Vajira Surgical Nutritional Screening Tool Compared with Subjective Global Assessment Test (SGA)
Vajira Surgical Nutritional Screening Tool Compared with Subjective Global Assessment Test (SGA)
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Vajira外科营养筛查工具与主观整体评估测试（SGA）的比较
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发表时间：
2011
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通讯作者：
Sunanta Vitayaudom
中科院分区：
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作者：
Kamonrut Pibul;A. Manomaipiboon;Suphakarn Techapongsatorn;Surasee Boonyavanich;Thanaporn Tosanguanrungruang;Sunanta Vitayaudom
Kamonrut Pibul MD， FRCST, FICS Anan Manomaipiboon MD, MSc， FRCST, FICS Suphakarn Techapongsatorn MD, MSc， FRCST， FICS Surasee Boonyavanich MD Thanaporn toanguanrungruang RN Sunanta Vitayaudom RN BMA医学院和Vajira医院外科比较Vajira手术营养筛查工具与主观总体评价（SGA）试验的诊断效果。研究设计：描述性研究（诊断试验）。对象：2008年1 - 6月在BMA医学院和Vajira医院普通外科收治的200例患者。方法：采用Vajira手术营养筛查工具，以0-11分和SGA测试评价营养状况。年龄、性别和疾病也被记录下来。主要结局指标：敏感性、特异性、阳性预测值、阴性预测值和95%可信区间（95% CI）。结果：患者平均年龄50.5 + 11.5岁。其中男性占36.0%，女性占64.0%。肝胆疾病占20.0%，大肠恶性肿瘤占16.0%。SGA检测诊断的营养不良患病率为44.5%，其中轻中度营养不良患病率为35.0%，重度营养不良患病率为9.5%。Vajira手术营养筛查工具评分在截断点bbbb4诊断营养不良的敏感性为83.2% (95% CI, 78.0 ~ 88.3%)，特异性为87.4% (95% CI, 82.8 ~ 92.0%)，阳性预测值为84.1% (95% CI, 79.0 ~ 89.2%)，阴性预测值为86.6% （95% CI, 81.9 ~ 91.3%）。结论：Vajira手术营养筛查工具是鉴别手术患者营养不良的有效工具，具有较高的敏感性和特异性。关键词：Vajira外科营养筛查试验，主观整体评价，SGA，营养不良，手术患者，Vajira医学杂志2009；[54]: 25 - 32
Vajira Surgical Nutritional Screening Tool Compared with Subjective Global Assessment Test (SGA) Kamonrut Pibul MD, FRCST, FICS Anan Manomaipiboon MD, MSc, FRCST, FICS Suphakarn Techapongsatorn MD, MSc, FRCST, FICS Surasee Boonyavanich MD Thanaporn Tosanguanrungruang RN Sunanta Vitayaudom RN Department of Surgery, BMA Medical College and Vajira Hospital Objective: To evaluate the diagnostic performances of the Vajira surgical nutritional screening tool compared with subjective global assessment (SGA) test. Study design: Descriptive study (diagnostic test). Subjects: A total of 200 patients admitted in the general surgical units, BMA Medical College and Vajira Hospital between January and June 2008. Methods: The nutritional status was evaluated by the Vajira surgical nutritional screening tool in terms of score ranging from 0-11 and SGA test. Age, sex and diseases were also recorded. Main outcome measures: sensitivity, specificity, positive predictive value, negative predictive value and 95% confidence interval (95% CI). Results: The mean age of the patients was 50.5 + 11.5 years. About 36.0% of them were male while 64.0% were female. Hepatobiliary diseases were found in 20.0% while large bowel malignancy was found in 16.0%. Prevalence of malnutrition diagnosed from SGA test was 44.5% including 35.0% of mild-moderate malnutrition and 9.5% of severe malnutrition. The score from Vajira surgical nutritional screening tool at cutoff point > 4 had a sensitivity of 83.2% (95% CI, 78.0-88.3%), specificity of 87.4% (95% CI, 82.8-92.0%), positive predictive value and negative predictive value of 84.1% (95% CI, 79.0-89.2%) and 86.6% (95% CI, 81.9-91.3%) respectively to diagnose malnutrition compared to SGA test. Conclusion: The Vajira surgical nutritional screening tool is an effective tool with high sensitivity and specificity for identifying malnutrition in surgical patients. Key words: Vajira Surgical Nutritional Screening test, Subjective Global Assessment, SGA, malnutrition, surgical patients Vajira Med J 2009 ; 54 : 25 - 32