Comparison of Nursing Records and the Catholic Medical Center Nutritional Risk Screening as a Nutrition Screening Tool for Intensive Care Unit Patients
Clinical Nutrition Research
; : 56-62, 2015.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-147484
Responsible library:
WPRO
ABSTRACT
In the present study, we aimed to compare the results from nutritional risk screening based on nursing records with those using the Catholic Medical Center Nutritional Risk Screening (CMCNRS) tool. A cross-sectional study was performed involving 91 patients aged > or = 18 years from an intensive care unit. We collected general characteristics of the patients and nutrition screening was conducted for each patient by using computerized hospital program for the nursing records as well as the CMCNRS conducted by clinical dietitians. The subjects were aged 64.0 +/- 17.5 years, and 52 (57.1%) patients had a NPO (nothing by mouth) status. Neurological disease was the most common diagnosis (25.3%). Compared with the CMCNRS results from the clinical dietitians, the results for the nursing records had a sensitivity of 40.5% (95% CI 32.0-40.5) and a specificity of 100.0% (95% CI 92.8-100.0). The agreement was fair between the CMCNRS results obtained by clinical dietitians and the nursing records (k = 0.423). Analysis of the errors from the screening using the nursing records revealed significant differences for all subjective indicators (p < 0.001), compared with the CMCNRS by the clinical dietitians. Thus, after assessing the methods used for nutrition screening and the differences in the search results regarding malnourished status, we noted that the nursing records had a lower sensitivity than the screening by the CMCNRS.
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Malnutrition and Nutritional Deficiencies
Database:
WPRIM (Western Pacific)
Main subject:
Mass Screening
/
Nursing Records
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Cross-Sectional Studies
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Sensitivity and Specificity
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Malnutrition
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Diagnosis
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Nutritionists
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Intensive Care Units
Type of study:
Diagnostic study
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Etiology study
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Observational study
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Prevalence study
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Prognostic study
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Risk factors
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Screening study
Aspects:
Social determinants of health
Limits:
Humans
Language:
English
Journal:
Clinical Nutrition Research
Year:
2015
Document type:
Article