Nutrition Risk Classification: A Reproducible and Valid Tool for Nurses

Kovacevich, Debra S.; Boney, Anthony R.; Braunschweig, Carol L.; Perez, Anne; Stevens, Mary Betty

doi:10.1177/011542659701200120

Cited by 54 publications

(29 citation statements)

References 19 publications

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“…Five studies (Bryan et al, 1998;Hunt et al, 1985;Henderson et al, 1992;Kovacevich et al, 1997;Clark et al, 1998) defined nutritional risk according to whether certain answers were given or criteria met, but Clark et al (1998) did not publish these. Five studies (Bryan et al, 1998;Hunt et al, 1985;Henderson et al, 1992;Kovacevich et al, 1997;Clark et al, 1998) defined nutritional risk according to whether certain answers were given or criteria met, but Clark et al (1998) did not publish these.…”

Section: Derivationmentioning

confidence: 99%

The methodology of nutritional screening and assessment tools

Jones

2002

J Human Nutrition Diet

135

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Section: Derivationmentioning

confidence: 99%

The methodology of nutritional screening and assessment tools

Jones

2002

J Human Nutrition Diet

135

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“…Malnutrition is still a largely unrecognized problem in Western world hospitals, as indicated by recent studies (Larsson et al, 1994;Kovacevich et al, 1997;Garriballa et al, 1998;Covinsky et al, 1999;Waitzberg et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

Assessment of nutritional status on hospital admission: nutritional scores

2003

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Malnutrition is still a largely unrecognized problem in hospitals. Malnutrition in hospitalized patients is generally related to increasing morbidity and mortality, and costs and length of stay. The aim of this study was to assess the nutritional status of patients on admission to a general hospital using different nutritional scores and to test the sensitivity and specificity of these scores. Sample population included 60 patients (55% male; 45% female) selected (aged 65.6715.9 y) at random by using a computer software program. The nutritional state assessment was performed within 48 h of admission, using different nutritional indices (Subjective Global Assessment (SGA), Nutritional Risk Index (NRI), Gassull classification, Instant Nutritional Assessment (INA) and a combined index). About 78.3% of patients were found to be malnourished on admission. The frequency of malnutrition degree varied from 63.3% as assessed by the SGA to 90% with the NRI. Malnutrition severity was not related to the diagnosis. However, an elderly population was associated with a higher prevalence of malnutrition. INA was the best single score to identify patients who are malnourished or at risk of malnutrition and who may benefit from nutrition support.

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“…The nutritional risk was assessed with the nutritional screening tool proposed by Kovacevichi et al (11) (Fig. 1) and it was conducted by a dietitian.…”

Section: Methodsmentioning

confidence: 99%

Quality indicators for enteral and parenteral nutrition therapy: application in critically ill patients "at nutritional risk"

Filho¹

2016

Nutr Hosp

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Palabras clave:Indicadores de calidad. Nutrición enteral. Nutrición parenteral. Paciente crítico. Malnutrición. ResumenIntroducción: los indicadores de calidad en terapia nutricional (ICTN) permiten evaluar la calidad de la terapia nutricional (TN) de forma práctica. Objetivo: implementar y monitorizar los ICTN en pacientes críticos con riesgo nutricional. Métodos: estudio transversal con pacientes críticos > 18 años en riesgo nutricional, en terapia nutricional enteral (TNE) o parenteral (TNP) exclusiva a > 72 horas. Después de 3 años consecutivos, 9 ICTN fueron implementados y monitorizados. El análisis estadístico fue realizado con el software SPSS, versión 17.0. Resultados: fueron incluidos 145 pacientes, siendo 93 en TNE, 65% eran de sexo masculino, con edad promedio de 55,7 años (± 17,4); 52 pacientes que estaban en TNP, 67% eran de sexo masculino, con edad promedio de 58,1 años (± 17,4). Todos los pacientes (TNE y TNP) fueron cribados en la admisión, los cálculos de las necesidades calóricas y proteínicas fueron individualizados. Apenas la TNE fue precoz, > 70% del volumen prescrito fue administrado y fue visto una reducida pérdida de la sonda nasoenteral. Las frecuencias de diarrea y ayuno digestivo no fueron adecuadas en TNE. La administración adecuada de energía fue contemplada apenas en TNP y hubo una signifi cativa tendencia de recuperación en la vía oral en TNE. Conclusión: después de 3 años de estudio, el porcentaje de adecuación de los ICTN varió entre 55%-77% para TNE y 60%-80% para TNP. Los resultados refl ejan los esfuerzos del equipo multiprofesional de TN en mantener la calidad de la asistencia nutricional en los pacientes críticos con riesgo nutricional. AbstractIntroduction: Quality Indicators for Nutritional Therapy (QINT) allow a practical assessment of nutritional therapy (NT) quality. Objective: To apply and monitor QINT for critically ill patients at nutritional risk. Methods: Cross sectional study including critically ill patients > 18 years old, at nutritional risk, on exclusive enteral (ENT) or parenteral nutritional therapy (PNT) for > 72 hours. After three consecutive years, 9 QINT were applied and monitored. Statistical analysis was performed with SPSS version 17.0. Results: A total of 145 patients were included, 93 patients were receiving ENT, among then 65% were male and the mean age was 55.7 years (± 17.4); 52 patients were receiving PNT, 67% were male and the mean age was 58.1 years (± 17.4). All patients (ENT and PNT) were nutritionally screened at admission and their energy and protein needs were individually estimated. Only ENT was early initiated, more than 70% of the prescribed ENT volume was infused and there was a reduced withdrawal of enteral feeding tube. The frequency of diarrhea episodes and digestive fasting were not adequate in ENT patients. The proper supply of energy was contemplated only for PNT patients and there was an expressive rate of oral intake recovery in ENT patients. Conclusion: After three years of research, the percentage of QINT adequacy varied be...

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Nutrition Risk Classification: A Reproducible and Valid Tool for Nurses

Abstract: To our knowledge, this is the first nutrition screening tool designed for staff RNs that has been tested for both validity and reproducibility.

Cited by 54 publications

References 19 publications

The methodology of nutritional screening and assessment tools

The methodology of nutritional screening and assessment tools

Assessment of nutritional status on hospital admission: nutritional scores

Quality indicators for enteral and parenteral nutrition therapy: application in critically ill patients "at nutritional risk"

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