The synergy of nutritional risk and iron deficiency as a predictor of mortality in older emergency department patients - Takeaways - MDSpire
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Combined Nutritional Risk and Iron Deficiency as Indicators of 28-Day Mortality in Elderly Patients in the Emergency Department

  • By

  • Chao Zhang

  • Shijia Li

  • Ziyi Li

  • Xinhua He

  • July 21, 2026

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  • 1

    The study enrolled 443 patients aged 60 years and older from the emergency department to assess nutritional risk and iron deficiency.

  • 2

    The overall 28-day mortality rate among participants was 22.8%, with the highest rate of 42.7% in patients with both high nutritional risk and iron deficiency.

  • 3

    Patients with high nutritional risk and iron deficiency had a mortality risk 4.9 times greater than those without these conditions.

  • 4

    Hemoglobin levels were identified as a strong independent protective factor against mortality in older emergency department patients.

  • 5

    The combination of nutritional risk, hemoglobin, and iron deficiency provided the best prediction of 28-day mortality with an AUC of 0.779.

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