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- Original Article Development of a New Nutrition Screening Tool for Use in an Acute Care Hospital
- Hosun Lee, M.S., Hongjin Shim, M.D.1, Ji Young Jang, M.D.1, A Ram Jung, Soo Hee Kim, B.Pharm2, Hyungmi Kim, Kyung Sik Kim, M.D., Ph.D.1, Jae Gil Lee, M.D., Ph.D.1
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일개 대학병원에서 영양검색 도구 개발 - 이호선ㆍ심홍진1ㆍ장지영1ㆍ정아람ㆍ김수희2ㆍ김형미ㆍ김경식1ㆍ이재길1
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Journal of Clinical Nutrition 2013;5(2):82-88.
DOI: https://doi.org/10.15747/jcn.2013.5.2.82
Published online: August 31, 2013
Department of Nutrition and Dietetics, Severance Hospital, Yonsei University Health System,
1Department of Surgery, Yonsei University College of Medicine,
2Pharmacy, Severance Hospital, Yonsei University Health System, Seoul, Korea
세브란스병원 영양팀,
1연세대학교 의과대학 외과학교실,
2세브란스병원 약무국
1Department of Surgery, Yonsei University College of Medicine,
2Pharmacy, Severance Hospital, Yonsei University Health System, Seoul, Korea
세브란스병원 영양팀,
1연세대학교 의과대학 외과학교실,
2세브란스병원 약무국
Received: 14 December 1901 • Revised: 14 December 1901 • Accepted: 14 December 1901
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Abstract
Purpose
The objective of this study was to develop a new nutrition screening tool for quality improvement of the nutritional care process in an acute care hospital with a 2,000-bed capacity.Methods: To evaluate the current nutrition screening tool, we first examined 435 patients (274 men, aged 59.0±12.2 years). In the second step, the nutritional status of 387 patients (215 men, aged 57.5±13.3 years) was assessed by the scored patient-generated subjective global assess-ment (PG-SGA) tool. Variables such as age, body mass index (BMI), plasma albumin concentration, weight change, food intake change, and disease severity were analyzed to select indices for developing a new Severance nutrition screening index (SNSI).Results: The current nutrition screening tool had a poor correlation with the PG-SGA (?=0.180, P＜0.0001). The SNSI was calculated as follows: SNSI = 1.5×albumin＋1.0×BMI＋4.5×intake change＋1.5×weight loss (for al-bumin＜3.0, BMI＜20, and decreased intake and weight loss＞5% of usual body weight). The SNSI showed a sen-sitivity of 90.5%, a specificity of 90.7%, and a high corre-lation (?=0.628, P＜0.0001) with the PG-SGA.Conclusion: The SNSI appears to be a valid and useful nutrition screening tool to determine the nutritional risk of patients in acute care hospitals. (JKSPEN 2013;5(2): 82-88)
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