Sección de Endocrinología y Nutrición, Hospital Universitario Doctor Peset, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunidad Valenciana, Valencia, España.
Dirección Médica de Atención Primaria, Departamento de Salud Doctor Peset, Valencia, España.
Med Clin (Barc). 2018 Mar 9;150(5):185-187. doi: 10.1016/j.medcli.2017.07.019. Epub 2017 Sep 23.
Nutritional screening allows for the detection of nutritional risk. Validated tools should be implemented, and their usefulness should be contrasted with a gold standard. The aim of this study is to discover the validity, efficacy and reliability of 3 nutritional screening tools in relation to complete nutritional assessment.
A sub-analysis of a cross-sectional and descriptive study on the prevalence of disease-related malnutrition. The sample was selected from outpatients, hospitalized and institutionalized patients. MUST, MNAsf and MST screening were employed. A nutritional assessment of all the patients was undertaken. The SENPE-SEDOM consensus was used for the diagnosis.
In the outpatients, both MUST and MNAsf have a similar validity in relation to the nutritional assessment (AUC 0.871 and 0.883, respectively). In the institutionalized patients, the MUST screening method is the one that shows the greatest validity (AUC 0.815), whereas in the hospitalized patients, the most valid methods are both MUST and MST (AUC 0.868 and 0.853, respectively).
It is essential to use nutritional screening to invest the available resources wisely. Based on our results, MUST is the most suitable screening method in hospitalized and institutionalized patients.
营养筛查可用于发现营养风险。应使用经过验证的工具，并将其与金标准进行比较，以评估其有用性。本研究旨在发现 3 种营养筛查工具与完整营养评估相关的有效性、功效和可靠性。
对疾病相关营养不良患病率的横断面和描述性研究的亚分析。从门诊、住院和住院患者中选择样本。使用 MUST、MNAsf 和 MST 进行筛查。对所有患者进行营养评估。使用 SENPE-SEDOM 共识进行诊断。
在门诊患者中，MUST 和 MNAsf 与营养评估的相关性均具有相似的有效性（AUC 分别为 0.871 和 0.883）。在住院患者中，MUST 筛查方法的有效性最高（AUC 为 0.815），而在住院患者中，MUST 和 MST 是最有效的方法（AUC 分别为 0.868 和 0.853）。
明智地利用营养筛查工具分配现有资源至关重要。根据我们的研究结果，MUST 是住院和住院患者最适合的筛查方法。
