Nutritional risk with nrs2002 scores greater than a few

NRS2002 score greater than 3 is nutritional risk.

Nutrition Risk Screening 2002 (NRS2002) is a screening tool recommended by the European Society for Parenteral Enteral Nutrition (ESPEN) in 2002. The Nutrition Risk Screening (NRS) is a simple screening method administered by healthcare professionals to determine the need to develop or implement a parenteral enteral nutrition support program.

Since the beginning of 2005, the National Collaborative Group of the Chinese Medical Association's Section on Parenteral and Enteral Nutrition (CMA) has been carrying out specific work on nutrition risk screening. Except for the body mass index, which adopts the domestic standard 18,5, the methodology is consistent with that of Europe. It was applied to 15,098 hospitalized patients in 19 tertiary-level A hospitals in 13 cities across China from 2005 to 2006, and practical experience was gained. The tool is now a better nutritional risk screening tool that can be used in China.

Quality control:

1. Patients gave informed consent to participate. The significance of nutritional risk screening needs to be explained, with no additional cost, no trauma, and only height and weight measurements and a small number of questions asked.

2. The date of admission, name, sex, age (specific to years), ward, bed, medical record number, and contact phone number were all filled out according to the admission record.

3, admission diagnosis: in accordance with the diagnosis described in the 24h admission record. If the same with the listed diseases in the corresponding column to tick; if different to the table listed in the diagnosis close to give the score. The classification of the degree of nutritional requirement of the disease is according to the results of a randomized controlled clinical study. Diseases for which a diagnosis was not explicitly listed were rated according to the investigator's understanding using the following criteria.

Score 1: A patient with a chronic disease is hospitalized for complications. The patient is weak but not bedridden. Protein requirements are slightly increased but can be compensated for by oral intake and rehydration.

2 points: The patient needs to be bedridden, e.g., after major abdominal surgery, and protein requirements increase accordingly, but most people can still recover with nutritional support.

3 points: the patient is supported by mechanical ventilation in an intensive ward, where protein requirements increase and are not compensated for by nutritional support, but protein breakdown may be reduced by nutritional support.

4, pay attention to the measurement of height in the morning without shoes, the actual weight should be measured as far as possible on an empty stomach, wearing ward clothes, without shoes. Measured values are accurate to 0.5cm for height and 0.5kg for weight, and BMI is calculated (to 1 decimal place).

5. Whether the weight has decreased recently (1 to 3 months). First ask the patient if there is a recent change in weight, if there is a decrease, and if there is a decrease and it is more than 5%, ask if it is within 3 months or 2 months or still within 1 month.

6. Whether the amount of food eaten in 1 week has decreased. Ask about the change in the amount of food eaten in the last 1 week, whether it has decreased by 1/4, 1/2 or more than 3/4.

7. In the impaired nutritional status score, the highest score of each item is taken as the score.