P140 USE OF THE NUTRITIONAL RISK SCORE FOR THE IMPLEMENTATION OF A PREVENTIVE NUTRITIONAL POLICY IN THE ORTHOPEDIC WARD OF A SEPTIC SURGERY CENTER

2009 ◽  
Vol 4 (2) ◽  
pp. 84
Author(s):  
D. Grolimund Berset ◽  
E. Guex ◽  
N. Valentinuzzi ◽  
O. Borens ◽  
P. Coti Bertrand
Keyword(s):  
Risk Score ◽  
Nutritional Risk ◽  
Surgery Center ◽  
Orthopedic Ward

scholarly journals Simple pediatric nutritional risk score to identify children at risk of malnutrition

2000 ◽  
Vol 72 (1) ◽  
pp. 64-70 ◽  
Author(s):  
Isabelle Sermet-Gaudelus ◽  
Anne-Sylvie Poisson-Salomon ◽  
Virginie Colomb ◽  
Marie-Claire Brusset ◽  
Françoise Mosser ◽  
...  
Keyword(s):  
At Risk ◽  
Risk Score ◽  
Nutritional Risk ◽  
Children At Risk

Diet Quality Assessed with the “Framingham Nutritional Risk Score”

Diet Quality ◽  
2013 ◽  
pp. 315-326
Author(s):  
Ruth W. Kimokoti ◽  
Barbara E. Millen
Keyword(s):  
Risk Score ◽  
Diet Quality ◽  
Nutritional Risk

Abstract P389: Sleep Behavior Risk Score and BMI in a Sample of Adolescents Undergoing Bariatric Surgery

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Jill L KAAR ◽  
Ishaah Talker ◽  
Samuel Russell ◽  
Thomas Inge ◽  
Stephen M Hawkins ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Bariatric Surgery ◽  
Risk Score ◽  
Sleep Behavior ◽  
Children's Hospital ◽  
Sleep Behaviors ◽  
Bariatric Surgery Center ◽  
Baseline Bmi ◽  
Surgery Center

Objective: To examine sleep behaviors and their associations with health characteristics in a cohort of adolescents with severe obesity undergoing bariatric surgery at Children’s Hospital Colorado. Methods: A retrospective chart review of electronic medical records was performed. All patients receiving care at the Children’s Hospital Colorado (CHCO) Bariatric Surgery Center between 06/17-08/19 were included. Demographic, medical and family history, self-reported sleep behaviors, and laboratory measures were abstracted, including medical problem list (e.g., type 2 diabetes (T2D), hypertension) and body mass index (BMI). A sleep behavior risk score (SBRS) was developed using five criteria (short sleep defined as <8 hrs/night, variability of sleep timing greater than 60 minutes, daytime naps, bedtime past midnight, and mobile devices in bed). Participants were classified as having a high SBRS if they met three or more of the criteria. T-tests were used to examine the differences between baseline health characteristics by SBRS score. Results: Data from 78 patients, aged 16.82.1, were reviewed. The majority of patients were female (71%), Hispanic (52%) and in 10-12 th grade in school (64%). Prior to surgery, 24% of the patients were diagnosed with hypertension and 20% with type 2 diabetes. The majority of patients (60%) had a high SBRS at baseline. High SBRS was significantly associated with higher baseline BMI (49.2 vs 45.0; p=0.03). SBRS score was not significantly associated with diagnosis of hypertension, type 2 diabetes, hyperlipidemia, or obstructive sleep apnea. Conclusions: In a population of adolescents seen in the Bariatric Surgery Center at CHCO, a majority of patients met criteria for high risk sleep behaviors, and worse sleep behaviors preoperatively were related to higher baseline BMI. A high SBRS may adversely impact adolescents’ overall health prior to surgery, which may have implications for weight loss success post-surgery. The evaluation for sleep health should be more rigorously evaluated and standardized as part of efforts to improve health outcomes in patients undergoing bariatric surgery.

Abstract 12986: Geriatric Nutritional Risk Index Provides the Additional Long-term Prognostic Information to Gwtg Heart Failure Risk Score in Acute Decompensated Heart Failure Patients With and Without Reduced LVEF

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Takahisa Yamada ◽  
Tetsuya Watanabe ◽  
Takashi Morita ◽  
Yoshio Furukawa ◽  
Shunsuke Tamaki ◽  
...  
Keyword(s):  
Heart Failure ◽  
Nutritional Status ◽  
Risk Score ◽  
Risk Index ◽  
Nutritional Risk ◽  
Geriatric Nutritional Risk Index ◽  
Prognostic Information ◽  
Poor Outcome ◽  
Nutritional Risk Index

