Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients

Koren-Hakim, Tamar; Weiss, Avraham; Hershkovitz, Avital; Otzrateni, Irena; Anbar, Ronit; Nevo, Revital Feige Gross; Schlesinger, Agata; Frishman, S.; Salai, Moshe; Beloosesky, Yichayaou

doi:10.1016/j.clnu.2015.07.014

Cited by 94 publications

(127 citation statements)

References 26 publications

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“…The total score is 6 points. For the purpose of this study comparing several screening tools, we divided the total score into three categories as described in other reports: 0-2, well-nourished; 3 to 4, medium risk, and 5 to 6, nutritional risk [22].…”

Section: Nutritional Screening Toolmentioning

confidence: 99%

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Acute phase nutritional screening tool associated with functional outcomes of hip fracture patients: A longitudinal study to compare MNA-SF, MUST, NRS-2002 and GNRI

et al. 2019

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Section: Nutritional Screening Toolmentioning

confidence: 99%

“…Hakim et al reported that the MUST did not predict any postoperative clinical outcomes (complication, length of hospital stay, readmission and mortality)[22].…”

mentioning

confidence: 99%

Acute phase nutritional screening tool associated with functional outcomes of hip fracture patients: A longitudinal study to compare MNA-SF, MUST, NRS-2002 and GNRI

et al. 2019

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“…In the other study, MNA-SF, MUST and NRS 2002 were found adequate in assessing malnutrition in hip fracture operated elderly patients. In addition, MNA-SF predicted readmissions and mortality (28). In our study, the MNA was concluded to be superior to the other tests (82% sensitivity, 90% specificity).…”

Section: Discussionmentioning

confidence: 49%

Comparison of Tests Used in Malnutrition in Hospitalized Geriatric Patients, Relationship with Anthropometric Measurements and Hand Grip Strength

Yavuzer¹,

Emiroğlu²,

Demir³

et al. 2020

ejgg

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Objective:There is no single test and recommended method ideal for nutritional risk assessment in hospitalized elderly patients. In this study, we intended to screen hospitalized elderly patients for malnutrition by using two tests and compare the results with anthropometric measurements and hand grip strength test and describe the relationship between them. Materials and Methods:In this study, we evaluated 200 hospitalized patients aged 60 years and over in the internal medicine, cardiology and Infectious diseases departments. We applied nutritional risk screening (NRS 2002) with the hand grip test and the mini nutritional assessment (MNA). Body Mass index and upper arm and calf circumference measurements were recorded. Chi-square and ANOVA test were used for statistical analyses. Results:Of the 200 patients, 98 were female and 102 were male. The mean age was 71.3±8.1 years. According to the NRS-2002, the prevalence of malnutrition risk was 34%; according to the MNA, the prevalence of malnutrition was 23.5%, and the prevalence of malnutrition risk was 27.5%. According to the NRS-2002, 38% of the patients at risk for malnutrition were female and 62% were male (p=0.029). The relationship between hand grip test and Mini Nutritional Assesment (MNA) was statistically significant (p<0.0001). Conclusion:We suppose that the MNA test which was used for screening of malnutrition in outpatient setting can be used for hospitalized patients as NRS 2002, and we suggest that anthropometric measurements and hand grip test would be reliable tools for sarcopenia as malnutrition screening and assessment.

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“…The prevalence of nutritional risk in hospitalised patients identified by the original MUST varies among the studies reported in the literature . A cohort study conducted in Israel involving 215 elderly patients who underwent hip surgery identified nutritional risk in 20.4% of the sample .…”

Section: Discussionmentioning

confidence: 99%

Predictive and concurrent validity of the Malnutrition Universal Screening Tool using mid‐upper arm circumference instead of body mass index

Gottschall

Tarnowski

Machado

et al. 2019

J Human Nutrition Diet

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Background Considering the difficulty in obtaining weight and height measurements of patients at hospital admission, the Malnutrition Universal Screening Tool (MUST) proposes the use of mid‐upper arm circumference (MUAC) instead of body mass index (BMI) as an alternative for screening of malnutrition risk. The present study aimed to evaluate the performance of MUST with MUAC in place of BMI to identify nutritional risk and predict prolonged hospitalisation and mortality in hospitalised patients. Methods The prospective cohort study involved ambulant patients aged ≥18 years who were admitted to the emergency department of a public hospital. A questionnaire concerning clinical and socio‐demographic data was applied and anthropometric measurements were performed (weight, height, BMI and MUAC). Nutritional risk screening was performed using the original MUST (BMI) and MUST‐MUAC tools. The outcomes were length of hospital stay and death. Results Seven hundred and fifty‐two patients were included and followed‐up for 13.5 (interquartile range 3.00–19.00) days. The frequency of patients at nutritional risk was higher according to MUST‐MUAC (48.9%) compared to the original MUST (37.1%). MUST‐MUAC showed concurrent validity, demonstrating good agreement with the original MUST (k = 0.690), high sensitivity (95.3%) and accuracy (area under the curve = 0.868; 95% confidence interval = 0.841–0.895) with respect to identifying nutritional risk. The presence of nutritional risk detected by the MUST‐MUAC increased the chance of prolonged hospital stay by 1.9 (95% CI. 1.4–2.7)‐fold and mortality by 3.2 (95% CI. 1.1–9.4)‐fold. Conclusions MUST‐MUAC showed satisfactory concurrent and predictive validity. Considering that MUAC measurement is easier to perform than BMI, the MUST‐MUAC should be used for screening of nutritional risk in hospitalised patients.

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Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients

Cited by 94 publications

References 26 publications

Acute phase nutritional screening tool associated with functional outcomes of hip fracture patients: A longitudinal study to compare MNA-SF, MUST, NRS-2002 and GNRI

Acute phase nutritional screening tool associated with functional outcomes of hip fracture patients: A longitudinal study to compare MNA-SF, MUST, NRS-2002 and GNRI

Comparison of Tests Used in Malnutrition in Hospitalized Geriatric Patients, Relationship with Anthropometric Measurements and Hand Grip Strength

Predictive and concurrent validity of the Malnutrition Universal Screening Tool using mid‐upper arm circumference instead of body mass index

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