Haldun Gündogdu, Eren Ersoy, Recep Aktimur, Hakan Kulacoglu, Mehmet Ozdogan, Vedat Ozturk, Tanju Acar
General Surgery Department, Ankara Atatürk Research and Educational Hospital, Ankara, Turkey.
Bratisl Lek Listy. 2008;109(2):57-60.
"Risk Screening 2002" screening index, advised by European Society for Clinical Nutrition and Metabolism in 2003, is gradually being used in surgery clinics.
"Nutritional Risk Screening 2002" was applied in order to evaluate the nutritional status of the patients administered to the department by the staff doctors of the clinic who were trained on standard nutritional education and the use of NRS-2002 between 15 June 2005 and 10 March 2006. The patients having "Nutritional Risk Screening 2002" score 3 were considered as nutritionally under risk.
Totally 793 patients were evaluated in double blinded fashion. 75 patients were revealed as being under nutritional risk of whom 26 having benign and 49 having malign etiologies. 84 % of the patients with malignancy were under nutritional risk.
Patients, especially the ones having malignancy, admitted to the General Surgery departments, are under nutritional risk. NRS-2002 is a new method to evaluate nutritional risk which is easy to apply and clear to evaluate. It should be applied to all patients routinely during admittance and periodically as long as they stay at the hospital (Tab. 2, Ref. 17).
欧洲临床营养与代谢学会于2003年推荐的“2002年风险筛查”筛查指标正逐渐在外科诊所中得到应用。
2005年6月15日至2006年3月10日期间,由接受过标准营养教育及NRS - 2002使用培训的门诊主治医生对该科室收治的患者应用“2002年营养风险筛查”来评估其营养状况。“2002年营养风险筛查”评分≥3分的患者被视为存在营养风险。
共对793例患者进行了双盲评估。发现75例患者存在营养风险,其中病因良性者26例,恶性者49例。84%的恶性肿瘤患者存在营养风险。
普通外科收治的患者,尤其是患有恶性肿瘤的患者,存在营养风险。NRS - 2002是一种评估营养风险的新方法,易于应用且评估清晰。应在患者入院时常规应用于所有患者,并在其住院期间定期应用(表2,参考文献17)。