NRS2002和MUST对老年结肠肿瘤患者营养状况的评估价值
Evaluation value of NRS2002 and MUST on nutritional status of elderly colon tumor patients
程希玥 1李忠辉 2蒋静静 2米孟琦 1张雯齐 1张润石 1李金玉2
作者信息
- 1. 063000 河北省唐山市,华北理工大学临床医学院
- 2. 华北理工大学附属医院
- 折叠
摘要
目的 比较营养风险筛查2002(NRS2002)和营养不良通用筛查工具(MUST)在评估老年结肠肿瘤手术患者营养状况中的效能.方法 对2018年1月-2023年1月该院诊断结肠肿瘤且行手术治疗的老年患者的临床资料进行回顾性研究,分别用NRS2002和MUST进行营养风险评估,通过Kappa-致性检验分析NRS2002与MUST评估结果的一致性.结果 全球领导人营养不良倡议标准(GLIM)作为营养不良金标准,726例老年结肠肿瘤手术患者中营养不良发生率是52.2％.NRS2002和MUST评估老年结肠肿瘤手术患者预测营养不良风险比例相似(分别为55.5％和54.5％).GLIM和NRS2002在诊断营养不良表现出较低的一致性水平(Kappa值为0.496,P=0.032).GLIM和MUST在诊断营养不良表现出中等一致性水平(Kappa值为0.604,P=0.030).结论 NRS2002与MUST均可评估老年结肠肿瘤手术患者的营养状况,但MUST明显优于NRS2002.
Abstract
Objective To compare the efficacy of Nutritional Risk Screening 2002(NRS2002)and Malnutrition Universal Screening Tools(MUST)in nutritional status of elderly patients with colon tumor undergoing sur-gery.Methods A retrospective study was conducted to clinical data of elderly patients diagnosed with colon tumor and undergoing surgical treatment in North China University of Science and Technology Affiliated Hospital from January 2018 to January 2023.NRS2002 and MUST models were used to assess the nutritional risk of hospitalized patients,and the consistency of results was analyzed through Kappa consistency test.Re-sults The Global Leadership Initiative on Malnutrition(GLIM)is the gold standard for malnutrition,and the incidence of malnutrition in seven hundred and twenty-six elderly patients undergoing colon tumor surgery is 52.2％.NRS2002 and MUST assessments were similar in predictive risk of malnutrition in elderly patients un-dergoing colon tumor surgery(55.5％and 54.5％,respectively).GLIM and NRS2002 showed low consistency in diagnosing malnutrition(Kappa=0.496,P=0.032).GLIM and MUST showed moderate consistency in di-agnosing malnutrition(Kappa=0.604,P=0.030).Conclusion Both NRS2002 and MUST can be used to e-valuate the nutritional status of elderly patients with colon tumor undergoing surgery,but MUST is signifi-cantly better than NRS2002.
关键词
结肠肿瘤/营养不良/营养风险模型Key words
Colon tumor/Malnutrition/Nutritional risk model引用本文复制引用
基金项目
河北省财政厅学科带头人计划(361036)
出版年
2024
NETL
NSTL
万方数据