Backgrounds: The Get with The Guidelines (GWTG) heart failure (HF) risk score was developed in the GWTG inpatient HF registry to predict in-hospital mortality and has been recently reported to be associated with post-discharge long-term outcomes. Malnutrition is associated with poor outcome in ADHF patients. However, there is no information available on the long-term prognostic significance of the combination of GWTG-HF risk score and malnutrition in patients admitted for ADHF, relating to reduced left ventricular ejection fraction (LVEF). Methods: We studied 303 ADHF patients discharged with survival (HFrEF(LVEF<40%); n=180, HFpEF(LVEF≥40%;n=123). At the admission, we evaluated GWTG-HF score and nutritional status. Variables required for the GWTG-HF risk score were race, age, systolic blood pressure, heart rate, serum levels of blood urea nitrogen and sodium, and the presence of chronic obstructive pulmonary disease. Nutritional status was evaluated by Geriatric Nutritional Risk Index (GNRI) calculated as follows: 14.89 · serum albumin (g/dl) + 41.7 · BMI/22, and malnutrition was defined as GNRI<92. The study endpoint was cardiovascular-renal poor outcome (CVR), defined as cardiovascular death and the development of end-stage renal disease requiring renal replacement therapy. Results: During a follow-up period of 4.2±3.3 yrs, 86 patients had CVR. At multivariate Cox analysis, GWTG-HF risk score and GNRI were significantly and independently associated with CVR, in both HFrEF and HFpEF groups. The patients with both greater GWTG-HF score (>median value=35) and malnutrition had a significantly increased risk of CVR than those with either and none of them ([HFrEF] 60% vs 32% vs 16%, p<0.0001, [HFpEF] 45% vs 18% vs 12%, p<0.0001, respectively) Conclusion: Malnutrition assessed by GNRI would provide the additional long-term prognostic information to GWTG-HF risk score in patients admitted for ADHF, irrespective of the presence of reduced LV function.

Neue Wege in der Seniorenverpflegung: Evaluation einer protein- und energiedichten Kost für ältere Menschen in einem geriatrischen Spital

2019 ◽  
Vol 44 (02) ◽  
pp. 93-98
Author(s):  
Chantal Coenegracht ◽  
Tanja Urgese
Keyword(s):  
G Protein ◽  
Risk Score ◽  
Ältere Menschen ◽  
Nutritional Risk ◽  
Protein Tag

Zusammenfassung Hintergrund Im Felix Platter-Spital in Basel wurden 2015 – 2016 die hausinternen Ernährungsrichtlinien an die aktuellen Erkenntnisse zur geriatriegerechten Ernährung angepasst: Die Portionsgröße wurde auf 2/3 verkleinert bei gleichbleibender Nährstoff- bzw. verhältnismäßig höheren Proteinzufuhr; die Proteine wurden gleichmäßig über die 3 Hauptmahlzeiten verteilt und jede Mahlzeit enthielt mindestens 20 – 25 g Protein.In diesem Artikel wird evaluiert, ob Patienten nach diesen Anpassungen mehr Protein und Energie zu sich nehmen (Erhöhung von mind. 200 kcal und 10 g Protein/Tag). Methoden Die Erfassung der Nahrungsaufnahme mittels dem hausinternen Ernährungsprotokoll (BEOP) wurde auf allen Stationen des Spitals durchgeführt. Das Team der Ernährungsberatung dokumentierte 2016 im Juli, August, September (alter Kostform) und in den gleichen Monaten in 2017 (neuer Kostform) von allen Patienten mit einem Nutritional Risk Score ≥ 4 das BEOP. Ergebnisse Die durchschnittliche Proteinaufnahme erhöhte sich um 16 g/Tag (34 %), von 47 g auf 63 g Protein/Tag (KI: 11,4 – 20,6 g; α: 0,05).Die durchschnittliche Erhöhung der Energieaufnahme betrug 182 kcal (15 %) (KI: 76 – 288 kcal; α: 0,05) und erreichte damit knapp nicht die vorausgesetzte Erhöhung von mindestens 200 kcal. Trotzdem wird sie als klinisch relevant gewertet. Schlussfolgerung Mit unserem Menü Compact zeigen wir Möglichkeiten auf, die Nahrungsaufnahme von multimorbiden geriatrischen Patienten im Spital durch Anpassung der Zubereitung und der Gestaltung des Menüs erfolgreich zu erhöhen.

scholarly journals A perioperatív tápláltsági állapot mint kockázati tényező az onkológiai sebészetben

2021 ◽  
Vol 162 (13) ◽  
pp. 504-513
Author(s):  
Dániel Kollár ◽  
Zoltán Benedek-Tóth ◽  
András Drozgyik ◽  
F. Tamás Molnár ◽  
Attila Oláh
Keyword(s):  
At Risk ◽  
Risk Score ◽  
Screening Method ◽  
Gastrointestinal Surgery ◽  
Clinical Nutrition ◽  
Nutritional Risk ◽  
Severe Malnutrition ◽  
Oncologic Surgery ◽  
Increased Risk ◽  
Nrs 2002

