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- Original Article Nutritional Risks as Identified by Nutritional Risk Screening 2002 and Nutritional Status of Patients Awaiting Surgery for Gastric Cancer
- Seung Soo Lee, M.D., Kyung Eun Lee, R.N.1, Seung Wan Ryu, M.D., In Ho Kim, M.D.
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수술 전 위암 환자의 Nutritional Risk Screening 2002로 평가된 영양불량의 위험도와 영양상태의 비교 - 이승수ㆍ이경은1ㆍ류승완ㆍ김인호
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Surgical Metabolism and Nutrition 2011;2(1):21-25.
Published online: June 30, 2011
Department of Surgery, Keimyung University School of Medicine,
1Nutritional Support Team, Keimyung University Dongsan Hospital, Daegu, Korea
계명대학교 의과대학 외과학교실,
1계명대학교 동산의료원 영양집중지원팀
1Nutritional Support Team, Keimyung University Dongsan Hospital, Daegu, Korea
계명대학교 의과대학 외과학교실,
1계명대학교 동산의료원 영양집중지원팀
Received: 7 May 2011 • Revised: 14 December 1901 • Accepted: 5 June 2011
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Abstract
Purpose: Nutritional Risk Screening 2002 (NRS-2002) requires data on changes in weight and the amount of oral intake with a certain level of accuracy, while information given by patients is often unclear and non-quantitative. The time interval between diagnosis and surgery is becoming shorter, and it is difficult to obtain objective confirmation about these changes from medical records before surgery. The aim of this study was to compare nutritional risks as estimated by NRS-2002 with nutritional status in patients with gastric cancer when data on changes in weight and the amount of oral intake were limited.
Materials and Methods: Only objectively confirmed data (body mass index, age) and severity of disease were used to estimate the nutritional risk of 277 patients by NRS-2002. The results were compared to nutritional status assessed by percent ideal body weight and serum albumin levels.
Results: Of 277 patients, 220 were classified as nutritionally not at risk by NRS-2002. Out of those 220 patients, 28 patients were malnourished and 192 patients were not malnourished. Only serum albumin levels were significantly different between malnourished and non-malnourished groups (P<0.001).
Conclusion: When data on changes in weight and the amount of oral intake are limited,patients with protein malnutrition are likely to be overlooked by NRS-2002. (SMN 2011;2:21-25)
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