Abstract:
:Malnutrition in hospitals often goes unrecognized. At present, no nutrition screening tool provides satisfactory re-sults in identifying nutritional risk. Most tools depend on weight and height as criteria for diagnosing malnutrition. Weight is not recorded in many patients and some tools are time-consuming. An inclusive nutrition screening form (Nutrition Alert Form, NAF) was developed and validated. NAF was modified from the original version of Subjective Global Assessment (SGA) by adding in two standard laboratory tests. The severity of the symptom and laboratory changes were scored. NAF was validated in 210 hospitalized Thai patients at Ramathibodi hospital by an experienced clinical nutritionist (physician) at Ramathibodi hospital. Cross validation was carried out between the dietitian and nurse in another 90 patients. Most of the time nurses could complete the nutrition screening in a patient within 5 minutes. One out of four patients could not be weighed on admission. The scores of 5 and 11 were selected as the cut-off scores of different malnutrition levels due to their high sensitivity, specificity and accuracy and scores of 6 to 10 were defined as moderate malnutrition. The diagnostic agreement between the dietitian and nurse for "normal to mild malnutrition", "moderate malnutrition", and "severe malnutrition" were 85%, 70% and 72%, respectively. NAF for screening of malnutrition in hospitalized Thai patients is easy to use, concise, does not require nutrition expertise and can be used whether or not body weight is taken. :營養不良在醫院裡經常沒被發現。目前,沒有滿意的營養篩檢工具以確認營 養的風險。大部分診斷營養不良的工具是依據體重及身高當標準,但是很多 病人沒有體重記錄,且某些工具是費時的。本文敘述發展一個完整的營養篩 檢表單(營養警訊單,NAF)且測試其效度。NAF 是修訂自主觀整體評估(SGA) 原始版加入兩項標準生化值測量。評量症狀的嚴重性及生化值的改變。NAF 的效度測試是由有經驗的臨床營養學者(醫師)評估210 名在Ramathibodi 醫院 住院的泰國病人。交叉驗證是由營養師及護士執行於另90 名病人。多數時 候,護士可以在5 分鐘內完成病人的營養篩檢。四分之一的病人在入院時無 法秤體重。由於它們的高敏感度、特異度及準確性,5 分和11 分被當作不同 營養不良程度的切點,6 至10 分被定義為中度營養不良。營養師及護士之間 的診斷一致性,在“正常至輕度營養不良”、“中度營養不良”及“重度營養不良” 分別為85%、70%及72%。應用於住院的泰國病人的營養不良篩檢,NAF 優 點是易使用、簡要、不需要營養專長,且不論是否有體重資料都可以使用。
journal_name
Asia Pac J Clin Nutrjournal_title
Asia Pacific journal of clinical nutritionauthors
Komindrg S,Tangsermwong T,Janepanish Pdoi
10.6133/apjcn.2013.22.4.06subject
Has Abstractpub_date
2013-01-01 00:00:00pages
516-21issue
4eissn
0964-7058issn
1440-6047journal_volume
22pub_type
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journal_title:Asia Pacific journal of clinical nutrition
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journal_title:Asia Pacific journal of clinical nutrition
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journal_title:Asia Pacific journal of clinical nutrition
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journal_title:Asia Pacific journal of clinical nutrition
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doi:10.6133/apjcn.032017.22
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journal_title:Asia Pacific journal of clinical nutrition
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
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journal_title:Asia Pacific journal of clinical nutrition
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journal_title:Asia Pacific journal of clinical nutrition
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
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更新日期:2010-01-01 00:00:00
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
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journal_title:Asia Pacific journal of clinical nutrition
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doi:
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章,评审
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
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journal_title:Asia Pacific journal of clinical nutrition
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更新日期:2008-01-01 00:00:00
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 临床试验,杂志文章
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更新日期:2019-01-01 00:00:00
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
doi:10.1046/j.1440-6047.11.supp3.5.x
更新日期:2002-01-01 00:00:00
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
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更新日期:2005-01-01 00:00:00
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
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更新日期:2008-01-01 00:00:00