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Searching for a nutritional screening tool. The value of an analytical method when staff trained in clinical
Jesús Manuel Morán-López1, María Piedra León2, Fidel Jesús Enciso Izquierdo3
1Sección Endocrinología y Nutrición, Hospital Virgen del Puerto, Plasencia, Spain.
Introduction:
Disease-related malnutrition (DRM) is highly prevalent. Various European resolutions urge to screen and treat DRM. No policy in this regard has yet been developed in Extremadura (Spain).
Objectives:
To assess the prevalence of DRM (defined as NRS 2002≥3) using an analytical method (FILNUT), and to compare it with the official rate.
Results:
FILNUT scores≥3 showed values of sensitivity (S) and positive predictive value (PPV) of 82.3% and 72.3% respectively. No statistically significant differences were found between men and women using this tool. FILNUT showed a significantly higher sensitivity for detecting malnutrition in medical - as compared to surgical - diseases when low scores were used. The estimated prevalence of DRM was 21.4%. Prevalence of DRM is much greater than officially reported.
Conclusions:
FILNUT scores≥3 show high sensitivity and PPV for detecting DRM, and is a good alternative as a nutritional screening tool to detect malnutrition at our center.
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