Searching for a nutritional screening tool. The value of an analytical method when staff trained in clinical nutrition is not available.

Autor: Morán-López JM; Sección Endocrinología y Nutrición, Hospital Virgen del Puerto, Plasencia, Spain. Electronic address: jesusmoranlopez@yahoo.es., Piedra León M; Servicio de Endocrinología y Nutrición, Hospital Valdecilla, Santander, Spain., Enciso Izquierdo FJ; Sección Endocrinología y Nutrición, Hospital San Pedro de Alcántara, Cáceres, Spain., Amado Señaris JA; Servicio de Endocrinología y Nutrición, Hospital Valdecilla, Santander, Spain., Luengo Pérez LM; Sección Endocrinología y Nutrición, Hospital Infanta Cristina, Badajoz, Spain.
Jazyk: English; Spanish; Castilian
Zdroj: Endocrinologia, diabetes y nutricion [Endocrinol Diabetes Nutr (Engl Ed)] 2018 Oct; Vol. 65 (8), pp. 439-443. Date of Electronic Publication: 2018 Jul 02.
DOI: 10.1016/j.endinu.2018.03.011
Abstrakt: Introduction: Disease-related malnutrition (DRM) is highly prevalent. Various European resolutions urge to screen and treat DRM. No policy in this regard has yet been developed in Extremadura (Spain).
Objectives: To assess the prevalence of DRM (defined as NRS 2002≥3) using an analytical method (FILNUT), and to compare it with the official rate.
Results: FILNUT scores≥3 showed values of sensitivity (S) and positive predictive value (PPV) of 82.3% and 72.3% respectively. No statistically significant differences were found between men and women using this tool. FILNUT showed a significantly higher sensitivity for detecting malnutrition in medical - as compared to surgical - diseases when low scores were used. The estimated prevalence of DRM was 21.4%. Prevalence of DRM is much greater than officially reported.
Conclusions: FILNUT scores≥3 show high sensitivity and PPV for detecting DRM, and is a good alternative as a nutritional screening tool to detect malnutrition at our center.
(Copyright © 2018 SEEN y SED. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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