Development of a valid and reliable malnutrition screening tool for adult acute hospital patients

Ferguson, Maree; Capra, Sandra; Bauer, Judy; Banks, Merrilyn

doi:10.1016/s0899-9007(99)00084-2

Cited by 769 publications

(662 citation statements)

References 19 publications

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“…This is similar to the studies of other countries which show the malnutrition prevalence between 30-80 percent (Bauer et al, 2002;Kubrak and Jansen, 2007). This similarity sheds light on the importance and necessity of paying attention to the patient's nutritional status since nutrition is proved to have a role in reducing the disease side effects and improving the treatment prognosis and the patient's quality of life (Ferguson et al, 1999;Mccallum and Polisena, 2000;Nitenberg and Raynard, 2000).…”

Section: Discussionmentioning

confidence: 92%

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Nutritional Assessment of Cancer Patients in Tehran, Iran

Khoshnevis

Ahmadizar²,

Alizadeh³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Background and objectives: Weight loss and malnutrition are common among cancer patients, these two factors greatly affecting survival and quality of life during treatment. Since cancer is becoming increasingly common in the world and in order to provide better treatment measures, it is important to identify and prevent side effects. The present study has been conducted in 2010 on a sample of cancer patients in the oncology center of Shahid Beheshti University of Medical Sciences to determine the prevalence rates of malnutrition and the factors affecting it. Methods: The PG-SGA standard questionnaire was administered to 416 cancer patients to evaluate their nutrition status and determine the frequency of each malnutrition stage. Correlations and ANOVA tests were used to analyze the relationship between factors and weight loss and how they might affect the development of malnutrition. Results: The prevalence of malnutrition among the patients was 53.1% out of which 29.1% had moderate and 24% had severe malnutrition. The most common factors inducing nutritional symptoms were depression and anorexia. Some 35 % of the patients had over 5% weight loss in the last mouth. The average PG-SGA score was 10.1 with 49 being the highest. 46.1 percent of the patients scored over 9 (requiring critical nutrient intervention). Malnutrition has a high correlation with weight loss, activity limitations, nutritional symptoms, and cancer stage, but low correlation with treatment and pathologic type. Conclusion: Malnutrition has a high prevalence in Iranian cancer patients and has a close relationship with mortality, morbidity and treatment-related problems and also quality of life. Therefore, periodical assessment by PG-SGA to detect malnutrition in patients should be made so that appropriate nutritional interventions can be provided.

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Section: Discussionmentioning

confidence: 92%

“…The present study makes use of PG-SGA (Bauer et al, 2002;Isenring et al, 2006) which is considered as the best standard questionnaire used in oncologic patient's nutritional status (Ferguson et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

Nutritional Assessment of Cancer Patients in Tehran, Iran

Khoshnevis

Ahmadizar²,

Alizadeh³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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“…Most of the scores and tools to assess nutritional risk were validated in the hospital setting [6][7][8][9][10][11][12], and include a variety of criteria to identify nutritional risk, such as food/nutritional intake, physical examination, severity of illness, anthropometric data and functional assessment. Many of these criteria are difficult to obtain in critically ill patients since almost all of these patients require mechanical ventilation and sedation.…”

Section: Introductionmentioning

confidence: 99%

Nutritional risk assessment and cultural validation of the modified NUTRIC score in critically ill patients—A multicenter prospective cohort study

Mendes

Policarpo²,

Fortuna

et al. 2017

Journal of Critical Care

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a b s t r a c t a r t i c l e i n f o Keywords:Critically ill Nutritional risk Modified NUTRIC score Effectiveness Cultural validation Purpose: Characterize the nutritional risk of critically ill patients with the modified NUTrition Risk in the Critically ill (NUTRIC) score. Materials: National, multicenter, prospective, observational study conducted in 15 polyvalent Portuguese intensive care unit (ICU), during 6 months. Adult patients were eligible. Those transferred from another ICU or readmitted, brain dead at admission, and with length of ICU stay (LOS) of 72 hours or less were excluded. NUTRIC score was calculated at admission; scores ≥5 represent a high nutritional risk. Main outcome was mortality from all causes at 28 days after admission to the ICU; LOS and days without mechanical ventilation (days free of MV) were secondary outcomes. Results: From 2061 admissions, 1143 patients were considered, mostly males (n = 744, 64.7%) with median (P 25 -P 75 ) age of 64 (51-75). Patients at high nutritional risk were 555 (48.6%). High NUTRIC score was associated with longer LOS (P b .001), less days free of MV (P = .002) and higher 28-day mortality (P b .001). The area under the curve of NUTRIC score ≥5 for predicting 28-day mortality was 0.658 (95% CI, 0.620-0.696). NUTRIC score ≥5 had a positive predictive value 32.7% and a negative predictive value 88.8% for 28-day mortality. Conclusions: Almost half of the patients in Portuguese ICUs are at high nutritional risk. NUTRIC score was strongly associated with main clinical outcomes.

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“…It has been applied successfully as a method of assessing nutritional status and predicting complications in a number of different patient groups, including patients with cancer (Ottery, 1994;Ek et al, 1996;Jones et al, 1997). It has been correlated with a number of objective parameters (anthropometric, biochemical and immunological), measures of morbidity (incidence of infection, use of antibiotics, length of stay), and quality of life; and has a high degree of inter-rater reproducibility (Hasse et al, 1993;Detsky et al, 1987;Ferguson et al, 1999). However, SGA lacks sensitivity to detect improvements in nutritional status observed over a short hospital admission.…”

Section: Introductionmentioning

confidence: 99%

Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer

2002

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Objective: To evaluate the use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Design: An observational study assessing the nutritional status of patients with cancer. Setting: Oncology ward of a private tertiary Australian hospital. Subjects: Seventy-one cancer patients aged 18 -92 y. Intervention: Scored PG-SGA questionnaire, comparison of scored PG-SGA with subjective global assessment (SGA), sensitivity, specificity. Results: Some 24% (17) of 71 patients were well nourished, 59% (42) of patients were moderately or suspected of being malnourished and 17% (12) of patients were severely malnourished according to subjective global assessment (SGA). The PG-SGA score had a sensitivity of 98% and a specificity of 82% at predicting SGA classification. There was a significant difference in the median PG-SGA scores for each of the SGA classifications (P < 0.001), with the severely malnourished patients having the highest scores. Re-admission within 30 days of discharge was significantly different between SGA groups (P ¼ 0.037). The mortality rate within 30 days of discharge was not significantly different between SGA groups (P ¼ 0.305). The median length of stay of well nourished patients (SGA A) was significantly lower than that of the malnourished (SGA B þ C) patients (P ¼ 0.024). Conclusion:The scored PG-SGA is an easy to use nutrition assessment tool that allows quick identification and prioritisation of malnutrition in hospitalised patients with cancer.

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Development of a valid and reliable malnutrition screening tool for adult acute hospital patients

Cited by 769 publications

References 19 publications

Nutritional Assessment of Cancer Patients in Tehran, Iran

Nutritional Assessment of Cancer Patients in Tehran, Iran

Nutritional risk assessment and cultural validation of the modified NUTRIC score in critically ill patients—A multicenter prospective cohort study

Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer

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