Malnutrition Screening and Assessment in Hospitalised Older People: A Review

被引:166
作者
Dent, E. [1 ,2 ,3 ]
Hoogendijk, E. O. [4 ]
Visvanathan, R. [5 ,6 ]
Wright, O. R. L. [7 ]
机构
[1] Torrens Univ Australia, Level 1,220 Victoria Sq, Adelaide, SA 5000, Australia
[2] Baker Heart & Diabet Inst, Melbourne, Vic, Australia
[3] Univ Adelaide, Sch Publ Hlth, Adelaide, SA, Australia
[4] Vrije Univ Amsterdam, Med Ctr, Amsterdam Publ Hlth Res Inst, Dept Epidemiol & Biostat, Amsterdam, Netherlands
[5] Australia Ctr Res Excellence Frailty Trans Discip, Natl Hlth & Med Res Council, Adelaide, SA, Australia
[6] Univ Adelaide, Fac Hlth & Med Sci, Adelaide Med Sch, Adelaide, SA, Australia
[7] Univ Queensland, Sch Human Movement & Nutr Sci, Brisbane, Qld, Australia
基金
澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;
关键词
Nutrition assessment; nutritional status; patient care planning; aged 80 and over; MINI-NUTRITIONAL ASSESSMENT; ASSESSMENT-SHORT-FORM; SUBJECTIVE GLOBAL ASSESSMENT; LONG-TERM MORTALITY; BODY-MASS INDEX; ASSESSMENT MNA; RISK INDEX; GERIATRIC EVALUATION; ELDERLY-PATIENTS; HEALTH-CARE;
D O I
10.1007/s12603-019-1176-z
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Malnutrition (undernutrition) remains one of the most serious health problems for older people worldwide. Many factors contribute to malnutrition in older people, including: loss of appetite, polypharmacy, dementia, frailty, poor dentition, swallowing difficulties, social isolation, and poverty. Malnutrition is common in the hospital setting, yet often remains undetected by medical staff. The objective of this review is to compare the validity and reliability of Nutritional Screening Tools (NSTs) for older adults in the hospital setting. We also provide an overview of the various nutritional screening and assessment tools used to identify malnutrition in hospitalised older adults. These include: Subjective Global Assessment (SGA), the Mini Nutritional Assessment (MNA), MNA-short form (MNA-SF), Malnutrition Universal Screening Tool (MUST), Simplified Nutritional Appetite Questionnaire (SNAQ), Geriatric Nutrition Risk Index (GNRI) and anthropometric measurements. The prevalence and outcomes of malnutrition in hospitalised older adults are also addressed.
引用
收藏
页码:431 / 441
页数:11
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