欧洲营养风险筛查2002在老年非重症骨科住院患者营养风险筛查中的应用

Application of Nutritional Risk Screening 2002 in elderly orthopedics inpatients without severe diseases

目的探讨欧洲营养风险筛查2002(NRS2002)在老年非重症骨科住院患者中的应用效果。方法利用NRS2002、主观全面营养评价法(SGA)、身体组成评价法(BCA)对63例老年非重症骨科住院患者进行营养风险筛查,以微型营养评价法(MNA)作为标准,考察各种评价方法的营养风险筛查结果、灵敏度、特异度和Kappa值,并绘制受试者工作特征曲线(ROC曲线),计算ROC曲线下面积。结果 NRS2002、BCA和SGA营养风险筛查的灵敏度分别为26.09%、86.96%和43.45%。NRS2002、SGA和BCA的Kappa值分别为0.309、0.494和0.554,ROC曲线下面积分别为0.630、0.717和0.776。结论 NRS2002用于老年非重症骨科住院患者营养风险筛查的灵敏度较低,与MNA的一致性不够理想。

Objective To investigate the application of Nutritional Risk Screening 2002(NRS2002) in elderly orthopedics inpatients without severe diseases. Methods Nutritional risk screening was performed in 63 elderly orthopedics inpatients without severe diseases by NRS2002,Subjective Globe Assessment(SGA) and Body Composition Assessment(BCA).With Mini Nutrition Assessment(MNA) as criteria,the nutritional risk screening result,sensitivity,specificity and Kappa value of each evaluation method were assessed,and receiver operating characteristic curves(ROC) were drafted for calculation of areas under the curves. Results The sensitivity of NSR2002,BCA and SGA in nutrition risk screening was 26.09%,86.96% and 43.45% respectively.Kappa values of NRS2002,SGA and BCA were 0.309,0.494 and 0.554 respectively,and areas under the ROC were 0.630,0.717 and 0.776 respectively. Conclusion The sensitivity of NSR2002 in nutrition risk screening in elderly orthopedics inpatients without severe diseases is relatively lower,and is not well consistent with MNA.