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Improving Malnutrition Screening among Hemodialysis Patients.
Sharma Parpia, Arti; Valenzano, Teresa J; Bosma, Rachael; Bavota, Brianna; Deveaux, Gabrielle; Wald, Ron; Bradley, Kimberley.
Afiliación
  • Sharma Parpia A.; St. Michael's Hospital, Unity Health Toronto, Toronto, ON.
  • Valenzano T.J.; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON.
  • Bosma R.; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON.
  • Bavota B.; Interprofessional Practice Based Research, Unity Health Toronto, Toronto, ON.
  • Deveaux G.; Health Disciplines Practice & Education, Unity Health Toronto, Toronto, ON.
  • Wald R.; Interprofessional Practice Based Research, Unity Health Toronto, Toronto, ON.
  • Bradley K.; St. Michael's Hospital, Unity Health Toronto, Toronto, ON.
Can J Diet Pract Res ; : 1-4, 2024 Jul 10.
Article en En | MEDLINE | ID: mdl-38985950
ABSTRACT
Individuals receiving hemodialysis are at increased risk of malnutrition; however, regular diagnosis of malnutrition using subjective global assessment (SGA) is time-consuming. This study aimed to determine whether the Canadian Nutrition Screening Tool (CNST) or the Geriatric Nutrition Risk Index (GNRI) screening tools could accurately identify hemodialysis patients at risk for malnutrition. A retrospective medical chart review was conducted for in-centre day shift hemodialysis patients (n = 95) to obtain the results of the SGA assessment and the CNST screener and to calculate the GNRI score. Sensitivity and specificity analyses showed only a fair agreement between the SGA and CNST (sensitivity = 20%; specificity 96%; κ = .210 (95% CI, -0.015 to .435), p < .05) and between the SGA and GNRI (sensitivity = 35%; specificity = 88%; κ = .248 (95% CI, .017 to .479), p < .05). There was no significant statistical difference between the accuracy of either tool in identifying patients at risk of malnutrition (p = .50). The CNST and GNRI do not accurately screen for risk of malnutrition in the hemodialysis population; therefore, further studies are needed to determine an effective malnutrition screening tool in this population.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Can J Diet Pract Res Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2024 Tipo del documento: Article Pais de publicación: Canadá
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Can J Diet Pract Res Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2024 Tipo del documento: Article Pais de publicación: Canadá