NUTRITIONAL SCREENING - EVALUATION AND IMPLEMENTATION OF A SIMPLE NUTRITION RISK SCORE
NUTRITIONAL SCREENING - EVALUATION AND IMPLEMENTATION OF A SIMPLE NUTRITION RISK SCORE
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DOI：
10.1016/s0261-5614(95)80063-8
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发表时间：
1995-10-01
影响因子：
6.3
通讯作者：
KENNEDY, H
中科院分区：
文献类型：
--
作者：
REILLY, HM;MARTINEAU, JK;KENNEDY, H
本文描述了一种简单且经过验证的营养风险评分的开发，用于识别有营养不良风险的患者。该评分易于使用，适用于所有患者类别和年龄，并且与经过验证的营养风险指数（r = 0.68，p < 0.001）和临床印象（r = 0.83，p < 0.001）相关性良好。营养师之间（r = 0.91，p < 0.001）以及营养师和护理人员之间（r = 0.80，p < 0.001）都能得到可重复的评分。该评分用于评估153例连续入住内科和外科专科的患者的营养不良风险。患者被分为低风险（50%）、中风险（24%）或高风险（26%）。对预防营养耗竭措施的评估显示，64%（23/36）的中风险患者和30%（12/40）的高风险患者未采取任何措施。通过将该评分纳入标准护理评估流程，实现了在全院范围内常规进行营养筛查，以识别需要营养支持的患者。
Development of a simple, validated Nutrition Risk Score for identification of patients at risk of undernutrition is described. The score is easy to use, applicable to all patient categories and ages, and correlated well with a validated Nutrition Risk Index (r = 0.68, p < 0.001) and clinical impression (r = 0.83, p < 0.001). Reproducible scores were obtained between dietitians (r = 0.91, p < 0.001) and between dietitians and nursing staff (r = 0.80, p < 0.001). The score was used to assess risk of undernutrition in 153 consecutive admissions to medical and surgical specialities. Patients were categorised as low (50%), moderate (24%) or high risk (26%). Evaluation of measures to prevent nutritional depletion revealed that no action was taken in 64% (23/36) of moderate risk and 30% (12/40) of high risk patients. Implementation of routine, hospital-wide nutritional screening, to identify patients in need of nutritional support, has been achieved by inclusion of the score in the standard nursing assessment process.