Evaluation of different screening tools for detection of malnutrition in hospitalised patients
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| Titel: | Evaluation of different screening tools for detection of malnutrition in hospitalised patients |
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| Autoren: | Regina Cortes, Aina M. Yañez, Laura Capitán‐Moyano, Aina Millán‐Pons, Miquel Bennasar‐Veny |
| Quelle: | J Clin Nurs Docusalut Conselleria de Salut i Consum del Govern de les Illes Balears |
| Verlagsinformationen: | Wiley, 2024. |
| Publikationsjahr: | 2024 |
| Schlagwörter: | Male, 0301 basic medicine, Empirical Research Quantitative, Anciano, Estudios Transversales, Malnutrition* / epidemiology, 03 medical and health sciences, 0302 clinical medicine, Inpatients / statistics & numerical data, Surveys and Questionnaires, Prevalence, Humans, Mass Screening, Hospitalization* / statistics & numerical data, Prospective Studies, Masculino, Aged, Aged, 80 and over, 2. Zero hunger, Persona de Mediana Edad, Inpatients, Malnutrition, Femenino, Malnutrition* / diagnosis, Evaluación Nutricional, Estudios Prospectivos, Middle Aged, Humanos, 3. Good health, Hospitalization, Cross-Sectional Studies, Nutrition Assessment, Mass Screening* / methods, Female, Prevalencia |
| Beschreibung: | Aims and ObjectivesTo assess the prevalence of malnutrition in hospitalised adult patients, and to evaluate the accuracy of the most commonly used nutritional screening tools for identifying individuals at risk of malnutrition.MethodsA prospective cross‐sectional study was conducted on a total of 248 hospitalised patients in internal medicine wards (mean age: 75.2 years; 39.5% females). Nutritional screening was performed within 48 h of admission using the following tools: Malnutrition Universal Screening Tool (MUST), Nutrition Risk Screening Tool (NRS‐2002), Malnutrition Screening Tool (MST), Short Nutritional Assessment Questionnaire (SNAQ), and Mini Nutritional Assessment Short Form (MNA‐SF). The criteria of the European Society for Clinical Nutrition and Metabolism (ESPEN) were used as the gold standard for defining malnutrition. Patients were also evaluated using the Subjective Global Assessment (SGA) and the Global Leadership Initiative on Malnutrition (GLIM) criteria. Accuracy was determined by examining sensitivity, specificity, and positive and negative predictive values, and diagnostic agreement was determined by calculation of Cohen's kappa (κ). The study is reported as per the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.ResultsThe ESPEN criteria classified 20.2% of the hospitalised patients as malnourished. Overall, the MUST had the highest sensitivity (80.0%), specificity (74.7%) and positive predictive value (44.4%). For the subgroup of patients aged >65 years, the MNA‐SF had high sensitivity (94.4%) but low specificity (39.0%). Based on Cohen's κ, the SGA and GLIM criteria showed low agreement with the ESPEN criteria.ConclusionThe MUST was the most accurate nutritional screening tool, through the MST is more easily applied in many clinical settings. A comprehensive assessment of malnutrition that considers muscle mass is crucial for the reliable diagnosis of malnutrition.Implications for the profession and/or patient careThe present findings underscore the importance of accurate assessment of the malnutrition status of hospitalised patients and the need for a reliable screening tool.No patient or public contribution. |
| Publikationsart: | Article Other literature type |
| Dateibeschreibung: | application/pdf |
| Sprache: | English |
| ISSN: | 1365-2702 0962-1067 |
| DOI: | 10.1111/jocn.17170 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/38629350 https://hdl.handle.net/20.500.13003/20317 |
| Rights: | CC BY NC ND URL: http://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
| Dokumentencode: | edsair.doi.dedup.....3f7b35090794e97f1d9de17abdc37df1 |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Aims and ObjectivesTo assess the prevalence of malnutrition in hospitalised adult patients, and to evaluate the accuracy of the most commonly used nutritional screening tools for identifying individuals at risk of malnutrition.MethodsA prospective cross‐sectional study was conducted on a total of 248 hospitalised patients in internal medicine wards (mean age: 75.2 years; 39.5% females). Nutritional screening was performed within 48 h of admission using the following tools: Malnutrition Universal Screening Tool (MUST), Nutrition Risk Screening Tool (NRS‐2002), Malnutrition Screening Tool (MST), Short Nutritional Assessment Questionnaire (SNAQ), and Mini Nutritional Assessment Short Form (MNA‐SF). The criteria of the European Society for Clinical Nutrition and Metabolism (ESPEN) were used as the gold standard for defining malnutrition. Patients were also evaluated using the Subjective Global Assessment (SGA) and the Global Leadership Initiative on Malnutrition (GLIM) criteria. Accuracy was determined by examining sensitivity, specificity, and positive and negative predictive values, and diagnostic agreement was determined by calculation of Cohen's kappa (κ). The study is reported as per the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.ResultsThe ESPEN criteria classified 20.2% of the hospitalised patients as malnourished. Overall, the MUST had the highest sensitivity (80.0%), specificity (74.7%) and positive predictive value (44.4%). For the subgroup of patients aged >65 years, the MNA‐SF had high sensitivity (94.4%) but low specificity (39.0%). Based on Cohen's κ, the SGA and GLIM criteria showed low agreement with the ESPEN criteria.ConclusionThe MUST was the most accurate nutritional screening tool, through the MST is more easily applied in many clinical settings. A comprehensive assessment of malnutrition that considers muscle mass is crucial for the reliable diagnosis of malnutrition.Implications for the profession and/or patient careThe present findings underscore the importance of accurate assessment of the malnutrition status of hospitalised patients and the need for a reliable screening tool.No patient or public contribution. |
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| ISSN: | 13652702 09621067 |
| DOI: | 10.1111/jocn.17170 |