NutriScreen

GLIM

Phenotypic criteria

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Etiologic criteria

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Determine Malnutrition Severity: phenotypic criteria

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Evaluation

GLIM

GLIM

No Malnutrition

Stage 1

Moderate Malnutrition

  • Detailed assessment and cause clarification of malnutrition
  • Dietitian examines the indication for nutritional therapy in a multiprofessional setting.
  • Record diagnosis of malnutrition according to ICD.
  • Ensure measures and processes up to coding.

An evidence-based therapeutic algorithm for management of malnutrition can be found "here".

Stage 2

Severe Malnutrition

  • Detailed assessment and cause clarification of malnutrition
  • Dietitian examines the indication for nutritional therapy in a multiprofessional setting.
  • Record diagnosis of malnutrition according to ICD.
  • Ensure measures and processes up to coding.

An evidence-based therapeutic algorithm for management of malnutrition can be found "here".

Subjektive Einschätzung

Calculate nutritional goals

Information NutriScreen

Recognised/validated and commonly used screening tools to identify patients with manifest malnutrition or at increased risk of malnutrition

Nutrition therapy starts with the identification of patients with an increased risk of malnutrition. There are various "screening tools" recognised in medical practice for this purpose. The European Society for Clinical Nutrition and Metabolism (ESPEN) recommends the use of the Nutritional Risk Screening 2002 (NRS-2002). The treatment team should perform the screening within 24 h after hospital admission. With this application, the NRS-2002 can be easily calculated online 1.
The NRS-2002 quantifies the risk of malnutrition in adults based on nutritional status disorder (BMI, weight loss, food intake), severity of illness and age over 70 years on a scoring scale of 0-7:

  • NRS ≤2: Currently no risk of malnutrition requiring treatment.
  • NRS ≥3: Increased risk of malnutrition, initiate the following measures recommended:
  1. Detailed assessment and cause clarification of malnutrition.
  2. Nutritional counselling checks the indication for nutritional therapy in a multiprofessional setting.
  3. Record the diagnosis of malnutrition according to ICD ("International Classification of Diseases") and ensure coding.

References

  1. Kondrup J, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003;22(3):321-36.

List of abbreviations

BMI Body Mass Index
ESPEN  European Society for Clinical Nutrition and Metabolism
ICD International Statistical Classification of Diseases and Related Health Problems
NRS Nutritional Risk Screening