在公立医院急诊室进行营养筛查：可以使用营养不良通用筛查工具和营养风险筛查-2002。

Nutrition screening in public hospital emergency rooms: Malnutrition Universal Screening Tool and Nutritional Risk Screening-2002 can be applied.

机构信息

Nutrition Department, Federal University of Health Sciences of Porto Alegre (UFCSPA) Porto Alegre, Brazil.

Nutrition Department, Federal University of Health Sciences of Porto Alegre (UFCSPA) Porto Alegre, Brazil; Postgraduate Program in Nutrition Sciences, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul, Brazil.

出版信息

Public Health. 2018 Dec;165:6-8. doi: 10.1016/j.puhe.2018.07.005. Epub 2018 Oct 16.

DOI:10.1016/j.puhe.2018.07.005

PMID:30339907

Abstract

OBJECTIVE

To evaluate the agreement between two nutritional screening tools (Malnutrition Universal Screening Tool [MUST] and Nutritional Risk Screening-2002 [NRS-2002]) and Subjective Global Assessment (SGA) to identify nutritional risk in patients admitted to public emergency rooms.

STUDY DESIGN

Cross-sectional study.

METHODS

Patients aged ≥18 years who were admitted to an emergency room of a tertiary public hospital were evaluated. A nutritional risk assessment was performed in the first 48 h following hospital admission, through MUST, NRS-2002, and SGA. The Cohen's kappa coefficient was calculated.

RESULTS

The study included 577 patients, with an average age of 53.9 ± 15.8 years; 56% of whom were women. Prevalence of nutritional risk was 35.3% and 28.5% according to MUST and NRS-2002, respectively, and malnutrition prevalence was equal to 32.9% according to SGA. The Cohen's kappa coefficient between SGA and MUST was 0.67 and between SGA and NRS-2002 was 0.62.

CONCLUSION

MUST and NRS-2002 showed good agreement with SGA in identification of nutritional risk, suggesting that both tools have similar applicability for nutritional screening in adults or older patients admitted to public emergency rooms.

摘要

目的

评估两种营养筛查工具（营养不良通用筛查工具[MUST]和营养风险筛查 2002 版[NRS-2002]）与主观全面评估（SGA）之间的一致性，以识别入住公立急诊室患者的营养风险。

研究设计

横断面研究。

方法

评估年龄≥18 岁、入住三级公立医院急诊室的患者。在入院后 48 小时内通过 MUST、NRS-2002 和 SGA 进行营养风险评估。计算 Cohen's kappa 系数。

结果

本研究纳入了 577 名患者，平均年龄为 53.9±15.8 岁；其中 56%为女性。根据 MUST 和 NRS-2002，营养风险的发生率分别为 35.3%和 28.5%，而 SGA 显示的营养不良发生率为 32.9%。SGA 与 MUST 之间的 Cohen's kappa 系数为 0.67，SGA 与 NRS-2002 之间的 Cohen's kappa 系数为 0.62。