Mini-Nutritional Assessment, Malnutrition Universal Screening Tool, and Nutrition Risk Screening Tool for the Nutritional Evaluation of Older Nursing Home Residents

2016 ◽  
Vol 17 (10) ◽  
pp. 959.e11-959.e18 ◽  
Author(s):  
Lorenzo M. Donini ◽  
Eleonora Poggiogalle ◽  
Alessio Molfino ◽  
Aldo Rosano ◽  
Andrea Lenzi ◽  
...  
Keyword(s):  
Nursing Home ◽  
Universal Screening ◽  
Screening Tool ◽  
Nutritional Assessment ◽  
Nursing Home Residents ◽  
Mini Nutritional Assessment ◽  
Nutritional Evaluation ◽  
Risk Screening ◽  
Nutrition Risk ◽  
Malnutrition Universal Screening Tool

scholarly journals PERFIL NUTRICIONAL DE PACIENTES IDOSOS COM COVID-19: UMA REVISÃO INTEGRATIVA

2020 ◽  
Vol 17 (2) ◽  
Author(s):  
Raquel Seibel ◽  
Jamile Ceolin
Keyword(s):  
Nutritional Status ◽  
Universal Screening ◽  
Screening Tool ◽  
Risk Screening ◽  
Nutrition Risk ◽  
Malnutrition Universal Screening Tool ◽  
Coronavirus Infections

Introdução: A pandemia da COVID-19 representa um desafio para os sistemas de saúde mundialmente. Os idosos, que apresentam múltiplas comorbidades crônicas, são mais suscetíveis ao COVID-19 e a piora do estado nutricional, principalmente em pacientes hospitalizados. Objetivo: Avaliar o perfil nutricional e desfechos clínicos de pacientes idosos com COVID-19. Métodos: Foi realizada uma revisão integrativa com ensaios clínicos, através de uma busca na base de dados Medline (via Pubmed). A sequência da busca utilizada foi: [(Coronavirus infections) AND (Nutritional Status)]. Foram encontrados 54 artigos. Após a leitura dos estudos foram excluídos 42 artigos por não avaliarem idosos, 4 por não serem com humanos, 3 por serem revisão, 1 por não especificar idade, 1 por não abordar o estado nutricional e 1 por ser em chinês. Resultados: Foram incluídos 2 artigos, um com delineamento transversal e outro retrospectivo, totalizando 323 pacientes hospitalizados e com diagnóstico de COVID-19. A amostra era predominantemente feminina, e a média de idade foi de 70,05±7,3 anos. O estado nutricional foi avaliado através da Mini Avaliação Nutricional, Nutrition Risk Screening 2002, Malnutrition Universal Screening Tool e Índice de Risco Nutricional. Nos idosos com COVID-19, houve alta prevalência de desnutrição e risco nutricional, associado com maior tempo de internação, elevadas despesas hospitalares, pior gravidade da doença e maior alteração de peso do que o grupo com estado nutricional normal. Conclusão: Os resultados sugerem que idosos com COVID-19, em risco nutricional, podem apresentar desfechos clínicos piores do que indivíduos com estado nutricional adequado, entretanto mais estudos são necessários.

scholarly journals Efficacy of Nutrition Screening Tools in Predicting the Length of Hospital Stay in Older Hospitalized Patients

Acta Medica ◽  
2021 ◽  
pp. 1-7
Author(s):  
Cafer Balcı
Keyword(s):  
Hospital Stay ◽  
Universal Screening ◽  
Global Assessment ◽  
Screening Tool ◽  
Length Of Hospital Stay ◽  
Subjective Global Assessment ◽  
Risk Screening ◽  
Nutrition Risk ◽  
Prolonged Length ◽  
Malnutrition Universal Screening Tool

Objective: The prevalence of malnutrition remains high in older hospitalized patients. Subjective Global Assessment, the Nutrition Risk Screening-2002, and Malnutrition Universal Screening Tool are widely used screening and assessment tools, but comparison of their efficacy in predicting clinical outcomes like length of hospital stay remain scarce. This study aimed to compare the efficacy of these tools in predicting length of hospital stay in a group of older hospitalized patients. Materials and Methods: A retrospective analysis was performed in a sample of 72 patients consecutively admitted to a geriatric medicine ward. Subjective Global Assessment, Nutrition Risk Screening-2002 and Malnutrition Universal Screening Tool were performed within 24 hours of admission. Patients were classified as having prolonged length of hospital stay if they stay in the hospital for more than ten days. The association of baseline malnutrition defined by each tool and the prolonged length of hospital stay was assessed using unadjusted and adjusted logistic regression models. Results: The mean age of the patients was 73.5 ± 6.9 years, and 61.1% were women. The prevalence of malnutrition was 45.8% with Subjective Global Assessment, 51.4% with Nutrition Risk Screening-2002, and 33.3% with Malnutrition Universal Screening Tool. Among the entire cohort, twenty-nine patients (40.2%) had longer length of the hospital stay. After adjusted for covariates, multivariate logistic regression analysis revealed that the Subjective Global Assessment had the best predictive power (OR: 3.9; p: 0.02), followed by Nutrition Risk Screening-2002 (OR: 3.8; p: 0.03), and Malnutrition Universal Screening Tool (OR: 2.9; p: 0.02). Conclusion: Malnutrition assessed by the Subjective Global Assessment, Nutrition Risk Screening-2002 and Malnutrition Universal Screening Tool on admission predict prolonged length of hospital stay in hospitalized older patients.

scholarly journals A Comparison of the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment-Short Form (MNA-SF) Tool for Older Patients Undergoing General Surgery

2021 ◽  
Vol 10 (24) ◽  
pp. 5860
Author(s):  
Stamatios Kokkinakis ◽  
Maria Venianaki ◽  
Georgia Petra ◽  
Alexandros Chrysos ◽  
Emmanuel Chrysos ◽  
...  
Keyword(s):  
General Surgery ◽  
Older Patients ◽  
Universal Screening ◽  
Screening Tool ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Postoperative Outcomes ◽  
Postoperative Length ◽  
Malnutrition Universal Screening Tool

The optimal malnutrition screening tool in geriatric surgery has yet to be determined. Herein, we compare two main tools in older patients undergoing general surgery operations. Older patients (>65 years old) who underwent general surgery operations between 2012 and 2017 in a tertiary centre were included. The Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment Short Form (MNA-SF) were used for nutritional risk assessment. Preoperative variables as well as postoperative outcomes were recorded prospectively. Agreement between tools was determined with the weighted kappa (κ) statistic. Multiple regression analysis was used to assess the association of the screening tools with postoperative outcomes. A total of 302 patients (median age 74 years, range: 65–92) were included. A similar number of patients were classified as medium/high risk for malnutrition with the MNA-SF and MUST (26% vs. 36%, p = 0.126). Agreement between the two tools was moderate (weighted κ: 0.474; 95%CI: 0.381–0.568). In the multivariate analysis, MNA-SF was associated significantly with postoperative mortality (p = 0.038) and with postoperative length of stay (p = 0.001). MUST was associated with postoperative length of stay (p = 0.048). The MNA-SF seems to be more consistently associated with postoperative outcomes in elderly patients undergoing general surgery compared with the MUST tool.

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