Romano-Andrioni Bárbara, Martín Lleixà Albert, Carrasco-Serrano Marcos, Barba Valverde Susan, Quintela Marta, Pérez Inmaculada, Bayés Genís Beatriz, Arias-Guillén Marta
Nutrición y Dietética Clínica. Servicio de Endocrinología y Nutrición. Hospital Clínic de Barcelona.
Servicio de Nefrología y Trasplante Renal. Hospital Clínic de Barcelona.
Nutr Hosp. 2023 Dec 14;40(6):1192-1198. doi: 10.20960/nh.04538.
Introduction: Chronic kidney disease (CKD) is characterized by its high prevalence of malnutrition, difficult to detect as it is underestimated by the usual tools. There is no valid or hospital-level nutritional screening tool in Spanish to identify patients with CKD at risk of malnutrition. Objective: to translate and accomplish the transcultural adaptation of Jackson's questionnaire (Renal Inpatient Nutrition Screening Tool [Renal iNUT]) to Spanish, which detects the risk of malnutrition in CKD inpatients and compares it with other nutritional tools. Methods: phase 1: translation, back-translation and transcultural adaptation of the questionnaire from the English to the Spanish version. A pilot test was carried out by nursing staff together with a satisfaction questionnaire. Phase 2: comparison of Renal iNUT with Malnutrition Universal Screening Tool (MUST) and Subjective Global Assessment (SGA). Results: phase 1: the nursing staff's perception was highly favorable. They found it easy or very easy to use and 90 % of them did it in a maximum of ten minutes. Phase 2: from 48 patients included, Renal iNUT detected 44 % at low risk of malnutrition, 28 % at intermediate risk and 28 % at high risk. Increased sensitivity of Renal iNUT (p < 0.007) vs MUST (62.5 vs 33.3 %) and similar specificity (87.1 vs 90.6 %) were found, together with an acceptable correlation compared to SGA (r = 0.75, 95 % CI: 0.67 to 0.83). Conclusions: the Spanish version of Renal iNUT is a useful and easy-to-understand tool for health professionals. We also confirm its good correlation with SGA, with greater sensitivity than MUST for the risk of malnutrition detection in CKD inpatients.
慢性肾脏病（CKD）的特点是营养不良患病率高，由于常规工具对其估计不足，因此难以检测。在西班牙，没有有效的医院级营养筛查工具来识别有营养不良风险的CKD患者。目的：将杰克逊问卷（肾脏住院患者营养筛查工具[Renal iNUT]）翻译并完成跨文化适应为西班牙语版本，该问卷可检测CKD住院患者的营养不良风险，并将其与其他营养工具进行比较。方法：第一阶段：将问卷从英文翻译为西班牙文版本，进行回译和跨文化适应。由护理人员进行了一项预试验，并同时进行了满意度调查。第二阶段：将Renal iNUT与营养不良通用筛查工具（MUST）和主观全面评定法（SGA）进行比较。结果：第一阶段：护理人员的看法非常积极。他们发现使用起来很容易或非常容易，90%的人最多在十分钟内就能完成。第二阶段：在纳入的48例患者中，Renal iNUT检测出44%为低营养不良风险，28%为中度风险，28%为高风险。发现Renal iNUT的敏感性高于MUST（分别为62.5%和33.3%，p<0.007），特异性相似（分别为87.1%和90.6%），与SGA的相关性也可接受（r = 0.75，95%CI：0.67至0.83）。结论：Renal iNUT的西班牙文版本对卫生专业人员来说是一个有用且易于理解的工具。我们还证实了它与SGA有良好的相关性，在检测CKD住院患者的营养不良风险方面比MUST具有更高的敏感性。
