Comparison of Tools for Nutritional Assessment and Screening of Hospitalized Patients: A study on Surgical Patients

Objective: To compare the Simple Nutrition Screening Tool (SNST) with other nutritional screening tools [Nutrition Risk Screening 2002 (NRS- 2002), Nutrition Risk index (NRI)], nutritional assessment parameters, and the Subjective Global Assessment (SGA) in surgical patients. Methods: A comparative...

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Main Authors: Susetyowati SUSETYOWATI, Amalia Sarah SHOLIKHATI, Dinda Krisma CAHYANINGRUM, Azizah Isna RACHMAWATI, Adeodatus Yuda HANDAYA
Format: Article
Language:English
Published: Galenos Publishing House 2023-03-01
Series:Medeniyet Medical Journal
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Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-64554
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author Susetyowati SUSETYOWATI
Amalia Sarah SHOLIKHATI
Dinda Krisma CAHYANINGRUM
Azizah Isna RACHMAWATI
Adeodatus Yuda HANDAYA
author_facet Susetyowati SUSETYOWATI
Amalia Sarah SHOLIKHATI
Dinda Krisma CAHYANINGRUM
Azizah Isna RACHMAWATI
Adeodatus Yuda HANDAYA
author_sort Susetyowati SUSETYOWATI
collection DOAJ
description Objective: To compare the Simple Nutrition Screening Tool (SNST) with other nutritional screening tools [Nutrition Risk Screening 2002 (NRS- 2002), Nutrition Risk index (NRI)], nutritional assessment parameters, and the Subjective Global Assessment (SGA) in surgical patients. Methods: A comparative observational study with a total of 122 surgical patients. Patients were assessed during the first 24 h of admission in the ward from January to July 2022 using the NRI, NRS-2002, SNST, body mass index (BMI), mid-upper arm circumferences (MUAC), albumin serum, hemoglobin level, total lymphocyte count (TLC), and SGA. Sensitivity, specificity and predictive values were calculated to evaluate NRI, NRS- 2002, SNST, BMI, MUAC, albumin, hemoglobin, TLC compared to SGA. Results: The screening tools identified a high nutritional risk in surgical patients from 58.2%-72.1%. Meanwhile, about 29.5% to 71.3% was affected by malnutrition based on nutritional assessment tools. There were significant associations between the type of disease, the screening tools, the anthropometric parameters, albumin, TLC as well and SGA (p<0.05). The SNST has a good category among the nutritional screening tools with sensitivity and specificity >80%, as well as area under the curve >0.8. Conclusions: There were significant associations for screening (NRS- 2002, SNST) and nutritional assessment tools (BMI, MUAC, albumin) compared with SGA. Both these tools can be used to determine the risk of malnutrition in surgical patients.
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spelling doaj-art-6758f169715f467eba6d94137509e85e2025-01-30T07:05:46ZengGalenos Publishing HouseMedeniyet Medical Journal2149-20422149-46062023-03-01381707710.4274/MMJ.galenos.2023.64554MEDJ-64554Comparison of Tools for Nutritional Assessment and Screening of Hospitalized Patients: A study on Surgical PatientsSusetyowati SUSETYOWATI0Amalia Sarah SHOLIKHATI1Dinda Krisma CAHYANINGRUM2Azizah Isna RACHMAWATI3Adeodatus Yuda HANDAYA4Universitas Gadjah Mada, Nursing and Public Health, Faculty of Medicine, Department of Nutrition and Health, Yogyakarta, IndonesiaUniversitas Gadjah Mada, Nursing and Public Health, Faculty of Medicine, Department of Nutrition and Health, Yogyakarta, IndonesiaUniversitas Gadjah Mada, Nursing and Public Health, Faculty of Medicine, Department of Nutrition and Health, Yogyakarta, IndonesiaUniversitas Gadjah Mada, Nursing and Public Health, Faculty of Medicine, Department of Nutrition and Health, Yogyakarta, IndonesiaUniversitas Gadjah Mada, Nursing and Public Health, Faculty of Medicine, Department of Surgery Digestive, Yogyakarta, IndonesiaObjective: To compare the Simple Nutrition Screening Tool (SNST) with other nutritional screening tools [Nutrition Risk Screening 2002 (NRS- 2002), Nutrition Risk index (NRI)], nutritional assessment parameters, and the Subjective Global Assessment (SGA) in surgical patients. Methods: A comparative observational study with a total of 122 surgical patients. Patients were assessed during the first 24 h of admission in the ward from January to July 2022 using the NRI, NRS-2002, SNST, body mass index (BMI), mid-upper arm circumferences (MUAC), albumin serum, hemoglobin level, total lymphocyte count (TLC), and SGA. Sensitivity, specificity and predictive values were calculated to evaluate NRI, NRS- 2002, SNST, BMI, MUAC, albumin, hemoglobin, TLC compared to SGA. Results: The screening tools identified a high nutritional risk in surgical patients from 58.2%-72.1%. Meanwhile, about 29.5% to 71.3% was affected by malnutrition based on nutritional assessment tools. There were significant associations between the type of disease, the screening tools, the anthropometric parameters, albumin, TLC as well and SGA (p<0.05). The SNST has a good category among the nutritional screening tools with sensitivity and specificity >80%, as well as area under the curve >0.8. Conclusions: There were significant associations for screening (NRS- 2002, SNST) and nutritional assessment tools (BMI, MUAC, albumin) compared with SGA. Both these tools can be used to determine the risk of malnutrition in surgical patients.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-64554nutritional statusnutrition assessmentsubjective global assessmentsurgery
spellingShingle Susetyowati SUSETYOWATI
Amalia Sarah SHOLIKHATI
Dinda Krisma CAHYANINGRUM
Azizah Isna RACHMAWATI
Adeodatus Yuda HANDAYA
Comparison of Tools for Nutritional Assessment and Screening of Hospitalized Patients: A study on Surgical Patients
Medeniyet Medical Journal
nutritional status
nutrition assessment
subjective global assessment
surgery
title Comparison of Tools for Nutritional Assessment and Screening of Hospitalized Patients: A study on Surgical Patients
title_full Comparison of Tools for Nutritional Assessment and Screening of Hospitalized Patients: A study on Surgical Patients
title_fullStr Comparison of Tools for Nutritional Assessment and Screening of Hospitalized Patients: A study on Surgical Patients
title_full_unstemmed Comparison of Tools for Nutritional Assessment and Screening of Hospitalized Patients: A study on Surgical Patients
title_short Comparison of Tools for Nutritional Assessment and Screening of Hospitalized Patients: A study on Surgical Patients
title_sort comparison of tools for nutritional assessment and screening of hospitalized patients a study on surgical patients
topic nutritional status
nutrition assessment
subjective global assessment
surgery
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-64554
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