title: A Comparison of the Nutritional Risk Screening 2002 Tool With the Subjective Global Assessment Tool to Detect Nutritional Status in Chinese Patients Undergoing Surgery With Gastrointestinal Cancer.
abstract: The objectives of this study were to describe the nutritional status of Chinese patients with gastrointestinal cancer undergoing surgery and to compare the ease of use, diversity, and concordance of the Nutritional Risk Screening 2002 with the Subjective Global Assessment in the same patients. A total of 280 gastrointestinal cancer patients admitted for elective surgery were evaluated by the Nutritional Risk Screening 2002 (NRS 2002) and Subjective Global Assessment (SGA) tools within 48 hours of admission from April to October 2012. Related opinions about ease of using the tools were obtained from 10 nurses. The prevalence of patients at nutritional risk with the SGA and NRS 2002 was 33.9% and 53.2% on admission. In the total group, ≤70 age group, and >70 age group, respectively, consistency was observed in 214 (76.4%), 175 (91.1%), and 39 (44.3%); and kappa values were 0.54 (p < .001), 0.81 (p < .001), and 0.085 (p = .096). McNemar paired chi-square test showed a significant difference between the NRS 2002 and SGA in the total group and >70 age group (p < .001); however, no difference was observed in the ≤70 age group (p = .14). Nurses reported ease of use of the NRS 2002 as a "very easy" or "easy" to complete (3-5 minutes) and the SGA as an "easy" or "fair" tool to complete (5-10 minutes). The diversity and concordance between the SGA and NRS 2002 were varied in different age groups. The NRS 2002 is more suitable in nursing practice than the SGA to identify the nutritional status of patients with gastrointestinal cancer undergoing surgery, but it appeared to detect more patients at nutritional risk in the >70 age group.
authors.affiliation: Juntao Chi, PhD, RN, is Co-chief Superintendent Nurse, Department of Nursing, Yantai Yuhuangding Hospital, Shandong, China. Shaohua Yin, MM, RN, is Chief Superintendent Nurse, Department of Nursing, Yantai Yuhuangding Hospital, Shandong, China. Yongjian Zhu, MB, RN, is Chief Superintendent Nurse, Department of Nursing, Yantai Yuhuangding Hospital, Shandong, China. Fengli Gao, PhD, RN, is Chief Superintendent Nurse, Department of Nursing, Beijing Chaoyang Hospital, Beijing, China. Xinna Song, MM, is Associate Chief Physician, Department of Nutrition, Yantai Yuhuangding Hospital, Shandong, China. Zhenlan Song, MB, RN, is Chief Superintendent Nurse, Department of Nursing, Yantai Yuhuangding Hospital, Shandong, China. Junying Lv, RN, is Co-chief Superintendent Nurse, Department of Gastrointestinal Surgery, Yantai Yuhuangding Hospital, Shandong, China. Miaomiao Li, MB, RN, is Supervisor Nurse, Department of Gastrointestinal Surgery, Yantai Yuhuangding Hospital, Shandong, China.
authors.forename: Juntao
authors.initials: J
authors.lastname: Chi
authors.forename: Shaohua
authors.initials: S
authors.lastname: Yin
authors.forename: Yongjian
authors.initials: Y
authors.lastname: Zhu
authors.forename: Fengli
authors.initials: F
authors.lastname: Gao
authors.forename: Xinna
authors.initials: X
authors.lastname: Song
authors.forename: Zhenlan
authors.initials: Z
authors.lastname: Song
authors.forename: Junying
authors.initials: J
authors.lastname: Lv
authors.forename: Miaomiao
authors.initials: M
authors.lastname: Li
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002681:China; D003430:Cross-Sectional Studies; D017558:Elective Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000175:diagnosis / Q000453:epidemiology*; D008403:Mass Screening / Q000592:standards; D008875:Middle Aged; D009752:Nutritional Status / Q000502:physiology*; D011300:Preoperative Care / Q000379:methods; D012189:Retrospective Studies; D020379:Risk Adjustment; D012737:Sex Factors