The accuracy of monthly weight assessments in nursing homes: implications for the identification of weight loss.

The accuracy of monthly weight assessments in nursing homes: implications for the identification of weight loss.
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DOI:
10.1007/s12603-009-0074-1
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发表时间:
2009-03
影响因子:
5.8
通讯作者:
You, C.
You, C.
中科院分区:
医学3区
文献类型:
--
作者:
Simmons, S. F.;Peterson, E. N.;You, C.

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减肥的流行程度是养老院(NH)的一个质量指标,由NH的工作人员每月进行体重评估,以确定体重的减轻。对四家NHS的90名长期住院患者进行了为期12个月的纵向研究。将NH工作人员记录在医疗记录中的每月体重值与研究人员使用标准化方案收集的独立体重值进行比较。根据最小数据集标准定义体重减轻:30d内≥为5%,180d内≥为10%。在12个月的研究中,在NH和研究人员体重评估之间,人均减肥事件的总频率是相似的。然而,NH工作人员记录的每月体重值始终高于研究人员记录的值,这导致体重下降的流行率更高,并根据使用标准化称重方案的研究人员的体重值更早地确定体重减轻。标准化的称重方案改进了NH居民中体重减轻的检测,并应允许更早的营养干预。
The prevalence of weight loss is a quality indicator for nursing homes (NH), and monthly weight assessments are conducted by NH staff to determine weight loss. A longitudinal study was conducted with 90 long-stay residents in four NHs for 12 study months. Monthly weight values documented in the medical record by NH staff were compared to independent weight values collected by research staff using a standardized protocol. Weight loss was defined according to the Minimum Data Set (MDS) criterion: ≥ 5% in 30 days or ≥ 10% in 180 days. The total frequency of weight loss episodes per person was comparable between NH and research staff weight assessments across the 12 study months. However, monthly weight values recorded by NH staff were consistently higher than values recorded by research staff, which resulted in a higher prevalence of weight loss and earlier identification of weight loss according to research staff weight values using a standardized weighing protocol. A standardized weighing protocol improved the detection of weight loss among NH residents and should allow for earlier nutrition intervention.
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