A Comparison of the Nutritional Risk Screening 2002 Tool With the Subjective Global Assessment Tool to Detect Nutritional Status in Chinese Patients Undergoing Surgery With Gastrointestinal Cancer
| Autor: | Xinna Song, Juntao Chi, Zhenlan Song, Shao-hua Yin, Fengli Gao, Miaomiao Li, Yongjian Zhu, Junying Lv |
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| Rok vydání: | 2017 |
| Předmět: |
Male
0301 basic medicine China medicine.medical_specialty Cross-sectional study Concordance MEDLINE Nutritional Status 03 medical and health sciences Sex Factors Preoperative Care Humans Mass Screening Medicine Gastrointestinal cancer Elective surgery Nutritional risk Aged Gastrointestinal Neoplasms Retrospective Studies Aged 80 and over Advanced and Specialized Nursing 030109 nutrition & dietetics business.industry Malnutrition Age Factors Gastroenterology Nutritional status Retrospective cohort study Middle Aged medicine.disease Surgery Cross-Sectional Studies Elective Surgical Procedures Female Risk Adjustment business human activities |
| Zdroj: | Gastroenterology Nursing. 40:19-25 |
| ISSN: | 1042-895X |
| DOI: | 10.1097/sga.0000000000000157 |
| Popis: | The objectives of this study were to describe the nutritional status of Chinese patients with gastrointestinal cancer undergoing surgery and to compare the ease of use, diversity, and concordance of the Nutritional Risk Screening 2002 with the Subjective Global Assessment in the same patients. A total of 280 gastrointestinal cancer patients admitted for elective surgery were evaluated by the Nutritional Risk Screening 2002 (NRS 2002) and Subjective Global Assessment (SGA) tools within 48 hours of admission from April to October 2012. Related opinions about ease of using the tools were obtained from 10 nurses. The prevalence of patients at nutritional risk with the SGA and NRS 2002 was 33.9% and 53.2% on admission. In the total group, ≤70 age group, and70 age group, respectively, consistency was observed in 214 (76.4%), 175 (91.1%), and 39 (44.3%); and kappa values were 0.54 (p.001), 0.81 (p.001), and 0.085 (p = .096). McNemar paired chi-square test showed a significant difference between the NRS 2002 and SGA in the total group and70 age group (p.001); however, no difference was observed in the ≤70 age group (p = .14). Nurses reported ease of use of the NRS 2002 as a "very easy" or "easy" to complete (3-5 minutes) and the SGA as an "easy" or "fair" tool to complete (5-10 minutes). The diversity and concordance between the SGA and NRS 2002 were varied in different age groups. The NRS 2002 is more suitable in nursing practice than the SGA to identify the nutritional status of patients with gastrointestinal cancer undergoing surgery, but it appeared to detect more patients at nutritional risk in the70 age group. |
| Databáze: | OpenAIRE |
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