an MCC ≥ 2 compared to MCC < 2 (p<0.01, table 1).
Conclusion: Malnutrition as identified using a modified MCC was associated with significantly greater hospital and ICU lengths of stay and rates of 30-day readmission following OHT or LVAD placement.
| Outcomes | MCC < 2 (n=87) | MCC ≥ 2 (n=153) | P-value |
| Hospital LOS, Median days (IQR) | 37.0 (29.0-49.0) | 44.0 (32.0-60.0) | <0.01 |
| Total ICU LOS, Median days (IQR) | 20.0 (13.0-28.0) | 26.0 (19.0-38.0) | <0.01 |
| Post-operative ICU LOS, Median days (IQR) | 10.0 (7.0-16.0) | 14.0 (8.0-26.0) | <0.01 |
| 30-day readmission | 21 (24.1%) | 61 (40.4%) | <0.01 |
Introduction: In a consensus statement, the Academy of Nutrition and Dietetics (AND) and the American Society for Parenteral and Enteral Nutrition (ASPEN) introduced the malnutrition clinical characteristics (MCC). The MCC encompasses a standardized set of characteristics that clinicians can assess to support a diagnosis of malnutrition. Studies utilizing this tool in patients undergoing orthotopic heart transplant (OHT) or placement of a left ventricular assist device (LVAD) are limited.
Hypothesis: Malnutrition as identified using a modified MCC is associated with greater lengths of stay and rates of readmission following OHT or LVAD placement.
Methods: A single-center retrospective review of 240 completed nutrition assessments using a modified MCC in patients who underwent OHT (n= 70) or LVAD placement (n=170) between January 2016 and February 2020 was performed. Four MCC characteristics were assessed: weight loss, decreased energy intake, body fat depletion and muscle mass loss. A diagnosis of malnutrition was determined for patients who met two or more of the characteristics (MCC ≥ 2, n= 153). Patients who met less than two of the characteristics did not meet criteria for diagnosis of malnutrition (MCC < 2, n = 87). Comparisons were made between groups using Mann-Whitney U and Chi-Square tests where appropriate. All tests were two-tailed and a p-value of <0.05 was considered statistically significant. Primary outcome was hospital length of stay (LOS). Secondary outcomes included total ICU LOS, post-operative ICU LOS and 30-day readmission.
Results: No significant difference in age, gender, ethnicity or baseline comorbidities was observed between groups. BMI was significantly lower among patients with an MCC ≥ 2 (26.5, IQR 23.4-31.9) compared to MCC < 2 (29.9, IQR 26.5-34.0, p<0.01). Primary outcome of hospital LOS was significantly greater among patients with an MCC ≥ 2 (p<0.01, table 1). Secondary outcomes of total ICU LOS, post-operative ICU LOS and 30-day readmission were significantly greater among patients with an MCC ≥ 2 compared to MCC < 2 (p<0.01, table 1).
Conclusion: Malnutrition as identified using a modified MCC was associated with significantly greater hospital and ICU lengths of stay and rates of 30-day readmission following OHT or LVAD placement.
Hypothesis: Malnutrition as identified using a modified MCC is associated with greater lengths of stay and rates of readmission following OHT or LVAD placement.
Methods: A single-center retrospective review of 240 completed nutrition assessments using a modified MCC in patients who underwent OHT (n= 70) or LVAD placement (n=170) between January 2016 and February 2020 was performed. Four MCC characteristics were assessed: weight loss, decreased energy intake, body fat depletion and muscle mass loss. A diagnosis of malnutrition was determined for patients who met two or more of the characteristics (MCC ≥ 2, n= 153). Patients who met less than two of the characteristics did not meet criteria for diagnosis of malnutrition (MCC < 2, n = 87). Comparisons were made between groups using Mann-Whitney U and Chi-Square tests where appropriate. All tests were two-tailed and a p-value of <0.05 was considered statistically significant. Primary outcome was hospital length of stay (LOS). Secondary outcomes included total ICU LOS, post-operative ICU LOS and 30-day readmission.
Results: No significant difference in age, gender, ethnicity or baseline comorbidities was observed between groups. BMI was significantly lower among patients with an MCC ≥ 2 (26.5, IQR 23.4-31.9) compared to MCC < 2 (29.9, IQR 26.5-34.0, p<0.01). Primary outcome of hospital LOS was significantly greater among patients with an MCC ≥ 2 (p<0.01, table 1). Secondary outcomes of total ICU LOS, post-operative ICU LOS and 30-day readmission were significantly greater among patients with an MCC ≥ 2 compared to MCC < 2 (p<0.01, table 1).
Conclusion: Malnutrition as identified using a modified MCC was associated with significantly greater hospital and ICU lengths of stay and rates of 30-day readmission following OHT or LVAD placement.
| Outcomes | MCC < 2 (n=87) | MCC ≥ 2 (n=153) | P-value |
| Hospital LOS, Median days (IQR) | 37.0 (29.0-49.0) | 44.0 (32.0-60.0) | <0.01 |
| Total ICU LOS, Median days (IQR) | 20.0 (13.0-28.0) | 26.0 (19.0-38.0) | <0.01 |
| Post-operative ICU LOS, Median days (IQR) | 10.0 (7.0-16.0) | 14.0 (8.0-26.0) | <0.01 |
| 30-day readmission | 21 (24.1%) | 61 (40.4%) | <0.01 |
Code of conduct/disclaimer available in General Terms & Conditions
{{ help_message }}
{{filter}}