Nutrition screening tools: Does one size fit all? A systematic review of screening tools for the hospital setting

Clinical Nutrition

Volumn 33, Issue 1, 2014, Pages 39-58

  Van Bokhorst de van der Schueren, Marian A E ^a   Guaitoli, Patrícia Realino ^a   Jansma, Elise P ^b   de Vet, Henrica C W ^a  

^a VU UNIVERSITY MEDICAL CENTER   (Netherlands)

^b VU UNIVERSITY AMSTERDAM   (Netherlands)

Author keywords

Assessment; Construct validity; Hospital; Malnutrition; Predictive validity; Screening; Systematic review

Indexed keywords

ACCURACY; ARTICLE; CLINICAL ASSESSMENT TOOL; CONSTRUCT VALIDITY; CRITERION RELATED VALIDITY; HUMAN; LENGTH OF STAY; MALNUTRITION; MORTALITY; NUTRITION SCREENING TOOL; NUTRITIONAL ASSESSMENT; OUTCOME ASSESSMENT; PREDICTION; PROCESS DEVELOPMENT; RISK ASSESSMENT; SCREENING TEST; SENSITIVITY AND SPECIFICITY; SYSTEMATIC REVIEW; VALIDATION PROCESS;

ASSESSMENT; CONSTRUCT VALIDITY; HOSPITAL; MALNUTRITION; PREDICTIVE VALIDITY; SCREENING; SYSTEMATIC REVIEW;

HOSPITALIZATION; HUMANS; MALNUTRITION; NUTRITION ASSESSMENT; NUTRITIONAL STATUS; VALIDATION STUDIES AS TOPIC;

EID: 84892543489     PISSN: 02615614     EISSN: 15321983     Source Type: Journal    
DOI: 10.1016/j.clnu.2013.04.008     Document Type: Article

References (92)

