Use of 3 tools to assess nutrition risk in the intensive care unit.

@article{Coltman2015UseO3,
  title={Use of 3 tools to assess nutrition risk in the intensive care unit.},
  author={Anne Coltman and Sarah J. Peterson and Kelly Roehl and Hannah Roosevelt and Diane C Sowa},
  journal={JPEN. Journal of parenteral and enteral nutrition},
  year={2015},
  volume={39 1},
  pages={
          28-33
        }
}
BACKGROUND Identifying patients at nutrition risk proves difficult in the intensive care unit (ICU) due to the nature of critical illness. No consensus exists on the most appropriate method to identify these patients. Traditional screens and assessments are often limited due to their subjective nature. The purpose of the quality improvement project was to compare proportions of ICU patients deemed at nutrition risk using 3 different tools. MATERIAL AND METHODS A convenience sample of 294… 

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  • L. HillerLauri S Metzger
  • Medicine
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  • 2019
Trialing several tools to identify their efficacy and reliability individual setting may help determine the most appropriate tool to utilize for your patient population and specific goals.
...

References

SHOWING 1-10 OF 13 REFERENCES

Nutrition assessment: the reproducibility of Subjective Global Assessment in patients requiring mechanical ventilation

SGA can serve as a reliable nutrition assessment technique for detecting malnutrition in patients requiring MV and its routine use should be incorporated into future studies and clinical practice.

Identifying critically ill patients who benefit the most from nutrition therapy: the development and initial validation of a novel risk assessment tool

This scoring algorithm may be helpful in identifying critically ill patients most likely to benefit from aggressive nutrition therapy in the intensive care unit (ICU), and based on the statistical significance in the multivariable model, the final score used all candidate variables except BMI.

What is subjective global assessment of nutritional status?

It is concluded that SGA can easily be taught to a variety of clinicians (residents, nurses), and that this technique is reproducible.

Early indicators of prolonged intensive care unit stay: Impact of illness severity, physician staffing, and pre–intensive care unit length of stay

Patients with high WHD, and thus high costs, can be identified early if some factors could be modified, and the latter two factors are potentially modifiable and deserve prospective study.

Malnutrition syndromes: a conundrum vs continuum.

An updated approach that incorporates current understanding of the systemic inflammatory response to help guide assessment, diagnosis, and treatment of malnutrition syndromes is proposed and an appreciation of a continuum of inflammatory response in relation to malnutrition.