Use of the malnutrition screening tool by non-dietitians to identify at-risk patients in a rehabilitation setting: A validation study

Nutrition & Dietetics : the Journal of the Dietitians Association of Australia
Paulina WesterLeanne Bisset

Abstract

Malnutrition is highly prevalent in rehabilitation patients, and screening is important to allow for timely intervention to reduce the incidence of adverse clinical outcomes. We aimed to determine the reliability and validity of the commonly employed malnutrition screening tool by non-dietitian staff in categorising patients at risk of malnutrition in the rehabilitation setting. This prospective observational cohort study recruited 100 participants on admission to a rehabilitation ward. The malnutrition screening tool was applied by nursing staff and repeated by nutrition assistants. Results were compared to malnutrition as determined by dietitian-applied subjective global assessment of each patient. Inter-rater reliability tests were conducted with two dietitians, two nutrition assistants and two nurses independently but simultaneously recording malnutrition screening tool scores on a subgroup of 15 participants. Agreement between dietitian-determined malnutrition and risk as identified by nutrition assistant and nursing staff screening tool application was only modest (64% and 51%, respectively). While both professions met the a priori criteria for acceptable specificity (≥60%), neither met the criterion for adequate sensitiv...Continue Reading

References

Jan 1, 1987·JPEN. Journal of Parenteral and Enteral Nutrition·A S DetskyK N Jeejeebhoy
Sep 14, 2001·Journal of Advanced Nursing·C C ChenC H Lyder
Jul 26, 2003·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·J KondrupUNKNOWN Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN)
Apr 20, 2006·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Elisabeth IsenringBogda Koczwara
Dec 17, 2009·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·E A IsenringD Gaskill
Oct 6, 2010·The Journal of Nutrition, Health & Aging·K E CharltonM Milosavljevic
Jan 12, 2011·Journal of Clinical Nursing·Diana JefferiesJennifer Ravens
Mar 19, 2011·Clinical Medicine : Journal of the Royal College of Physicians of London·John Saunders, Trevor Smith
Jul 31, 2013·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·J J BellS Capra
Dec 3, 2013·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·S MarshallE Isenring
Jan 17, 2014·Journal of the American Geriatrics Society·Jack J BellRanjeev C Pulle

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Asia Pacific Journal of Clinical Nutrition
Surat KomindrgPoolsuk Janepanish
Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Elisabeth IsenringBogda Koczwara
© 2022 Meta ULC. All rights reserved