1. Elia M. The 'MUST' report. Nutritional screening of adults: amultidisciplinary responsibility 2003, BAPEN (Ed.).
2. Kondrup J., Rasmussen H.H., Hamberg O., Stanga Z. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr 2003, 22:321-336.
3. Guigoz Y., Vellas B., Garry P.J. Mini Nutritional Assessment: a practical assessment tool for grading the nutritional state of elderly patients. Facts and Research in Gerontology. Nutrition 1994, Supplement:15-58.
4. Rubenstein L.Z., Harker J.O., Salva A., Guigoz Y., Vellas B. Screening for undernutritionin geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). JGerontol A Biol Sci Med Sci 2001, 56:M366-M372.
5. Ferguson M., Capra S., Bauer J., Banks M. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition 1999, 15:458-464.
6. Kruizenga H.M., Seidell J.C., de Vet H.C.W., Wierdsma N.J., Van Bokhorst-de Van der Schueren Development and validation of a hospital screening tool for malnutrition: the short nutritional assessment questionnaire (SNAQ). Clin Nutr 2005, 24:75-82.
7. Wolinsky F.D., Coe R.M., McIntosh W.A., Kubena K.S., Prendergast J.M., Chavez M.N., et al. Progress in the development of a nutritional risk index. JNutr 1990, 120(Suppl. 11):1549-1553.
8. Baker J.P., Detsky A.S., Wesson D.E., Wolman S.L., Stewart S., Whitewell J., et al. Nutritional assessment: a comparison ofclinical judgement and objective measurements. NEngl J Med 1982, 306:969-972.
9. Kyle U.G., Kossovsky M.P., Karsegard V.L., Pichard C. Comparison of tools for nutritional assessment and screening at hospital admission: a population study. Clin Nutr 2006, 25:409-417.
10. Martins C.P.A.L., Correia J.R., do Amaral T.F. Undernutrition risk screening and length of stay of hospitalized elderly. JNutr Elder 2005, 25:5-21.
11. Bouillanne O., Morineau G., Dupont C., Coulombel I., Vincent J.P., Nicolis I., et al. Geriatric Nutritional Risk Index: a new index for evaluating at-risk elderly medical patients. Am J Clin Nutr 2005, 82:777-783.
12. Bauer J., Capra S., Ferguson M. Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr 2002, 56:779-785.
13. Liberati A., Altman D.G., Tetzlaff J., Mulrow C., Gøtzsche P.C., Ioannidis J.P., et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 2009, 339:b2700.
14. Guilford J.P. Fundamental statistics in psychology and education 1956, Mc Graw-Hill, New York.
15. Fleiss J.L. Statistical methods for rates and proportions 1981, John Wiley & Sons, New York.
16. Kaiser M.J., Bauer J.M., Ramsch C., Uter W., Guigoz Y., Cederholm T., et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status. JNutr Health Aging 2009, 13:782-788.
17. Soderhamn U., Soderhamn O. Developing and testing the Nutritional Form For the Elderly. Int J Nurs Pract 2001, 7:336-341.
18. Laporte M., Villalon L., Payette H. Simple nutrition screening tools for healthcare facilities: development and validity assessment. Can J Diet Pract Res 2001, 62:26-34.
19. Westergren A., Norberg E., Vallen C., Hagell P. Cut-off scores for the Minimal Eating Observation and Nutrition Form - Version II (MEONF-II) among hospital inpatients. Food Nutr Res 2011, 55.
20. Visvanathan R., Penhall R., Chapman I. Nutritional screening of older people in a sub-acute care facility in Australia and its relation to discharge outcomes. Age Ageing 2004, 33:260-265.
21. Azad N., Murphy J., Amos S.S., Toppan J. Nutrition survey in an elderly population following admission to a tertiary care hospital. CMAJ 1999, 161:511-515.
22. Elmore M.F., Wagner D.R., Knoll D.M., Eizember L., Oswalt M.A., Glowinski E.A., et al. Developing an effective adult nutrition screening tool for a community hospital. JAm Diet Assoc 1994, 94:1113-1118. 1121.
23. Reilly H.M., Martineau J.K., Moran A., Kennedy H. Nutritional screening - evaluation and implementation of a simple Nutrition Risk Score. Clin Nutr 1995, 14:269-273.
24. Kovacevich D.S., Boney A.R., Braunschweig C.L., Perez A., Stevens M. Nutrition risk classification: a reproducible and valid tool for nurses. Nutr Clin Pract 1997, 12:20-25.
25. Thorsdottir I., Eriksen B., Eysteinsdottir S. Nutritional status at submission for dietetic services and screening for malnutrition at admission to hospital. Clin Nutr 1999, 18:15-21.
26. Bauer J., Capra S. Comparison of a malnutrition screening tool with subjective global assessment in hospitalised patients with cancer - sensitivity and specificity. Asia Pac J Clin Nutr 2003, 12:257-260.
