SciELO - Scientific Electronic Library Online

 
vol.31 número5Calidad de la dieta en estudiantes universitarios con distinto perfil académicoConsumo de frutas y su asociación con el estado nutricional en estudiantes universitarios chilenos de la carrera de educación física índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Nutrición Hospitalaria

versión On-line ISSN 1699-5198versión impresa ISSN 0212-1611

Resumen

CALLEJA FERNANDEZ, Alicia; VIDAL CASARIEGO, Alfonso; CANO RODRIGUEZ, Isidoro  y  BALLESTEROS POMAR, María D.. Efficacy and effectiveness of different nutritional screening tools in a tertiary hospital. Nutr. Hosp. [online]. 2015, vol.31, n.5, pp.2240-2246. ISSN 1699-5198.  http://dx.doi.org/10.3305/nh.2015.31.5.8606.

Introduction: The high prevalence of malnutrition in hospitals and its impact make the use of a nutritional screening tool necessary for its detection, diagnosis and early treatment. Objective: To evaluate the most appropriate tool for nutritional screening, globally and by hospital wards, in a tertiary hospital. Methodology: cross-sectional study in routine clinical practice. Four nutritional screening tools were evaluated: Subjective Global Assessment (SGA), Mini Nutritional Assessment (MNA), Malnutrition Universal Screening Tool (MUST), and Nutritional Risk Screening 2002 (NRS-2002). Hospital wards were grouped into: medical wards, General Surgery, Orthopedics, other surgical wards, and Oncology-Hematology. A statistical analysis of sensitivity (S) and specificity (Sp) were performed, and were compared using ROC curve. Results: There were evaluated 201 patients with median age of 71.6 (RIC 21.4) years and 51.2% were women. The prevalence of nutritional risk (NR) and malnutrition (MN) was: SGS 62.1%, 68.6% MNA, MUST 53.7%, and NRS-2002 35.8%. All the evaluated nutritional screening tools, except MNA, detected a higher prevalence of RN and DN in the medical wards than surgical wards. In the overall analysis the MNA obtained S=93.3%, Sp=71.6% and an area under the ROC curve of 0.825; the MUST obtained S=82.4%, Sp=93.4% and an area under the ROC curve of 0.879; NRS-2002 obtained S=56.0%, Sp=97.4% and an area under the ROC curve of 0.766. These results were similar in the analysis by hospital wards. Conclusion: MUST could be the recommended nutritional screening tool to use in a tertiary hospital with elderly population, as the overall good results of sensitivity and specificity, as well as its simplicity.

Palabras clave : Malnutrition; Nutritional screening tool.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons