Blog NRS 2002

Blog NRS 2002

An update

The evidence-base for NRS 2002 should be updated.

Almost 10 years have passed since the literature was analyzed to develop NRS 2002.
Here its use is discussed, to include new aspects in the update.

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NRS 2002 in RCT

ApplicationsPosted by Jens Kondrup Tue, September 28, 2010 12:23:51

Johansen N et al. Effect of nutritional support on clinical outcome in patients at nutritional risk. Clin Nutr 2004;23:539-550.

Pubmed

Protein and energy intake of patients at nutritional risk (NRS 2002) was increased in the intervention group. Length of stay (LOS) was shorter in the intervention group among patients with complications.

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NRS 2002 + SGA

ApplicationsPosted by Jens Kondrup Mon, September 27, 2010 22:28:23

Raslan et al. Complementarity of Subjective Global Assessment (SGA) and Nutritional Risk Screening 2002 (NRS 2002) for predicting poor clinical outcomes in hospitalized patients. Clin Nutr (e-pub ahead of printing) 2010.

Pubmed

Patients who were both NRS+ and SGA C had higher rates of complicarions than patients who were NRS+ or SGA C only.
The concurrent application of SGA in NRS+ patients might enhance the ability to predict poor clinical outcomes in hospitalized patients.

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NRS 2002 and surgery II

ApplicationsPosted by Jens Kondrup Mon, September 27, 2010 22:18:10

Guo et al. Screening of the nutritional risk of patients with gastric carcinoma before operation by NRS 2002 and its relationship with postoperative results. J Gastroenterol Hepatol 2010;25:800-3.

Pubmed

Preoperative nutrition score NRS 2002 >= 3 predicted more postoperative complications and longer length of hospital stay.

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NRS 2002 and markers of protein malnutrition in geriatric patients

ApplicationsPosted by Jens Kondrup Mon, September 27, 2010 22:15:33

Drescher et al. Comparison of two malnutrition risk screening methods (MNA and NRS 2002) and their association with markers of protein malnutrition in geriatric hospitalized patients. Eur J Clin Nutr 2010;64:887-93.

Pubmed

Serum prealbumin and retinol-binding protein concentrations were inversely associated with the severity of malnutrition as indicated by the NRS (P=0.06 and <0.01, respectively).
The NRS seems to be superior compared with the MNA and serum proteins in identifying elderly patients at risk of malnutrition during acute intercurrent illness.

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NRS 2002 and nutrition support

ApplicationsPosted by Jens Kondrup Mon, September 27, 2010 22:13:16

Korfali et al. Nutritional risk of hospitalized patients in Turkey. Clin Nutr 2009;28:533-7.

Pubmed

Thirty-four hospitals from 19 cities contributed data from 29,139 patients. Only 52% of patients with nutritional risk received nutritional support.

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NRS 2002 and surgery I

ApplicationsPosted by Jens Kondrup Mon, September 27, 2010 22:09:22

Schiesser et al. Assessment of a novel screening score for nutritional risk in predicting complications in gastro-intestinal surgery. Clin Nutr 2008;27:565-70.

Pubmed

Nutritional risk screening using the NRS 2002 strongly predicts the incidence and severity of complications after surgery.

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NRS 2002 and outcome

ApplicationsPosted by Jens Kondrup Mon, September 27, 2010 22:07:12

Sorensen al. EuroOOPS: an international, multicentre study to implement nutritional risk screening and evaluate clinical outcome. Clin Nutr 2008;27:340-9.

Pubmed

Of the 5,051 study patients, 32.6% were defined as 'at-risk' by NRS-2002. 'At-risk' patients had more complications, higher mortality and longer lengths of stay than 'not at-risk' patients and these variables were significantly related to components of NRS-2002, also when adjusted for confounders.

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NRS 2002 and handgrip strength

ApplicationsPosted by Jens Kondrup Mon, September 27, 2010 20:54:02

Matos et al. Handgrip strength as a hospital admission nutritional risk screening method. Eur J Clin Nutr 2007;61:1128-35.

Pubmed

Patients identified as undernourished by NRS-2002 (37.9%) were older, shorter and lighter, with a lower functional capacity, a longer length of stay and a lower HGS (P<0.001). When comparing patients with lower HGS (first quartile) with those with the highest HGS (fourth quartile), this parameter revealed good sensitivity (86.7%) and specificity (70.2%) and a k=0.56.

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