27. Weekes C.E., Elia M., Emery P.W. The development, validation and reliability of anutrition screening tool based on the recommendations of the British Associationfor Parenteral and Enteral Nutrition (BAPEN). Clin Nutr 2004, 23:1104-1112.
28. Woo J., Chumlea W.C., Sun S.S., Kwok T., Lui H.H., Hui E., et al. Development of the Chinese nutrition screen (CNS) for use in institutional settings. JNutr Health Aging 2005, 9:203-210.
29. Gerasimidis K., Drongitis P., Murray L., Young D., McKee R.F. Alocal nutritional screening tool compared to malnutrition universal screening tool. Eur J Clin Nutr 2007, 61:916-921.
30. Mackintosh M.A., Hankey C.R. Reliability of a nutrition screening tool for use in elderly day hospitals. JHum Nutr Diet 2001, 14:129-136.
31. Tammam J.D., Gardner L., Hickson M. Validity, reliability and acceptability of the Imperial Nutritional Screening System (INSYST): a tool that does not require the body mass index. JHum Nutr Diet 2009, 22:536-544.
32. Smith R.C., Ledgard J.P., Doig G., Chesher D., Smith S.F. An effective automated nutrition screen for hospitalized patients. Nutrition 2009, 25:309-315.
33. Corish C.A., Flood P., Kennedy N.P. Comparison of nutritional risk screening tools in patients on admission to hospital. JHum Nutr Diet 2004, 17:133-139.
34. Almeida A.I., Correia M., Camilo M., Ravasco P. Nutritional risk screening in surgery: valid, feasible, easy!. Clin Nutr 2012, 31:206-211.
35. Tu M.Y., Chien T.W., Chou M.T. Using a Nutritional Screening Tool to evaluate the nutritional status of patients with colorectal cancer. Nutr Cancer 2012.
36. Thorsdottir I., Jonsson P.V., Asgeirsdottir A.E., Hjaltadottir I., Bjornsson S., Ramel A. Fast and simple screening fornutritional status in hospitalized, elderly people. JHum Nutr Diet 2005, 18:53-60.
37. Cohendy R., Rubenstein L.Z., Eledjam J.J. The Mini Nutritional Assessment-Short Form for preoperative nutritional evaluation of elderly patients. Aging (Milano) 2001, 13:293-297.
38. Ranhoff A.H., Gjoen A.U., Mowe M. Screening for malnutrition in elderly acute medical patients: the usefulness of MNA-SF. JNutr Health Aging 2005, 9:221-225.
39. Neelemaat F., Meijers J., Kruizenga H., van Ballegooijen H., van Bokhorst-de van der Schueren M. Comparison of five malnutrition screening tools in one hospital inpatient sample. JClin Nurs 2011, 20:2144-2152.
40. Soderhamn U., Soderhamn O. Reliability and validity of the nutritional form for the elderly (NUFFE). JAdv Nurs 2002, 37:28-34.
41. Laporte M., Villalon L., Thibodeau J., Payette H. Validity and reliability of simple nutrition screening tools adapted to the elderly population in healthcare facilities. JNutr Health Aging 2001, 5:292-294.
42. Westergren A., Norberg E., Hagell P. Diagnostic performance of the Minimal Eating Observation and Nutrition Form - Version II (MEONF-II) and Nutritional Risk Screening 2002 (NRS 2002) among hospital inpatients - a cross-sectional study. BMC Nurs 2011, 10:24.
43. Isenring E., Cross G., Daniels L., Kellett E., Koczwara B. Validity of the malnutrition screening tool as an effective predictor of nutritional risk in oncology outpatients receiving chemotherapy. Support Care Cancer 2006, 14:1152-1156.
44. Amaral T.F., Antunes A., Cabral S., Alves P., Kent-Smith L. An evaluation of three nutritional screening tools in a Portuguese oncology centre. JHum Nutr Diet 2008, 21:575-583.
45. Thorsdottir I., Gunnarsdottir I., Eriksen B. Screening method evaluated by nutritional status measurements can be used to detect malnourishment in chronic obstructive pulmonary disease. JAm Diet Assoc 2001, 101:648-654.
46. Stratton R.J., Hackston A., Longmore D., Dixon R., Price S., Stroud M., et al. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the 'malnutrition universal screening tool' ('MUST') for adults. Br J Nutr 2004, 92:799-808.
47. Neelemaat F., Kruizenga H.M., de Vet H.C.W., Seidell J.C., Butterman M., van Bokhorst-de van der Schueren M.A.E. Screening malnutrition in hospital outpatients. Can the SNAQ malnutrition screening tool also be applied to this population?. Clin Nutr 2008, 27:439-446.
48. Mirmiran P., Hosseinpour-Niazi S., Mehrabani H.H., Kavian F., Azizi F. Validity and reliability of a nutrition screening tool in hospitalized patients. Nutrition 2011, 27:647-652.
49. Bonilla-Palomas J.L., Gámez-López A.L., Anguita-Sánchez M.P., Castillo-Domínguez J.C., García-Fuertes D., Crespin-Crespin M., et al. Rev Esp Cardiol 2011, 64:752-758.
