A local nutritional screening tool compared to malnutrition universal screening tool

Gerasimidis, K. , Drongitis, P., Murray, L., Young, D. and McKee, R.F. (2007) A local nutritional screening tool compared to malnutrition universal screening tool. European Journal of Clinical Nutrition, 61(7), pp. 916-921. (doi:10.1038/sj.ejcn.1602593)

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Publisher's URL: http://dx.doi.org/10.1038/sj.ejcn.1602593

Abstract

<p><b>Objective:</b> The aim of the study was to compare the Glasgow Nutritional Screening Tool with the Malnutrition Universal Screening Tool (MUST) recently recommended for use by the British Association for Parenteral and Enteral Nutrition.</p> <p><b>Design:</b> Comparison-validation study.</p> <p><b>Setting:</b> Four adult acute hospitals in Glasgow, UK.</p> <p><b>Subjects:</b> All 242 in-patients from a variety of specialties.</p> <p><b>Methods:</b> Two investigators independently interviewed 202 in-patients for the comparison-validation study. Each used a single tool with each patient, using each tool in turn. Investigators were not aware of each other's assessments. Forty other patients were interviewed by both raters separately using the local tool to evaluate inter-rater reliability.</p> <p><b>Results:</b> When compared with MUST as a 'gold standard', the local tool had a sensitivity of 95.3% and a specificity of 64.9%, with moderate agreement between the two tools using kappa test (=0.57). Agreement between the raters was substantial (=0.69) with 85% of patients classified the same by both raters.</p> <p><b>Conclusion:</b> The Glasgow Nutritional Screening Tool is a valid and reliable tool that can be used on admission for nutritional screening.</p>

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:McKee, Dr Ruth and Murray, Dr Lilian and Young, Professor Daniel and Gerasimidis, Dr Konstantinos
Authors: Gerasimidis, K., Drongitis, P., Murray, L., Young, D., and McKee, R.F.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:European Journal of Clinical Nutrition
ISSN:0954-3007
ISSN (Online):1476-5640
Published Online:31 January 2007

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