Year 2019, Volume 58 , Issue 3, Pages 274 - 281 2019-09-20

Revize mini nütrisyonel değerlendirme-kısa form ile sık kullanılan üç malnütrisyon tarama aracının hastanede yatan yaşlı hastalarda karşılaştırılması
Comparison of revised mini nutritional assessment-short form with the three most popular malnutrition screening tools in hospitalized elderly patients

Sumru Savas [1]


Amaç: Geriatrik popülasyonda hastanede nütrisyonel riski (NR) tanımlamak için altın standart bir yöntem bulunmamaktadır. Mini Nütrisyonel Değerlendirme-Kısa Form (MNA-SF) hastanelerde sık olarak kullanılmaktadır, bu gruptaki hastaların çoğunda vücut kitle indeksi (VKİ) ölçümleri yapılamamaktadır. Bu yüzden, baldır çevresi (BÇ)’ni VKİ yerine kullanan revize MNA-SF (rMNA-SF); pratik bir alternatif olabilir. Revize MNA-SF’un hastanede yaşlı hastalarda etkinliğini araştıran az sayıda çalışma mevcuttur. Bu çalışmanın amacı, hastanede yatan yaşlı hastaların nütrisyonel durumlarını (ND) MNA-SF ile revize formu, Nütrisyonel Risk Taraması (NRS-2002) ve Malnütrisyon Universal Tarama Aracı (MUST) ile değerlendirmek ve sonuçları karşılaştırmaktır. 

Gereç ve yöntem: İç hastalıkları Servisi’nde yatan yaşlı hastalar retrospektif olarak çalışmaya alınarak, ND hastane verilerinden dört nütrisyonel tarama testi (NTT) ile değerlendirildi.

 

Bulgular: Yüz ≥ 65 yaş ve üzeri hasta çalışmaya alındı. Farklı tanımlarla NR %18.4 ile %86 arasında değişen oranlarda bulundu. Malnütrisyon ve malnütrisyon riski birleştiririlerek beraber değerlendirildiğinde, NR oranını en yüksekten en aza doğru gösteren NTT’leri sırasıyla; rMNA-SF, MNA-SF, NRS-2002 ve MUST idi. MNA-SF ve rMNA-SF arasında güçlü bir uyum mevcut iken (κ = 0.861, P < 0.001), MUST ile NRS-2002 (κ = 0.509, P <0.001) ve rMNA-SF (κ = 0.322, P = 0.003) arasında da orta-zayıf uyum saptandı.

Sonuç: Hastanede yatan yaşlı hastalarda NR kullanılan NTT’e bağlı olarak oldukça değişkendir ve rMNASF; yatağa bağımlılarda ve/veya VKİ ölçümü yapılamayanlarda pratik bir alternatif olabilir. Ancak NR’i yüksek olarak tahmin edebileceği akılda tutulmalıdır. 

Aim: There is no gold standard to identify nutritional risk (NR) at the hospitals for geriatric population. Mini Nutritional Assessment-Short Form (MNA-SF) is widely used at hospitals where body mass index (BMI) measurements are not applicable for most of patients. Thus, revised MNA-SF (rMNA-SF) including calf circumference (CC) instead of BMI may be an alternative. There are a few studies investigating efficacy of rMNA-SF in this group. The aim of this study was to evaluate nutritional status (NS) in hospitalized elderly patients with MNA-SF and revised form, NR Screening–2002 (NRS-2002), and Malnutrition Universal Screening Tool (MUST), and to compare the results.

Materials and Methods: Elderly patients hospitalized in Internal Medicine Department were enrolled in the study retrospectively assessing NS. with four nutritional screening tools (NST). from hospital records.

