住院患者营养评估与筛查工具的比较：一项针对外科患者的研究。
Comparison of Tools for Nutritional Assessment and Screening of Hospitalized Patients: A study on Surgical Patients.
作者信息
Susetyowati Susetyowati, Sholikhati Amalia Sarah, Cahyaningrum Dinda Krisma, Rachmawati Azizah Isna, Handaya Adeodatus Yuda
机构信息
Universitas Gadjah Mada, Nursing and Public Health, Faculty of Medicine, Department of Nutrition and Health, Yogyakarta, Indonesia.
Universitas Gadjah Mada, Nursing and Public Health, Faculty of Medicine, Department of Surgery Digestive, Yogyakarta, Indonesia.
出版信息
Medeni Med J. 2023 Mar 28;38(1):70-77. doi: 10.4274/MMJ.galenos.2023.64554.
OBJECTIVE
To compare the Simple Nutrition Screening Tool (SNST) with other nutritional screening tools [Nutrition Risk Screening 2002 (NRS-2002), Nutrition Risk index (NRI)], nutritional assessment parameters, and the Subjective Global Assessment (SGA) in surgical patients.
METHODS
A comparative observational study with a total of 122 surgical patients. Patients were assessed during the first 24 h of admission in the ward from January to July 2022 using the NRI, NRS-2002, SNST, body mass index (BMI), mid-upper arm circumferences (MUAC), albumin serum, hemoglobin level, total lymphocyte count (TLC), and SGA. Sensitivity, specificity and predictive values were calculated to evaluate NRI, NRS-2002, SNST, BMI, MUAC, albumin, hemoglobin, TLC compared to SGA.
RESULTS
The screening tools identified a high nutritional risk in surgical patients from 58.2%-72.1%. Meanwhile, about 29.5% to 71.3% was affected by malnutrition based on nutritional assessment tools. There were significant associations between the type of disease, the screening tools, the anthropometric parameters, albumin, TLC as well and SGA (p<0.05). The SNST has a good category among the nutritional screening tools with sensitivity and specificity >80%, as well as area under the curve >0.8.
CONCLUSIONS
There were significant associations for screening (NRS-2002, SNST) and nutritional assessment tools (BMI, MUAC, albumin) compared with SGA. Both these tools can be used to determine the risk of malnutrition in surgical patients.
目的
比较简易营养筛查工具（SNST）与其他营养筛查工具[营养风险筛查2002（NRS - 2002）、营养风险指数（NRI）]、营养评估参数以及主观全面评定法（SGA）在外科患者中的应用。
方法
一项共纳入122例外科患者的比较性观察研究。于2022年1月至7月患者入院病房的首个24小时内，使用NRI、NRS - 2002、SNST、体重指数（BMI）、上臂中部周长（MUAC）、血清白蛋白、血红蛋白水平、总淋巴细胞计数（TLC）以及SGA对患者进行评估。计算敏感性、特异性和预测值，以评估NRI、NRS - 2002、SNST、BMI、MUAC、白蛋白、血红蛋白、TLC与SGA相比的情况。
结果
筛查工具显示外科患者存在高营养风险的比例为58.2% - 72.1%。同时，基于营养评估工具，约29.5%至71.3%的患者受营养不良影响。疾病类型、筛查工具、人体测量参数、白蛋白、TLC以及SGA之间存在显著关联（p<0.05）。在营养筛查工具中，SNST表现良好，其敏感性和特异性>80%，曲线下面积>0.8。
结论
与SGA相比，筛查工具（NRS - 2002、SNST）和营养评估工具（BMI、MUAC、白蛋白）之间存在显著关联。这两种工具均可用于确定外科患者的营养不良风险。
Zotero 插件