Revize mini nütrisyonel değerlendirme-kısa form ile sık kullanılan üç malnütrisyon tarama aracının hastanede yatan yaşlı hastalarda karşılaştırılması

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, MNASF, 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

Comparison of revised mini nutritional assessment-short form with the three most popular malnutrition screening tools in hospitalized elderly patients

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) includingcalf circumference (CC) instead of BMI may be an alternative. There are a few studies investigatingefficacy of rMNA-SF in this group. The aim of this study was to evaluate nutritional status (NS) inhospitalized elderly patients with MNA-SF and revised form, NR Screening–2002 (NRS-2002), andMalnutrition Universal Screening Tool (MUST), and to compare the results.Materials and Methods: Elderly patients hospitalized in Internal Medicine Department were enrolled inthe 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 from18.4% to 86%. When malnutrition and risk of malnutrition were evaluated together, NSTs showing thehighest 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), agreementsbetween MUST and both NRS-2002 (κ = 0.509, P

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