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Nutrition Screening Adults

NSCR: Adult Nutrition Screening Tool Comparison (2009)

Adult Nutrition Screening Tool Comparison  (Open in Excel Format)
 
Screening Tool Grade Population Mean Age (years) Author, year Reference Standard Patients (N) Sensitivity Specificity Reliability PPV NPV Agreement
MNA-SF II

Ambulatory

72 (range: 60-98) Cohendy, Rubenstein et al, 2001 MNA 408 100% 69.50% N/A 92.8% 78.5% N/A
MNA-SF   Subacute and ambulatory France: 78.3; Spain: 75.8; NM: 76.8  Rubenstein, Harker et al, 2001 MNA 904 97.90% 100% N/A 98.7% N/A N/A
.
MUST II Medical 45±13.9 Stratton, Hackston et al, 2004 SGA 50 N/A N/A N/A N/A N/A 92% (k=0.783)
MUST   Medical-surgical hospitalized LOS 1-10 days: 50.5± 21.9; >11 days: 65.4± 18.7; LOS unknown: 44.4±17.0 Kyle, Kossovsky et al, 2006 SGA 995 61% 76% N/A 65% 76% k=0.26 (agreement between methods)
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Simple Two-Part Tool II Acute hospitalized 54.3±14.8 Nursal, Noyen et al, 2005 SGA 2,211 63% 97% N/A

70.2%

95.5% N/A
.            
 MST  II Acute hospitalized 57.7±16.5 (range:19-74) Ferguson, Capra et al, 1999 SGA 408 93% 93%

k=0.84-0.93 (P<0.01)

98% 73% N/A
 MST   Acute hospitalized 54.3±14.8 Nursal, Noyen et al, 2005 SGA 2,211 74% 76%  N/A 27.9%  96% N/A
 MST   Oncology outpatients 59.9±13.5 (range:15-89) Ferguson, Bauer et al, 1999 SGA 106 100% 81%  N/A 40% 100% N/A
 MST   Oncology outpatients 59.1±13.8 Isenring, Cross et al, 2006 PG-SGA 50 100% 92% k=0.83-0.88; N=20 80% 100% N/A
.            
NRS-2002  I Medical-surgical hospitalized LOS 1-10 days: 50.5± 21.9; >11 days: 65.4± 18.7; LOS unknown: 44.4±17.0 Kyle, Kossovsky et al, 2006 SGA 995 62% 93% N/A 85%* 79%* k=0.48 (agreement among methods)
NRS-2002   Acute hospitalized 80.2±7.7 Bauer, Vogl et al, 2005 MNA 80 39% 83% N/A 85% 37% 84.60%
NRS-2002   Acute hospitalized 80.2±7.7 Bauer, Vogl et al, 2005 SGA 120 70% 85% N/A 79% 78% 79.20%
.         
SNAQ V No studies met criteria.                  
.            
NRS III Acute care, medical-surgical 55.9 (range 8.5 mos - 92) Reilly, Martineau et al, 1995 Dietitian assessment 153 N/A N/A 74% N/A N/A 93%
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SCREEN II-AB III Seniors in community and geriatrician's clinic

Elderly; 98%>64 years

Keller, Goy et al, 2005 Dietitian assessment 193 84% 58%

Study 2, (N=149) Test-retest reliability ICC=0.84, 95% CI; Study 3 (N=97) inter-rater  ICC=0.79; intra-rater ICC=0.85

83% 59% N/A
.            
Tool #1 (Laporte et al, 2001) III

Elderly in acute care (ACE); elderly in long term care (LTCE)

 

ACE 78.9±7.1; LTCE 79.5±7.1

Laporte Villalon, Payette et al, 2001 Dietitian assessment

ACE: 72; LTCE 70; Total 142

 

ACE: 75%; LTCE: 63%; Total sample 70%

ACE: 75%; LTCE: 63%; Total sample 70%

 

IRR diet tech and RN: 85% ACE; 80% LTCE; All sample k=0.60 (±0.07); test-retest 78% ACE; 82% LTCE; Overall k=0.60(±0.07)

N/A

 

N/A

 

N/A
.            
Rapid Screen (Visvanathan et al, 2004) III Subacute care (rehabilitation center) >65 Visvanathan, Penhall et al, 2004 Standardized nutritional assessment 65

78.6%

 

97.3%

 

N/A 95.7%* 85.7%* 35.4% malnourished; 64.6% nourished
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NST/BAPEN4 III Acute hospitalized 59.6±19.4 (Study 1); 59.6±16. (Study 2); 59.6±16.9 (Study 3) Weekes, Elia et al, 2004 Dietitian assessment 166 86%* 95%* k=0.66 80%* 96%* Pilot phase: k=0.72 (CI 0.59-0.84)

 * Calculated by workgroup member.