Proqress in the application of nutritional screening and nutritional assessment tools in perioperative elderly patients
The elderly population with aging body and organ function will gradually decline,and in the decline at the same time,the body will also lose a large amount of nutrients,coupled with the disease,resulting in the incidence of malnutrition climbed.Nutritional screening and nutritional assessment have not been well popularized and standardized in clinical practice,and the tools suitable for nutritional screening and assessment of perioperative elderly patients have not been standardized,which to a certain extent hinders the rehabilitation process of elderly patients and has become a hot issue of concern for doctors and patients.In this study,the advantages and disadvantages of seven common nutritional screening tools(NRS2002,MUST,MST,NRI,GNRI,MEONF-Ⅱ,and PONS)and five nutritional assessment tools(MNA,MNA-SF,SGA,PG-SGA and NUFFE)in terms of their generation,con-tent,applicability,and application were sorted out and summarized.Among the screening tools,NRS2002 was found to be the most commonly used in the clinic,and its reliability and validity had been verified;GNRI was a special nutritional screening tool for the elderly,and PONS was a special nutritional screening tool for perioperative patients,but their applications in the clinic were relatively small,and their efficacy needed to be further examined.Among the nutritional assessment tools,MNA is more suitable for community people over 65 years old,SGA is suitable for general adult patients,and PG-SGA is more suitable for oncology patients,and all of them are more widely used in clinical practice.The remaining scales are less used in clinical practice and their applicability and effi-cacy have not been clearly confirmed.This study aims to provide a reference for choosing appropriate nutritional screening and assess-ment tools for elderly patients in the perioperative period,as well as a reference for subsequent research on relevant consensus and standards in clinical.
万方数据
维普
