Original Article

The Nutritional Risk Screening 2002 tool for detecting malnutrition risk in hospitalised patients: Perspective from a developing country

Volume 25 · Issue 6 Publish Date: December 15, 2014
Hale Gökcan Haldun Selçuk Emin Töre Pınar Gülseren Hatice Cambaz Şeniz Sarıtaş Ruhsen Öcal Özgür Başaran Uğur Yılmaz Ebru Akın
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Published In

Turkish Journal of Gastroenterology

Volume 25 · Issue 6

Pages: 718-723

History

Published Online: December 15, 2014

Copyright © 2014 Hale Gökcan, Haldun Selçuk, Emin Töre, Pınar Gülseren, Hatice Cambaz, Şeniz Sarıtaş, Ruhsen Öcal, Özgür Başaran, Uğur Yılmaz, Ebru Akın

Hale Gökcan
Department of Gastroenterology, Ankara Yüksek İhtisas Research and Training Hospital, Ankara, Turkey
Haldun Selçuk
Department of Gastroenterology, Başkent University School of Medicine, Ankara, Turkey
Emin Töre
Department of Family Medicine, Başkent University Faculty of Medicine, Ankara, Turkey
Pınar Gülseren
Nutritional Support Team, Başkent University Faculty of Medicine, Ankara, Turkey
Hatice Cambaz
Nutritional Support Team, Başkent University Faculty of Medicine, Ankara, Turkey
Şeniz Sarıtaş
Department of Internal Medicine, Başkent University Faculty of Medicine, Ankara, Turkey
Ruhsen Öcal
Department of Neurology, Başkent University Faculty of Medicine, Ankara, Turkey
Özgür Başaran
Departments of General Surgery, Başkent University Faculty of Medicine, Ankara
Uğur Yılmaz
Department of Gastroenterology, Başkent University Faculty of Medicine, Ankara, Turkey
Ebru Akın
Department of Gastroenterology, Başkent University Faculty of Medicine, Ankara, Turkey
Gökcan, H., Selçuk, H., Töre, E., Gülseren, P., Cambaz, H., Sarıtaş, Şeniz, … Akın, E. (2014). The Nutritional Risk Screening 2002 tool for detecting malnutrition risk in hospitalised patients: Perspective from a developing country. Turkish Journal of Gastroenterology, 25(6), 718–723. https://doi.org/10.5152/tjg.2014.6651
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Abstract

Abstract Background/Aims: To verify the validity of the Nutritional Risk Screening (NRS) 2002 test in a Turkish population. Materials and Methods: We prospectively investigated 2566 patients at a tertiary referral hospital. Nutritional status was screened using NRS 2002, and the length of the stay (LOS) was the main outcome measure. Hospital stays >10 days were accepted as prolonged LOS. NRS scores ≥3 were accepted as indicating risk for malnutrition. Statistical analyses were performed to determine the independent risk factors for malnutrition risk and prolonged LOS. Results: The mean age of patients was 56.6±16.9 years. According to the NRS 2002, 964 patients (37.6%) were without risk, 1320 (51.4%) warranted surveillance and 282 (11%) were at high risk for malnutrition. Malnutrition rate was the highest in the intensive care unit (22.01%). Prolonged LOS was seen in 24.4% of patients. Intensive care unit stay [odds ratio (OR): 0.585; confidence interval (CI): 1.45-2.22; p<0.001] and an NRS score ≥3 (OR: 0.88; CI: 1.87-3.13; p<0.001) were independent risk factors for prolonged LOS. Conclusion: Improving healthcare outcomes while avoiding preventable healthcare costs is an important goal of healthcare provision in developing countries. NRS 2002 was predictive of LOS, and thus, of patient prognosis. Further community-based studies are warranted to assess the impact of NRS 2002 on reducing healthcare costs.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 25 · Issue 6
Pages 718-723
DOI 10.5152/tjg.2014.6651
History
Published Online December 15, 2014
Copyright
Copyright (c) 2014 Hale Gökcan, Haldun Selçuk, Emin Töre, Pınar Gülseren, Hatice Cambaz, Şeniz Sarıtaş, Ruhsen Öcal, Özgür Başaran, Uğur Yılmaz, Ebru Akın
Affiliations
Hale Gökcan
Department of Gastroenterology, Ankara Yüksek İhtisas Research and Training Hospital, Ankara, Turkey
Haldun Selçuk
Department of Gastroenterology, Başkent University School of Medicine, Ankara, Turkey
Emin Töre
Department of Family Medicine, Başkent University Faculty of Medicine, Ankara, Turkey
Pınar Gülseren
Nutritional Support Team, Başkent University Faculty of Medicine, Ankara, Turkey
Hatice Cambaz
Nutritional Support Team, Başkent University Faculty of Medicine, Ankara, Turkey
Şeniz Sarıtaş
Department of Internal Medicine, Başkent University Faculty of Medicine, Ankara, Turkey
Ruhsen Öcal
Department of Neurology, Başkent University Faculty of Medicine, Ankara, Turkey
Özgür Başaran
Departments of General Surgery, Başkent University Faculty of Medicine, Ankara
Uğur Yılmaz
Department of Gastroenterology, Başkent University Faculty of Medicine, Ankara, Turkey
Ebru Akın
Department of Gastroenterology, Başkent University Faculty of Medicine, Ankara, Turkey
Cite this Article
Gökcan, H., Selçuk, H., Töre, E., Gülseren, P., Cambaz, H., Sarıtaş, Şeniz, … Akın, E. (2014). The Nutritional Risk Screening 2002 tool for detecting malnutrition risk in hospitalised patients: Perspective from a developing country. Turkish Journal of Gastroenterology, 25(6), 718–723. https://doi.org/10.5152/tjg.2014.6651
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