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The malnutrition screening tool is a useful tool for identifying malnutrition risk in residential aged care

Isenring, Elisabeth A., Bauer, Judith D., Banks, Merrilyn D., & Gaskill, Deanne (2009) The malnutrition screening tool is a useful tool for identifying malnutrition risk in residential aged care. Journal of Human Nutrition and Dietetics, 22(6), pp. 545-550.

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Abstract

Background: The Malnutrition Screening Tool (MST) is a valid nutrition screening tool in the acute hospital setting but has not been assessed in residential aged care facilities. The aim of this secondary analysis was to determine whether the MST could be a useful nutrition screening tool when compared with a full nutrition assessment by Subjective Global Assessment (SGA) in the residential aged care setting. ----- Methods: Two hundred and eighty-five residents (29% male; mean age: 84 ± 9 years) from eight residential aged care facilities in Australia participated. A secondary analysis of data collected during a nutrition intervention study was conducted. The MST consists of two questions related to recent weight loss and appetite. While the MST was not specifically applied, weight loss and appetite information was available and an estimated MST score (0-5) calculated. Nutritional status was assessed by a research assistant trained in using SGA. ----- Results: Malnutrition prevalence was 42.8% (122 malnourished out of 285 residents). Compared to the SGA, the MST was an effective predictor of nutritional risk (sensitivity = 83.6%, specificity = 65.6%, positive predictive value = 0.65, negative predictive value =0.84). -----
Conclusions: The components of the MST have acceptable sensitivity and specificity suggesting it can play a valuable role in quickly identifying malnutrition risk in the residential aged care setting. Further prospective research using the MST tool against a broader array of objective and subjective nutritional parameters is required to confirm its validity as a screening tool in aged care settings.

Impact and interest:

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11 citations in Web of Science®

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ID Code: 30401
Item Type: Journal Article
Keywords: Dietetics, Malnutrition, Nutrition, Nutrition Screening, Residential Aged Care
DOI: 10.1111/j.1365-277X.2009.01008.x
ISSN: 0952-3871
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NUTRITION AND DIETETICS (111100) > Nutrition and Dietetics not elsewhere classified (111199)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Aged Care Nursing (111001)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2009 The British Dietetic Association Ltd., Wiley-Blackwell Publishing Ltd., and the authors
Copyright Statement: The definitive version is available at www3.interscience.wiley.com
Deposited On: 15 Mar 2010 08:10
Last Modified: 07 Jun 2011 00:55

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