2015年ESPEN营养不良（不足）诊断共识、营养风险及误区

Re-understanding of the concept of nutritional risk from the misunderstanding of 2015 ESPEN consensus statement on diagnostic criteria for malnutrition （undernutrition）

2015年欧洲肠外肠内营养学会发表了较新的营养不良诊断标准的专家共识，对于统一专业认识、简化诊断程序具有一定的积极意义。文章中多次提到了“nutritional risk”，“malnutrition risk”，“atrisk of malnutrition”等名词，并且呼吁将“atrisk of malnutrition”纳入国际疾病分类标准名词范围，并且作为疾病诊断相关组支付系统的一部分。但对于以上几个概念的理解与应用似乎有所疏漏。本文对不同筛查工具对“risk”的定义进行重新解读，以明确概念，正确应用。

In 2015, an ESPEN consensus statement was published on updated diagnostic criteria for malnutrition, which is important for unification of the definition and simplification of the diagnostic procedure. In the statement, ＂nutritional risk＂, ＂malnutrition risk＂, and ＂at risk of malnutrition＂ were referred to for several times, and ＂at risk of malnutrition＂ was proposed to be included in International Classification of Diseases Codes and reimbursed in the diagnosis-related group systems. However, there may be some mistakes in under- standing and application of the concepts mentioned above. In the article, we aim to explain the definition of ＂risk＂ in different screening tools in order to clarify the definition for correct use.