Nutrition (Burbank, Los Angeles County, Calif.), 2010-07, Vol.26 (7), p.721-726
2010
Details
- Autor(en) / Beteiligte
- Titel
- Comparison of nutritional risk screening tools for predicting clinical outcomes in hospitalized patients
- Ist Teil von
- Nutrition (Burbank, Los Angeles County, Calif.), 2010-07, Vol.26 (7), p.721-726
- Ort / Verlag
- New York, NY: Elsevier Inc
- Erscheinungsjahr
- 2010
- Link zum Volltext
- Quelle
- MEDLINE
- Beschreibungen/Notizen
- Abstract Objective International nutritional screening tools are recommended for screening hospitalized patients for nutritional risk, but no tool has been specifically evaluated in the Brazilian population. The aim of this study was to identify the most appropriate nutritional screening tool for predicting unfavorable clinical outcomes in patients admitted to a Brazilian public university hospital. Methods The Nutritional Risk Screening 2002 (NRS 2002), Mini-Nutritional Assessment–Short Form (MNA-SF), and Malnutrition Universal Screening Tool (MUST) were administered to 705 patients within 48 h of hospital admission. Tool performance in predicting complications, very long length of hospital stay (LOS), and death was analyzed using receiver operating characteristic curves. Results NRS 2002, MUST, and MNA-SF identified nutritional risk in 27.9%, 39.6%, and 73.2% of the patients, respectively. NRS 2002 (complications: 0.6531; very long LOS: 0.6508; death: 0.7948) and MNA-SF (complications: 0.6495; very long LOS: 0.6197; death: 0.7583) had largest areas under the ROC curve compared to MUST (complications: 0.6036; very long LOS: 0.6109; death: 0.6363). For elderly patients, NRS 2002 was not significantly different than MNA-SF ( P > 0.05) for predicting outcomes. Conclusion Considering current criteria for nutritional risk, NRS 2002 and MNA-SF have similar performance to predict outcomes but NRS 2002 seems to provide a best yield.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 0899-9007eISSN: 1873-1244DOI: 10.1016/j.nut.2009.07.010Titel-ID: cdi_proquest_miscellaneous_733474956
- Format
- –
- Schlagworte
- Adult, adults, Aged, Biological and medical sciences, Brazil, Clinical outcomes, Complications, Death and mortality, disease course, Feeding. Feeding behavior, Female, Fundamental and applied biological sciences. Psychology, Gastroenterology and Hepatology, Health care, Health risk assessment, Hospital Mortality, hospitalized patients, Hospitals, Humans, Length of hospital stay, Length of Stay - statistics & numerical data, Male, Malnutrition, Malnutrition - complications, Malnutrition - diagnosis, Mass Screening - methods, Middle Aged, Nutrition Assessment, Nutritional Risk Screening 2002, Nutritional screening, Nutritional Status, Older people, patients, prediction, Reproducibility of Results, Risk Assessment, Risk Factors, ROC Curve, screening, screening tools, Treatment Outcome, Vertebrates: anatomy and physiology, studies on body, several organs or systems