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Evaluation of the efficacy of six nutritional screening tools to predict malnutrition in the elderly

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dc.contributor.author Poulia, K-A en
dc.contributor.author Yannakoulia, M en
dc.contributor.author Karageorgou, D en
dc.contributor.author Gamaletsou, M en
dc.contributor.author Panagiotakos, DB en
dc.contributor.author Sipsas, NV en
dc.contributor.author Zampelas, A en
dc.date.accessioned 2014-06-06T06:51:47Z
dc.date.available 2014-06-06T06:51:47Z
dc.date.issued 2012 en
dc.identifier.issn 02615614 en
dc.identifier.uri http://dx.doi.org/10.1016/j.clnu.2011.11.017 en
dc.identifier.uri http://62.217.125.90/xmlui/handle/123456789/5700
dc.subject Elderly en
dc.subject Malnutrition en
dc.subject Nutritional screening tools en
dc.subject Nutritional status en
dc.subject.other aged en
dc.subject.other article en
dc.subject.other clinical effectiveness en
dc.subject.other elderly care en
dc.subject.other female en
dc.subject.other geriatric nutritional risk index en
dc.subject.other high risk population en
dc.subject.other hospital admission en
dc.subject.other human en
dc.subject.other major clinical study en
dc.subject.other male en
dc.subject.other malnutrition en
dc.subject.other malnutrition universal screening tool en
dc.subject.other mini nutritional assessment screening form en
dc.subject.other named inventories, questionnaires and rating scales en
dc.subject.other nutritional assessment en
dc.subject.other nutritional risk index en
dc.subject.other nutritional risk screening 2002 en
dc.subject.other patient assessment en
dc.subject.other predictive validity en
dc.subject.other predictive value en
dc.subject.other risk assessment en
dc.subject.other screening test en
dc.subject.other sensitivity and specificity en
dc.subject.other subjective global assessment en
dc.subject.other Aged en
dc.subject.other Aged, 80 and over en
dc.subject.other Female en
dc.subject.other Geriatric Assessment en
dc.subject.other Greece en
dc.subject.other Hospitals, General en
dc.subject.other Humans en
dc.subject.other Male en
dc.subject.other Malnutrition en
dc.subject.other Nutrition Assessment en
dc.subject.other Nutritional Status en
dc.subject.other Patient Admission en
dc.subject.other Predictive Value of Tests en
dc.subject.other Prevalence en
dc.subject.other Risk en
dc.title Evaluation of the efficacy of six nutritional screening tools to predict malnutrition in the elderly en
heal.type journalArticle en
heal.identifier.primary 10.1016/j.clnu.2011.11.017 en
heal.publicationDate 2012 en
heal.abstract Background & aims: Malnutrition in the elderly is a multifactorial problem, more prevalent in hospitals and care homes. The absence of a gold standard in evaluating nutritional risk led us to evaluate the efficacy of six nutritional screening tools used in the elderly. Methods: Two hundred forty eight elderly patients (129 men, 119 female women, aged 75.2 ± 8.5 years) were examined. Nutritional screening was performed on admission using the following tools: Nutritional Risk Index (NRI), Geriatric Nutritional Risk Index (GNRI), Subjective Global Assessment (SGA), Mini Nutritional Assessment - Screening Form (MNA-SF), Malnutrition Universal Screening Tool (MUST) and Nutritional Risk Screening 2002 (NRS 2002). A combined index for malnutrition was also calculated. Results: Nutritional risk and/or malnutrition varied greatly, ranging from 47.2 to 97.6%, depending on the nutritional screening tool used. MUST was the most valid screening tool (validity coefficient = 0.766, CI 95%: 0.690-0.841), while SGA was in better agreement with the combined index (κ = 0.707, p = 0.000). NRS 2002 although was the highest in sensitivity (99.4%), it was the lowest in specificity (6.1%) and positive predictive value (68.2%). Conclusions: MUST seem to be the most valid in the evaluation of the risk for malnutrition in the elderly upon admission to the hospital. NRS 2002 was found to overestimate nutritional risk in the elderly. © 2011 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. en
heal.journalName Clinical Nutrition en
dc.identifier.issue 3 en
dc.identifier.volume 31 en
dc.identifier.doi 10.1016/j.clnu.2011.11.017 en
dc.identifier.spage 378 en
dc.identifier.epage 385 en


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