50. Bauer J.M., Vogl T., Wicklein S., Trögner J., Mühlberg W., Sieber C.C. Comparison of the Mini Nutritional Assessment, Subjective Global Assessment, and Nutritional Risk Screening (NRS 2002) for nutritional screening and assessment in geriatric hospital patients. ZGerontol Geriatr 2005, 38:322-327.
51. Cansado P., Ravasco P., Camilo M. Alongitudinal study of hospital undernutrition in the elderly: comparison of four validated methods. JNutr Health Aging 2009, 13:159-164.
52. Van Nes M.C., Herrmann F.R., Gold G., Michel J.P., Rizzoli R. Does the Mini Nutritional Assessment predict hospitalization outcomes in older people?. Age Ageing 2001, 30:221-226.
53. Sánchez-Muñoz L.A., Calvo-Reyes M.C., Majo-Carbajo Y., Barbado-Ajo J., Aragón De La Fuente M.M., Artero-Ruiz E.C., et al. Rev Clin Esp 2010, 210:429-437.
54. Persson M.D., Brismar K.E., Katzarski K.S., Nordenstrom J., Cederholm T.E. Nutritional status using Mini Nutritional Assessment and Subjective Global Assessment Predict Mortality in geriatric patients. JAm Geriatr Soc 2002, 50:1996-2002.
55. Vischer U.M., Frangos E., Graf C., Gold G., Weiss L., Herrmann F.R., et al. The prognostic significance of malnutrition as assessed by the Mini Nutritional Assessment (MNA) in older hospitalized patients with a heavy disease burden. Clin Nutr 2012, 31:113-117.
56. Putwatana P., Reodecha P., Sirapo-ngam Y., Lertsithichai P., Sumboonnanonda K. Nutrition screening tools and the prediction of postoperative infectious and wound complications: comparison of methods in presence of risk adjustment. Nutrition 2005, 21:691-697.
57. López-Gómez J.J., Calleja-Fernández A., Ballesteros-Pomar M.D., Vidal-Casariego A., Brea-Laranjo C., Fariza-Vicente E., et al. Endocrinol Nutr 2011, 58:104-111.
58. Donini L.M., Savina C., Rosano A., De Felice M.R., Tassi L., De Bernardini L., et al. MNA predictive value in the follow-up of geriatric patients. JNutr Health Aging 2003, 7:282-293.
59. Salvi F., Giorgi R., Grilli A., Morichi V., Espinosa E., Spazzafumo L., et al. Mini Nutritional Assessment (short form) and functional decline in older patients admitted to an acute medical ward. Aging Clin Exp Res 2008, 20:322-328.
60. Raslan M., Gonzalez M.C., Dias M.C.G., Nascimento M., Castro M., Marques P., et al. Comparison of nutritional risk screening tools for predicting clinical outcomes in hospitalized patients. Nutrition 2010, 26:721-726.
61. Kyle U.G., Pirlich M., Schuetz T., Lochs H., Pichard C. Is nutritional depletion by Nutritional Risk Index associated with increased length of hospital stay? A population-based study. JParenter Enteral Nutr 2004, 28:99-104.
62. Aziz E.F., Javed F., Pratap B., Musat D., Nader A., Pulimi S., et al. Malnutrition as assessed by nutritional risk index is associated with worse outcome in patients admitted with acute decompensated heart failure: an ACAP-HF data analysis. Heart Int 2011, 6:e2.
63. Filipović B.F., Gajić M., Milinić N., Milovanović B., Filipović B.R., Cvetković M., et al. Comparison of two nutritional assessment methods in gastroenterology patients. World J Gastroenterol 2010, 16:1999-2004.
64. Schiesser M., Kirchhoff P., Muller M.K., Schafer M., Clavien P.A. The correlation of nutrition risk index, nutrition risk score, and bioimpedance analysis with postoperative complications in patients undergoing gastrointestinal surgery. Surgery (USA) 2009, 145:519-526.
65. Clugston A., Paterson H.M., Yuill K., Garden O.J., Parks R.W. Nutritional risk index predicts a high-risk population in patients with obstructive jaundice. Clin Nutr 2006, 25:949-954.
66. Beghetto M.G., Luft V.C., Mello E.D., Polanczyk C.A. Accuracy of nutritional assessment tools for predicting adverse hospital outcomes. Nutr Hosp 2009, 24:56-62.
67. Goiburu M.E., Goiburu M.M.J., Bianco H., Díaz J.R., Alderete F., Palacios M.C., et al. The impact of malnutrition on morbidity, mortality and length of hospital stay in trauma patients. Nutr Hosp 2006, 21:604-610.
68. Wakahara T., Shiraki M., Murase K., Fukushima H., Matsuura K., Fukao A., et al. Nutritional screening with Subjective Global Assessment predicts hospital stay in patients with digestive diseases. Nutrition 2007, 23:634-639.
69. Vidal A., Iglesias M.J., Pertega S., Ayucar A., Vidal O. Nutr Hosp 2008, 23:263-267.
70. Lim S., Ong K., Chan Y., Loke W.C., Ferguson M., Daniels L. Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin Nutr 2012, 31:345-350.
