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Nutritional Medicine and Diet Care ISSN: 2572-3278

Citation

Susetyowati, Hadi H, Hakimi M, Asdie AH (2018) Comparison of Nutrition Screening and Assessment Parameters in Predicting Length of Hospital Stay. J Nutri Med Diet Care 4:030. doi.org/10.23937/2572-3278.1510030

Copyright

© 2018 Susetyowati, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

RESEARCH ARTICLE | OPEN ACCESS DOI: 10.23937/2572-3278.1510030

Comparison of Nutrition Screening and Assessment Parameters in Predicting Length of Hospital Stay

Susetyowati1*, Hamam Hadi2, Mohammad Hakimi3 and Ahmad Husain Asdie3

1Department of Nutrition and Health, Universitas Gadjah Mada, Indonesia

2Alma Ata University, Indonesia

3Department of Internal Medicine, Universitas Gadjah Mada, Indonesia

Abstract

Background and objective

To compare the accuracy of five nutritional screening tools and to assess the most effective parameters in predicting Length of Hospital Stay (LOS).

Method

Prospective cohort study in Dr. Sardjito General Hospital, the central hospital in Yogyakarta Province, Indonesia. Subjects are 326 adult patients within 48 hours of hospital admission. We using The Simple Nutrition Screening Tool (SNST), Nutritional Risk Screening-2002 (NRS-2002), Malnutrition Screening Tool (MST), Malnutrition Universal Screening Tool (MUST) and Short Nutritional Assessment Questioner (SNAQ), and Nutritional Assessment (anthropometric and biochemical measurements).

Results

The SNST, NRS-2002, MST, MUST, and SNAQ identified nutritional risk in 51%; 55%; 34%; 60% and 38% of the patients, respectively. The SNST obtained the highest level of discrimination (0.87) compared to NRS-2002 (0.73), MST (0.77), MUST (0.76), and SNAQ (0.78). Patients at risk of malnutrition compared to those who are not, had a lower average value of Body Mass Index (BMI), Mid Upper Arm Circumference (MUAC), albumin, Haemoglobin (Hb) and significantly higher Length of Stay (LOS) based on five Nutritional Screening Tools, except for the SNAQ. Malnutrition was associated with longer LOS with the highest value of Relative Risk (RR) were the SNST for Nutritional Screening Tools (1.76) and albumin for nutritional assessment parameters (1.37).

Conclusion

All the nutritional screening and assessment parameters can predict Length of Hospital Stay in patients but, the most appropriate one is the SNST.