The Practice of Nutrition Risk Screening, Nutrition Status Assessment, and Nutrition Support Action (NRASA) in Hospitalized Patients

Pub Date : 2023-07-01 DOI:10.1097/TIN.0000000000000311
Jie Zheng, Feng-mei Yu, Yingyi Chen, Fu Ming, Zhiyong Rao
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Abstract

The aim of this study was to investigate the prevalence of nutritional risk and malnutrition through the Nutrition Risk Screening, Nutrition Status Assessment, and Nutrition Support Action (NRASA) protocol. A total of 325 140 patients were screened, and 59 122 adults (19.31%) and 9154 children (48.38%) were considered to be “at nutritional risk.” The prevalence of nutritional risk was 18.60% (306 220 patients) based on Nutritional Risk Screening 2002 (NRS2002), and 95.62% (2687 patients) by the Mini-Nutritional Assessment Short-Form (MNA-SF). Almost 67% of 23 805 adult patients were identified to be malnourished. The prevalence of malnutrition was 47.34% (6227 patients) based upon the Subjective Global Assessment (SGA), 69.86% (2687 patients) by the Mini-Nutritional Assessment (MNA) and 97.92% (7689 patients) by the Patient-Generated Subjective Global Assessment (PG-SGA). The NRASA protocol showed that the nutritional care process can be successfully implemented to confer adequate and timely nutritional therapy for malnourished patients.
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住院患者营养风险筛查、营养状况评估及营养支持行动的实践
本研究的目的是通过营养风险筛查、营养状况评估和营养支持行动(NRASA)方案调查营养风险和营养不良的流行情况。共有325140名患者接受了筛查,其中59 122名成人(19.31%)和9154名儿童(48.38%)被认为“有营养风险”。基于营养风险筛查2002 (NRS2002)的营养风险患病率为18.60%(306 220例),基于迷你营养评估简表(MNA-SF)的营养风险患病率为95.62%(2687例)。在23 805名成年患者中,近67%被确定为营养不良。主观总体评价(SGA)的营养不良发生率为47.34%(6227例),微营养评价(MNA)的营养不良发生率为69.86%(2687例),患者主观总体评价(PG-SGA)的营养不良发生率为97.92%(7689例)。NRASA方案表明,营养护理过程可以成功实施,为营养不良患者提供充分和及时的营养治疗。
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