Összefoglaló. Bevezetés: A tumorsebészetben a malnutritio független rizikófaktor. A kockázatcsökkentés egyik fontos eleme a perioperatív tápláltsági állapot felmérésén alapuló klinikai táplálás. Az irodalomban jól dokumentált az időben végzett rizikószűrés fontossága, de ennek módja, különösen hazai környezetben, kidolgozatlanabb. Célkitűzés: A malnutritio szempontjából esendőbb csoportot alkotó onkológiai sebészeti betegek azonosíthatóságának igazolása, a szűrési metódus vizsgálata. Módszer: 2016. október és 2018. november között öt kórcsoportban (emlő, máj, pancreas, mellkas, gyomor-bél rendszer) az igazolt vagy gyanított malignitás, illetve gyulladásos bélbetegség miatt műtétre váró betegeket telemedicina-módszerrel kerestük fel. A rizikócsoportokat (nincs rizikó – alultápláltság valószínűsíthető – súlyos alultápláltság) a sebész és dietetikus által közösen vezetett ’Nutritional Risk Score 2002’ (NRS 2002) szűrő pontrendszerrel állapítottuk meg. Az NRS 2002 pontértékeket a posztoperatív lefolyással vetettük össze (kórházi tartózkodás, 30 napon belüli szövődmények Clavien–Dindo szerinti osztályozása). Prospektív vizsgálatunkban 1556 beteg szerepel. Eredmények: Az emlősebészeti betegek (n = 314) 95,2%-a rizikómentes. A májreszekcióra várók (n = 79) 43%-a valószínűleg vagy biztosan alultáplált. A hasnyálmirigyműtétre előjegyzett betegek (n = 122) 81,2%-a emelt rizikójú. A kuratív célú pancreasreszekción átesett betegek pontértéke alacsonyabb, mint a palliatív műtétben részesülőké (p>0,05). A tüdőreszekcióra váró (n = 219) betegeknél 40,7% került emelt rizikócsoportba. Az emelkedett NRS 2002 érték magasabb szövődményaránnyal járt (p<0,05). Béltraktust érintő műtétek (n = 822) esetén a betegek 71,2%-a valószínűleg vagy biztosan súlyosan alultáplált. Az előrehaladott tumorok és a szövődmények egyaránt erős összefüggést mutattak az NRS 2002 értékkel (p<0,01). Következtetés: Az NRS 2002 szűrőmódszer prediktív értékkel bír mind a tumorstádium, mind a szövődmények tekintetében. Módszerünkkel időben felismerhető a fokozott rizikót jelentő betegcsoport, így a pontérték alapján célzott mesterséges táplálás tervezhető. Orv Hetil. 2021; 162(13): 504–513. Summary. Introduction: Malnutrition is an independent risk factor in oncologic surgery. Perioperative screening and aimed clinical nutrition are key elements in risk reduction. The importance of timely screening has been well published, but its method is underdeveloped, especially in Hungary. Objective: Evaluation of a malnutrition screening method to identify patients at risk in oncologic surgery. Method: Patients were enrolled from October 2016 to November 2018 in five groups (breast, liver, pancreas, thoracic and gastrointestinal surgery). All patients awaiting surgery for suspected or proven malignancy or for inflammatory bowel disease were screened preoperatively via telephone (telemedicine). Probability for malnutrition (no risk – suspicion for malnutrition – severe malnutrition) was jointly assessed by surgeon and dietitian using Nutritional Risk Score 2002 (NRS 2002). Screening results were compared to the postoperative course (including length of stay and 30-day morbidity/mortality using Clavien–Dindo classification). A total of 1556 patients were identified prospectively. Results: 95.2% of breast surgery patients (n = 314) were not at risk. Malnutrition was suspected or detected in 43% of patients awaiting liver resection (n = 79). Increased risk is present in 81.2% of pancreatic surgery cases (n = 122). Pancreas resections with curative intent were associated with lower scores than in palliative operations (p>0.05). 40.7% of the 219 patients scheduled for lung resection had increased malnutrition risk. Higher NRS 2002 resulted in increased morbidity rate (p<0.05). Surgery on the intestines was performed on 822 cases. 71.2% of them had suspected or severe malnutrition. Presence of advanced cancer and complication rate showed strong relations with increased NRS 2002 (p<0.01). Conclusion: Screening with NRS 2002 has predictive value on both tumor stage and complications. Our method is sound to identify patients at malnutrition risk in time, and thus an aimed clinical nutrition therapy can be planned. Orv Hetil. 2021; 162(13): 504–513.

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