Application of European nutritional risk screening on inpatients from department of neurology

Abstract

Objective To evaluate the feasibility of European nutritional risk screening (NRS2002) on inpatients from our department of neurology,and investigate the incidence rate of nutritional risk,malnutrition,overweight and obesity of inpatients from department of neurology and neurosurgery.Methods 817 cases of patients were investigated,those who reached NRS2002 standard were graded on the next day of admission,and those who could not had exact BMI because they were not able to stand or had hydroncus had ALB test on the next day of admission.Patients' adjustment to NRS2002 was analyzed and nutritional risk,malnutrition,overweight and obesity were compared between department of neurology and neurosurgery.Results In department of neurology,the rate of complete adaption was 42.02％,incomplete adaption was 47.89％,and none adaption was 11.93％.while in the department of neurosurgary,the rate of complete adaption was 43.38％,incomplete adaption was 33.82％,and none adaption was 22.79％.The difference was statistically significant (x2 =20.331,P ＜ 0.01).The incidence rate of nutritional risk was 48.33％ in department of neurology and 30.48％ in the department of neurosurgery,and the difference was statistically significant (x2 =19.017,P ＜ 0.01).And the differences of incidence rate of malnutrition,overweight and obesity had no statistical significance between the department of neurology and neurosurgery (P ＞ 0.05).Conclusions NRS-2002 can be applied on patients from department of neurology,but data collection is affected because many patients cannot stand or have normal communication due to diseases,thus deviation may cause incomplete adaption or none adaption.Patients from department of neurology are more suitable to NRS2002 than those from department of neurosurgery and their incidence rate of nutritional risk is higher. Key words: Inpatients; Department of neurology; European nutritional risk screening; Malnutrition; Nutritional risk