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一项比较营养筛查工具的试点研究:烧伤患者定制营养筛查工具(Nstb)与营养不良通用筛查工具(Must)。

A Pilot Study To Compare Nutrition Screening Tools: Customized Nutrition Screening Tool for Burn Patients (Nstb) and Malnutrition Universal Screening Tool (Must).

作者信息

Jose J, Louri N A, Al Jabbar N, Dey N, Showaiter M, Al Mannai M, Ebrahim F K

机构信息

Department of Plastic Surgery and Burn Unit, Bahrain Defence Force Royal Medical Services, Bahrain.

Department of Dietetics, Bahrain Defence Force Royal Medical Services, Bahrain.

出版信息

Ann Burns Fire Disasters. 2022 Dec 31;35(4):265-271. eCollection 2022 Dec.

Abstract

Nutrition screening is an initial procedure in which the risk of malnutrition is identified. It plays a role in and can incur costs to health systems and patients. A customized nutrition screening tool for burn patients (NSTB) was formulated and the nutritional risk score of 22 patients from a burn unit in Bahrain using NSTB and MUST was compared. The samples selected were adult patients aged 18 years or over; pregnant and mentally retarded patients were excluded. Mean age of the total sample was 29.40, and 90.9% were male. Mean BMI was 26.96. The mean and SD for NSTB was 2.18±1.65, and for MUST 2.0±0.0. A difference in the nutritional screening risk score of the same group of patients was observed. In the MUST group, 100% patients were classified as high risk, while in the NSTB group 50% patients were classified as high risk, 36.36% as moderate risk and 13.63% as low risk respectively. The variability of the risk score in the NSTB group helps prioritize the patients based on high, medium, and low risk, whereas MUST categorizes all patients as high risk. A unique screening tool for burns will be more effective in determining risk patients due to tailor-made characteristics. Even though the data sample is small, the difference gives scope for extensive study.

摘要

营养筛查是识别营养不良风险的初始程序。它在卫生系统和患者中发挥作用并可能产生成本。制定了一种针对烧伤患者的定制营养筛查工具(NSTB),并比较了巴林一家烧伤科22名患者使用NSTB和营养不良通用筛查工具(MUST)得出的营养风险评分。所选样本为18岁及以上的成年患者;孕妇和智障患者被排除在外。总样本的平均年龄为29.40岁,90.9%为男性。平均体重指数为26.96。NSTB的平均值和标准差为2.18±1.65,MUST为2.0±0.0。观察到同一组患者营养筛查风险评分存在差异。在MUST组中,100%的患者被归类为高风险,而在NSTB组中,50%的患者被归类为高风险,36.36%为中度风险,13.63%为低风险。NSTB组风险评分的变异性有助于根据高、中、低风险对患者进行优先排序,而MUST则将所有患者归类为高风险。由于其量身定制的特点,一种独特的烧伤筛查工具在确定风险患者方面将更有效。尽管数据样本较小,但这种差异为广泛研究提供了空间。

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