In this group of elderly African-American hospitalized patients, resting energy expenditure was significantly greater than Harris-Benedict equation predictions. If the Harris-Benedict predictions were applied to caloric delivery, weight loss as a result of underfeeding might be expected. The reasons for this difference may be myriad, but consideration should be given to issues of age, metabolic [...]
Demographics A total of 61 patients, of which 66% were female, were included in the study. The primary reason for admission covered a full range of medical conditions (Table 1). Only 3/21 men and 2/40 women were receiving mechanical ventilation during their RMR measurement.
METHODS All African-American patients 65 years or older, who were admitted to the Skilled Nursing Facility or general medical floors of the University of Pennsylvania Health System/Presbyterian Medical Center in Philadelphia, PA during 1998, were potential candidates for study. Of those patients referred for nutritional consultation or for management of enteral or parenteral feedings, a [...]
INTRODUCTION The ill elderly often present with elevated nutritional risk and a history of weight loss. Elderly patients who lose weight during hospital admissions have an eight-fold greater in-hospital and nearly three-fold greater 90-day mortality, when compared to patients without significant weight loss.
