Evaluation of the nutritional status of older hospitalised geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002)

Beitrag in einer Fachzeitschrift


Details zur Publikation

Autorinnen und Autoren: Christner S, Ritt M, Volkert D, Wirth R, Sieber C, Gaßmann KG
Zeitschrift: Journal of Human Nutrition and Dietetics
Verlag: WILEY-BLACKWELL
Jahr der Veröffentlichung: 2016
Band: 29
Heftnummer: 6
Seitenbereich: 704-713
ISSN: 0952-3871


Abstract

BackgroundThe present study aimed to evaluate a short-form (MNA-SF) version of the Mini Nutritional Assessment (MNA), in which some of the items were operationalised, based on scores from tools used for a comprehensive geriatric assessment, as a method for analysing the nutritional status of hospitalised geriatric patients. We compared this MNA-SF version with the corresponding MNA long-form (MNA-LF) and Nutritional Risk Screening 2002 (NRS 2002) in terms of completion rate, prevalence and agreement regarding malnutrition and/or the risk of this.MethodsIn total, 201 patients aged 65years who were hospitalised in geriatric wards were included in this analysis.ResultsThe MNA-SF, MNA-LF and NRS 2002 were completed in 98.0%, 95.5% and 99.5% of patients (P=0.06), respectively. The MNA-SF, MNA-LF and NRS 2002 categorised 93.4%, 91.1% and 66.0% of patients as being malnourished or at risk of being malnourished (P<0.001). Agreement between the MNA-SF and MNA-LF was substantial (=0.70, P<0.001). No agreement between the MNA-SF and NRS 2002 was found (=-0.12, P<0.001). Interestingly, NRS 2002 part 1 (prescreening) revealed a false negative rate of 21.0% (only in patients aged 70years who showed moderate disease severity) in relation to the NRS 2002 part 2.ConclusionsThe MNA-SF version emerged as a useful tool for evaluating the nutritional status of hospitalised geriatric patients. The NRS 2002 part 1 showed limited value as a prescreening aid in relation to the NRS 2002 part 2 in the same group of patients.


FAU-Autorinnen und Autoren / FAU-Herausgeberinnen und Herausgeber

Gaßmann, Karl-Günter Prof. Dr.
Medizinische Fakultät
Sieber, Cornel Prof. Dr.
Lehrstuhl für Innere Medizin (Geriatrie)
Volkert, Dorothee Prof. Dr. rer. nat.
Professur für Klinische Ernährung im Alter
Wirth, Rainer PD Dr.
Medizinische Fakultät


Einrichtungen weiterer Autorinnen und Autoren

Waldkrankenhaus St Marien


Zitierweisen

APA:
Christner, S., Ritt, M., Volkert, D., Wirth, R., Sieber, C., & Gaßmann, K.-G. (2016). Evaluation of the nutritional status of older hospitalised geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002). Journal of Human Nutrition and Dietetics, 29(6), 704-713. https://dx.doi.org/10.1111/jhn.12376

MLA:
Christner, S., et al. "Evaluation of the nutritional status of older hospitalised geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002)." Journal of Human Nutrition and Dietetics 29.6 (2016): 704-713.

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Zuletzt aktualisiert 2018-14-11 um 10:23