- 期刊
Efficacy of malnutrition screening tools in China for elderly outpatients
摘要
Background and Objectives: Malnutrition in elderly individuals is extremely common. In China, Nutritional Risk Screening 2002 (NRS-2002) is often used to assess malnutrition in hospitalized elderly patients, although a gold standard for elderly outpatients is lacking. The Nutrition Screening Initiative Checklist (NSI) and Malnutrition Screening Tool (MST) have seldom been validated in elderly outpatients. This open, parallel, multi-center, cross-sectional study evaluated the performance of NRS-2002, the NSI, and the MST in estimating malnutrition risk in elderly outpatients. Methods and Study Design: This study included 986 elderly outpatients, with 53.2% being women, from five clinical teaching hospitals in Beijing. The sensitivity, specificity, and area under the receiver operating characteristic curve (AUC) of the tools were estimated using a body mass index (BMI) of ＜18.5 kg/m^2 as a reference. Results: The mean (range) age of the patients was 69.6±6.8 (60-100) years. Overall, 4.3% had BMI ＜18.5 kg/m^2, 16.8% scored ≥3 points in NRS-2002, 9.8% scored ≥2 points in the MST, and 37.0% scored ≥3 points in the NSI. NRS-2002 had the highest sensitivity and the best AUC (0.934 vs. 0.642 for the NSI and 0.660 for the MST, p＜0.05), and the MST had the highest specificity. The sensitivity and specificity of the NSI were 0.64 and 0.64, respectively. Conclusions: NRS-2002 had the highest validity, and the MST had the highest specificity in estimating the risk of malnutrition in elderly outpatients. However, the accuracy of the NSI should be further verified with large samples.
延伸閱讀
- Liu, S., Liu, X. H., Sun, X. H., Kang, L., Zhu, M. L., Hong, X., Li, J. J., & Jin, S. (2021). A Better Strategy for Depression Screening in Chinese Elderly Inpatients. International Journal of Gerontology, 15(3), 233-237. https://doi.org/10.6890/IJGE.202107_15(3).0009
- Sun, J., Yuan, W., Chen, M., Chen, Y., Chen, J., Xu, D., Li, Z., Bai, H., Xu, Q., Jiang, Y., Gu, J., Li, S., Su, C., Gu, L., Fang, J., & Zhu, X. (2023). Malnutrition and its risk factors in a home for seniors in Shanghai. Asia Pacific Journal of Clinical Nutrition, 32(1), 63-69. https://doi.org/10.6133/apjcn.202303_32(1).0010
- Sun, J., Yuan, W., Chen, M., Chen, Y., Xu, D., Li, Z., Bai, H., Xu, Q., Jiang, Y., Gu, J., Li, S., Su, C., Gu, L., Fang, J., & Zhu, X. (2013). Malnutrition and its risk factors in a home for Seniors in Shanghai. Asia Pacific Journal of Clinical Nutrition, (), 1-17. https://doi.org/10.6133/apjcn.202211/PP.0011
- Po, Y. C. (2002). The experience of diabetes self-management in Chinese elderly [master's thesis, The University of Hong Kong]. Airiti Library. https://www.airitilibrary.com/Article/Detail?DocID=U0029-1812201200017098
- 王詩盈（2010）。Study of the Elderly Taiwanese Patient’s Medical Autonomy and the Relating Factors〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2010.03080