nutritional risk screening
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2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Thiago Rocha de Pinho ◽  
Simone Mayane Mendes dos Santos ◽  
Renara Leite Rodrigues Rocha

The presence of malnutrition in hospitalized patients is prevalent and studies show its association with a higher incidence of complications, mortality, length of stay, costs, and increased frequency of hospital readmission. Routine use of simple tracking procedures is recommended. Nutritional screening detects individuals who are malnourished or at risk of developing malnutrition, and who can receive specific nutritional support. Nutritional Risk Screening (NRS 2002) is a nutritional screening method recommended by the European Society for Clinical and Metabolism (ESPEN) and identifies the risk of developing malnutrition in hospitalized patients. The aim of this paper is to review the literature on the NRS screening method (2002) and its relationship with clinical outcomes in hospitalized patients.


Author(s):  
Tatiana Abreu Barros ◽  
Juliana Moreira da Silva Cruvel ◽  
Bruna de Melo Silva ◽  
Bruna Renata Fernandes Pires ◽  
Ana Gabriella Magalhães de Amorim dos Santos ◽  
...  

2021 ◽  
Vol 46 ◽  
pp. S558
Author(s):  
S. Palma-Milla ◽  
B. López-Plaza ◽  
M. Morato-Martínez ◽  
B. De León ◽  
M. Jiménez-González ◽  
...  

2021 ◽  
Author(s):  
Zhiming Chen ◽  
Haichi Yu ◽  
Hua Yuan ◽  
Jia Wang ◽  
Qiuchen Wang ◽  
...  

Abstract Background: The incidence of malnutrition in patients with gastric cancer after surgery is 59%. The main reason for the high incidence of malnutrition is untimely nutrition screening and low compliance with nutrition treatment. In order to enable home patients to know their nutritional status in time, we have developed and validated nutritional risk screening tools for patients with gastric cancer to help patients’ at home find nutritional risks in time and seek medical help. This article introduces the development and verification methods and statistical methods of the tool.Methods: The development of self-nutrition risk screening tool for patients with gastric cancer after gastrectomy (SNRSGC) is divided into four parts:Steps1Identification of a potential referred nutritional risk screening; Steps2Item generation and scoring are selected through literature review methods to screen sensitive indicators that can reflect the nutritional characteristics of patients after gastric cancer surgery, establish the frame and update according to the latest guidelines ;Steps3Item reduction is determined by the rating of SNRSGC items by an expert panel and piloting method to determine the final item; Steps4 In the validation stage, we conducted research design based on the Consensus-based Standards for the selection of health Measurement Instruments checklist to evaluate the content validity, structure validity, interpretability, and retest validity of SNRSGC.Discussion: SNRSGC is the first screening tool specifically to predict nutrition risk for stay-at-home postoperative patients with gastric cancer.SNRSGC may provide action guidelines and knowledge guidance for patients with gastric cancer at home.Trial registration: Identifier on Chinese Clinical Trials Registry : ChiCTR2100041809 , registered January 06, 2021.


2021 ◽  
Vol 8 ◽  
Author(s):  
Ping'an Ding ◽  
Honghai Guo ◽  
Peigang Yang ◽  
Chenyu Sun ◽  
Yuan Tian ◽  
...  

Background: Currently, the incidence of gastrointestinal stromal tumors (GIST) is increasing rapidly worldwide. Malnutrition may increase the risk of perioperative complications and affect the prognosis of patients. However, previous studies on the nutritional status of GIST patients and its impact on prognosis are limited. Therefore, this study aims to explore the incidence of malnutrition in newly diagnosed GIST patients, the proportion of participants in need of nutritional intervention, and the relationship between nutritional status and overall survival (OS).Methods: We retrospectively analyzed the clinical data of GIST patients treated in our hospital from January 2014 to January 2018. Nutritional Risk Screening 2002 (NRS2002) and Patient-Generated Subjective Global Assessment (PG-SGA) were used to assess the nutritional status of all patients. This study was to investigate the clinical significance of PG-SGA by analyzing the relationship between PG-SGA score and OS.Results: A total of 1,268 newly diagnosed GIST patients were included in this study, of which 77.76% were at risk of malnutrition (NRS2002 score ≥ 3), and the incidence of malnutrition was 10.09% (PG-SGA score ≥ 4). Meanwhile, we found 2.29% of the patients required urgent nutritional support (PG-SGA score ≥ 9). Multivariate analysis showed that age (p = 0.013), BMI (p = 0.001), weight loss (p = 0.001), anemia (p = 0.005), pre-albumin (p = 0.010), albumin (p = 0.002), tumor location (p = 0.001), tumor size (p = 0.002), and NIH classification (p = 0.001) were risk factors for nutritional status. The prognosis was significantly in GIST patients with different PG-SGA score at admission (p < 0.05).Conclusion: This study suggested that malnutrition is common in newly diagnosed GIST patients, and the higher the PG-SGA score, the worse the clinical outcome.


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