Comparison of a Novel Brief Nutrition Screening Tool and the Nutrition Subjective Global Assessment at Bach Mai Hospital (BMH), Hanoi, Vietnam

Abstract

MethodsA cross‐sectional, retrospective chart review of 300 adults admitted to the ICU, nephrology or endocrinology wards between 9‐12/2013. Data included questions from a novel screening tool (Fig. 1), questions from the SGA (weight change, change in dietary intake, gastrointestinal symptoms), ward, current age, height, weight, gender; and usual body weight. Patients with SGA score B or C were considered at risk for malnutrition. Sensitivity, specificity, and ROC analyses were performed.Results300 inpatients age 47.5 ± 13.7 y were studied, 171 (57%) were male, 120 (40%) were admitted to the endocrinology ward, 120 (40%) to the nephrology ward, and 60 (20%) to the ICU. Rates of underweight, moderate and severe thinness were 16.7%, 6.7%, and 5%. For patients with SGA score B or C, sensitivity of the novel screening tool was 83.3%, specificity 86.7%. Area Under Curve (AUC) was 0.85. Oral intake 蠄 50% than typical was also predictive of SGA score B or C, sensitivity 80.8%, specificity 79.4%, AUC 0.80. Other combinations of parameters were studied, but AUC were well below 0.80.ConclusionThis brief novel nutrition screening tool may be clinically relevant in hospitals in Vietnam. imageSupport provided by Abbott Fund.