71. Wu B.W., Yin T., Cao W.X., Gu Z.D., Wang X.J., Yan M., et al. Clinical application of subjective global assessment in Chinese patients with gastrointestinal cancer. World J Gastroenterol 2009, 15:3542-3549.
72. Rodriguez-Pecci M.S., Carlson D., Montero-Tinnirello J., Parodi R.L., Montero A., Greca A.A. Nutritional status and mortality in community acquired pneumonia. Medicina (B Aires) 2010, 70:120-126.
73. Gupta D., Lammersfeld C.A., Vashi P.G., Burrows J., Lis C.G., Grutsch J.F. Prognostic significance of Subjective Global Assessment (SGA) in advanced colorectal cancer. Eur J Clin Nutr 2005, 59:35-40.
74. Atalay B.G., Yagmur C., Nursal T.Z., Atalay H., Noyan T. Use of subjective global assessment and clinical outcomes in critically ill geriatric patients receiving nutrition support. JParenter Enteral Nutr 2008, 32:454-459.
75. Sungurtekin H., Sungurtekin U., Oner O., Okke D. Nutrition assessment in critically ill patients. Nutr Clin Pract 2008, 23:635-641.
76. Pham N.V., Cox-Reijven P.L.M., Greve J.W., Soeters P.B. Application of subjective global assessment as a screening tool for malnutrition in surgical patients in Vietnam. Clin Nutr 2006, 25:102-108.
77. Raslan M., Gonzalez M.C., Torrinhas R.S., Ravacci G.R., Pereira J.C., Waitzberg D.L. Complementarity of Subjective Global Assessment (SGA) and Nutritional Risk Screening 2002 (NRS 2002) for predicting poor clinical outcomes in hospitalized patients. Clin Nutr 2011, 30:49-53.
78. Ozkalkanli M.Y., Ozkalkanli D.T., Katircioglu K., Savaci S. Comparison of tools for nutrition assessment and screening for predicting the development of complications in orthopedic surgery. Nutr Clin Pract 2009, 24:274-280.
79. Henderson S., Moore N., Lee E., Witham M.D. Do the malnutrition universal screening tool (MUST) and Birmingham nutrition risk (BNR) score predict mortality in older hospitalised patients?. BMC Geriatr 2008, 8:26.
80. Stratton R.J., King C.L., Stroud M.A., Jackson A.A., Elia M. 'Malnutrition Universal Screening Tool' predicts mortality and length of hospital stay in acutely ill elderly. Br J Nutr 2006, 95:325-330.
81. Koifman E., Mashiach T., Papier I., Karban A., Eliakim R., Chermesh I. Proactive screening identifies alarming prevalence of malnutrition among hospitalized patients - action is needed. Nutrition 2012, 28:515-519.
82. Schiesser M., Müller S., Kirchhoff P., Breitenstein S., Schäfer M., Clavien P.A. Assessment of a novel screening score for nutritional risk in predicting complications in gastro-intestinal surgery. Clin Nutr 2008, 27:565-570.
83. Guo W., Ou G., Li X., Huang J., Liu J., Wei H. Screening of the nutritional risk of patients with gastric carcinoma before operation by NRS 2002 and its relationship with postoperative results. JGastroenterol Hepatol 2010, 25:800-803.
84. Kucukardali Y., Yazgan Y., Solmazgul E., Sahan B., Kaplan M., Yönem A. Malnutrition screening with the nutritional risk screening 2002 in internal medicine service and the intensive care unit. Anatolian J Clin Invest 2008, 2:19-24.
85. Thomas J.M., Isenring E., Kellett E. Nutritional status and length of stay in patients admitted to an acute assessment unit. JHum Nutr Diet 2007, 20:320-328.
86. Martineau J., Bauer J.D., Isenring E., Cohen S. Malnutrition determined by the patient-generated subjective global assessment is associated with poor outcomes in acute stroke patients. Clin Nutr 2005, 24:1073-1077.
87. Green S.M., Watson R. Nutritional screening and assessment tools for older adults: literature review. JAdv Nurs 2006, 54:477-490.
88. van Venrooij L.M.W., de Vos R., Borgmeijer-Hoelen A.M.M.J., Kruizenga H.M., Jonkers-Schuitema C.F., de Mol B.A.M.J. Quick-and-easy nutritional screening tools to detect disease-related undernutrition in hospital in- and outpatient settings: a systematic review of sensitivity and specificity. e-SPEN 2007, 2:21-37.
89. Mueller C., Compher C., Ellen D.M. A.S.P.E.N. clinical guidelines: nutrition screening, assessment, and intervention in adults. JParenter Enteral Nutr 2011, 35:16-24.
90. Skipper A., Ferguson M., Thompson K., Castellanos V.H., Porcari J. Nutrition screening tools: an analysis of the evidence. JParenter Enteral Nutr 2012, 36:292-298.
91. Elia M., Stratton R.J. Considerations for screening tool selection and role of predictive and concurrent validity. Curr Opin Clin Nutr Metab Care 2011, 14:425-433.
92. Elia M., Stratton R.J. An analytic appraisal of nutrition screening tools supported by original data with particular reference to age. Nutrition 2012, 28:477-494.