Results: A hundred patients (≥65 years) were enrolled in the study. Any NR varied greatly, ranging from 18.4% to 86%. When malnutrition and risk of malnutrition were evaluated together, NSTs showing the highest frequency of NR to the lowest were rMNA-SF, MNA-SF, NRS-2002, and MUST, respectively. While there was strong agreement between MNA-SF and rMNA-SF (κ = 0.861, P < 0.001), agreements between MUST and both NRS-2002 (κ = 0.509, P <0.001) and rMNA-SF (κ = 0.322, P = 0.003) were moderate-poor.

Conclusions: Nutritional risk was variable depending on the NST, and rMNA-SF may be a practical alternative for bedridden elderly patients and/or when BMI measurements are lacking at hospital. It should be kept in mind that NR might be overestimated.

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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Research Articles
Authors

Orcid: 0000-0003-4836-3786
Author: Sumru Savas (Primary Author)
Institution: Ege University Faculty of Medicine, Department of Internal Medicine, Section of Geriatrics, İzmir, Turkey
Country: Turkey


Dates

Publication Date : September 20, 2019

Bibtex @research article { etd454035, journal = {Ege Tıp Dergisi}, issn = {1016-9113}, eissn = {2147-6500}, address = {}, publisher = {Ege University}, year = {2019}, volume = {58}, pages = {274 - 281}, doi = {10.19161/etd.454035}, title = {Comparison of revised mini nutritional assessment-short form with the three most popular malnutrition screening tools in hospitalized elderly patients}, key = {cite}, author = {Savas, Sumru} }
APA Savas, S . (2019). Comparison of revised mini nutritional assessment-short form with the three most popular malnutrition screening tools in hospitalized elderly patients. Ege Tıp Dergisi , 58 (3) , 274-281 . DOI: 10.19161/etd.454035
MLA Savas, S . "Comparison of revised mini nutritional assessment-short form with the three most popular malnutrition screening tools in hospitalized elderly patients". Ege Tıp Dergisi 58 (2019 ): 274-281 <http://egetipdergisi.com.tr/en/issue/47742/454035>
Chicago Savas, S . "Comparison of revised mini nutritional assessment-short form with the three most popular malnutrition screening tools in hospitalized elderly patients". Ege Tıp Dergisi 58 (2019 ): 274-281
RIS TY - JOUR T1 - Comparison of revised mini nutritional assessment-short form with the three most popular malnutrition screening tools in hospitalized elderly patients AU - Sumru Savas Y1 - 2019 PY - 2019 N1 - doi: 10.19161/etd.454035 DO - 10.19161/etd.454035 T2 - Ege Tıp Dergisi JF - Journal JO - JOR SP - 274 EP - 281 VL - 58 IS - 3 SN - 1016-9113-2147-6500 M3 - doi: 10.19161/etd.454035 UR - https://doi.org/10.19161/etd.454035 Y2 - 2018 ER -
EndNote %0 Ege Tıp Dergisi Comparison of revised mini nutritional assessment-short form with the three most popular malnutrition screening tools in hospitalized elderly patients %A Sumru Savas %T Comparison of revised mini nutritional assessment-short form with the three most popular malnutrition screening tools in hospitalized elderly patients %D 2019 %J Ege Tıp Dergisi %P 1016-9113-2147-6500 %V 58 %N 3 %R doi: 10.19161/etd.454035 %U 10.19161/etd.454035
ISNAD Savas, Sumru . "Comparison of revised mini nutritional assessment-short form with the three most popular malnutrition screening tools in hospitalized elderly patients". Ege Tıp Dergisi 58 / 3 (September 2019): 274-281 . https://doi.org/10.19161/etd.454035
AMA Savas S . Comparison of revised mini nutritional assessment-short form with the three most popular malnutrition screening tools in hospitalized elderly patients. Ege Tıp Dergisi. 2019; 58(3): 274-281.
Vancouver Savas S . Comparison of revised mini nutritional assessment-short form with the three most popular malnutrition screening tools in hospitalized elderly patients. Ege Tıp Dergisi. 2019; 58(3): 281-274.