Nutritional Risk Screening and Assessment
Top Cited Papers
Open Access
- 20 July 2019
- journal article
- review article
- Published by MDPI AG in Journal of Clinical Medicine
- Vol. 8 (7), 1065
- https://doi.org/10.3390/jcm8071065
Abstract
Malnutrition is an independent risk factor that negatively influences patients’ clinical outcomes, quality of life, body function, and autonomy. Early identification of patients at risk of malnutrition or who are malnourished is crucial in order to start a timely and adequate nutritional support. Nutritional risk screening, a simple and rapid first-line tool to detect patients at risk of malnutrition, should be performed systematically in patients at hospital admission. Patients with nutritional risk should subsequently undergo a more detailed nutritional assessment to identify and quantify specific nutritional problems. Such an assessment includes subjective and objective parameters such as medical history, current and past dietary intake (including energy and protein balance), physical examination and anthropometric measurements, functional and mental assessment, quality of life, medications, and laboratory values. Nutritional care plans should be developed in a multidisciplinary approach, and implemented to maintain and improve patients’ nutritional condition. Standardized nutritional management including systematic risk screening and assessment may also contribute to reduced healthcare costs. Adequate and timely implementation of nutritional support has been linked with favorable outcomes such as a decrease in length of hospital stay, reduced mortality, and reductions in the rate of severe complications, as well as improvements in quality of life and functional status. The aim of this review article is to provide a comprehensive overview of nutritional screening and assessment methods that can contribute to an effective and well-structured nutritional management (process cascade) of hospitalized patients.This publication has 64 references indexed in Scilit:
- New technology in dietary assessment: a review of digital methods in improving food record accuracyProceedings of the Nutrition Society, 2013
- ‘My Meal Mate’ (MMM): validation of the diet measures captured on a smartphone application to facilitate weight lossBritish Journal of Nutrition, 2012
- A New Method for Measuring Meal Intake in Humans via Automated Wrist Motion TrackingApplied Psychophysiology and Biofeedback, 2012
- Nutritional status of patients treated with radiotherapy as determined by subjective global assessmentRadiation Oncology Journal, 2012
- Screening of the nutritional risk of patients with gastric carcinoma before operation by NRS 2002 and its relationship with postoperative resultsJournal of Gastroenterology and Hepatology, 2010
- Evaluation of nutritional status in older persons: nutritional screening and assessmentCurrent Opinion in Clinical Nutrition and Metabolic Care, 2010
- Nutritional risk is a clinical predictor of postoperative mortality and morbidity in surgery for colorectal cancerBritish Journal of Surgery, 2009
- Nutrition Screening vs Nutrition Assessment: How Do They Differ?Nutrition in Clinical Practice, 2008
- ESPEN Guidelines for Nutrition Screening 2002Clinical Nutrition, 2003
- DEGREE OF PREOPERATIVE MALNUTRITION IS PREDICTIVE OF POSTOPERATIVE MORBIDITY AND MORTALITY IN LIVER TRANSPLANT RECIPIENTSTransplantation, 1994