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Development and validation of 3-Minute Nutrition Screening (3-MinNS) tool for acute hospital patients in Singapore

Lim, Su Lin, Tong, Chung-Yan, Ang, Emily, Lee, Evan Jon-Choon, Loke, Wai-Chiong, Chen, Yuming, Ferguson, Maree, & Daniels, Lynne A. (2009) Development and validation of 3-Minute Nutrition Screening (3-MinNS) tool for acute hospital patients in Singapore. Asia Pacific Journal of Clinical Nutrition, 18(3), pp. 395-403.

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Abstract

It is important to detect and treat malnutrition in hospital patients so as to improve clinical outcome and reduce hospital stay. The aim of this study was to develop and validate a nutrition screening tool with a simple and quick scoring system for acute hospital patients in Singapore. In this study, 818 newly admitted patients aged above 18 years old were screened using five parameters that contribute to the risk of malnutrition. A dietitian blinded to the nutrition screening score assessed the same patients using the reference standard, Subjective Global Assessment (SGA) within 48 hours. The sensitivity and specificity were established using the Receiver Operator Characteristics (ROC) curve and the best cutoff scores determined. The nutrition parameter with the largest Area Under the ROC Curve (AUC) was chosen as the final screening tool, which was named 3-Minute Nutrition Screening (3-MinNS). The combination of the parameters weight loss, intake and muscle wastage (3-MinNS), gave the largest AUC when compared with SGA. Using 3-MinNS, the best cutoff point to identify malnourished patients is three (sensitivity 86%, specificity 83%). The cutoff score to identify subjects at risk of severe malnutrition is five (sensitivity 93%, specificity 86%). 3-Minute Nutrition Screening is a valid, simple and rapid tool to identify patients at risk of malnutrition in Singapore acute hospital patients. It is able to differentiate patients at risk of moderate malnutrition and severe malnutrition for prioritization and management purposes.

Impact and interest:

8 citations in Scopus
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6 citations in Web of Science®

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ID Code: 29117
Item Type: Journal Article
Additional Information: The contents of this journal can be freely accesssed via the journal's website (please see Official URL)
Additional URLs:
Keywords: 3-Minute Nutrition Screening, Subjective Global Assessment, Validation, Sensitivity, Specifity
ISSN: 1440-6047
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NUTRITION AND DIETETICS (111100) > Clinical and Sports Nutrition (111101)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2009 H E C Press
Deposited On: 05 Jan 2010 09:21
Last Modified: 01 Mar 2012 00:03

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