Nutritional risk and status assessment in surgical patients: a challenge amidst plenty

Détails

ID Serval
serval:BIB_BF9518FC6A31
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Nutritional risk and status assessment in surgical patients: a challenge amidst plenty
Périodique
Nutricion Hospitalaria
Auteur(s)
Mourão F., Amado D., Ravasco P., Vidal P.M., Camilo M.E.
ISSN
0212-1611 (Print)
ISSN-L
0212-1611
Statut éditorial
Publié
Date de publication
2004
Volume
19
Numéro
2
Pages
83-88
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
BACKGROUND AND AIMS: No gold standard exists for nutritional screening/assessment. This cross-sectional study aimed to collect/use a comprehensive set of clinical, anthropometric, functional data, explore interrelations, and derive a feasible/sensitive/specific method to assess nutritional risk and status in hospital practice.
PATIENTS AND METHODS: 100 surgical patients were evaluated, 49M:51F, 55 +/- 18.9 (18-88) years. Nutritional risk assessment: Kondrup's Nutritional Risk Assessment, BAPEN's Malnutrition Screening Tool, Nutrition Screening Initiative, Admission Nutritional Screening Tool. Nutritional status: anthropometry categorised by Body Mass Index and McWhirter & Pennington criteria, recent weight loss > 10%, dynamometry, Subjective Global Assessment.
RESULTS: There was a strong agreement between all nutritional risk (k = 0.69-0.89, p < 0.05) and between all nutritional assessment methods (k = 0.51-0.88, p < or = 0.05) except for dynamometry. Weight loss > 10% was the only method that agreed with all tools (k = 0.86-0.94, p < or = 0.05), and was thereafter used as the standard. Kondrup's Nutritional Risk Assessment and Admission Nutritional Screening Tool were unspecific but highly sensitive (> or = 95%). Subjective Global Assessment was highly sensitive (100%) and specific (69%), and was the only method with a significant Youden value (0.7).
CONCLUSIONS: Kondrup's Nutritional Risk Assessment and Admission Nutritional Screening Tool emerged as sensitive screening methods; the former is simpler to use, Kondrup's Nutritional Risk Assessment has been devised to direct nutritional intervention. Recent unintentional weight loss > 10% is a simple method whereas Subjective Global Assessment identified high-risk/undernourished patients.
Pubmed
Création de la notice
01/12/2016 16:01
Dernière modification de la notice
25/07/2020 6:26
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