Prevalence of malnutrition or risk in residents in long term care: comparison of four tools

Heather Keller; V. Vucea; S.E. Slaughter; Harriët Jager-Wittenaar; C. Lengyel; Faith D. Ottery; N. Carrier

doi:10.1080/21551197.2019.1640165

Prevalence of malnutrition or risk in residents in long term care: comparison of four tools

Heather Keller (First author), V. Vucea, S.E. Slaughter, Harriët Jager-Wittenaar, C. Lengyel, Faith D. Ottery, N. Carrier

Malnutrition and Healthy Ageing

University of Groningen, University Medical Center Groningen, Department of Oral and Maxillofacial Surgery

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

The ideal tool for determination of malnutrition risk or malnutrition in long term care (LTC) is elusive. This study compares prevalence, association with resident risk factors and sensitivity (SE) and specificity (SP) of malnutrition or risk categorization in 638 residents from 32 LTC homes in Canada using four tools: the Mini-Nutritional Assessment Short Form (MNA-SF); Patient-Generated Subjective Global Assessment (PG-SGA) Global Category Rating and the Pt-Global webtool; and the interRAI Long Term Care Facility undernutrition trigger. Prevalence was most common with MNA-SF (53.7%) and lowest with InterRAI (28.9%), while the PG-SGA Global Category Rating (44%) was higher than the Pt-Global webtool (33.4%). Tools were consistently associated with resident covariates with few exceptions. The PG-SGA Global Category Rating demonstrated the best sensitivity and specificity when compared to all other tools. Further work to determine the predictive validity of this tool in LTC residents is required.

Original language	English
Pages (from-to)	329-344
Journal	Journal of Nutrition in Gerontology and Geriatrics
Volume	38
Issue number	4
DOIs	https://doi.org/10.1080/21551197.2019.1640165
Publication status	Published - 2 Oct 2019

Keywords

malnutrition

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10.1080/21551197.2019.1640165

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title = "Prevalence of malnutrition or risk in residents in long term care: comparison of four tools",

abstract = "The ideal tool for determination of malnutrition risk or malnutrition in long term care (LTC) is elusive. This study compares prevalence, association with resident risk factors and sensitivity (SE) and specificity (SP) of malnutrition or risk categorization in 638 residents from 32 LTC homes in Canada using four tools: the Mini-Nutritional Assessment Short Form (MNA-SF); Patient-Generated Subjective Global Assessment (PG-SGA) Global Category Rating and the Pt-Global webtool; and the interRAI Long Term Care Facility undernutrition trigger. Prevalence was most common with MNA-SF (53.7%) and lowest with InterRAI (28.9%), while the PG-SGA Global Category Rating (44%) was higher than the Pt-Global webtool (33.4%). Tools were consistently associated with resident covariates with few exceptions. The PG-SGA Global Category Rating demonstrated the best sensitivity and specificity when compared to all other tools. Further work to determine the predictive validity of this tool in LTC residents is required.",

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AU - Keller, Heather

AU - Vucea, V.

AU - Slaughter, S.E.

AU - Jager-Wittenaar, Harriët

AU - Lengyel, C.

AU - Ottery, Faith D.

AU - Carrier, N.

PY - 2019/10/2

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N2 - The ideal tool for determination of malnutrition risk or malnutrition in long term care (LTC) is elusive. This study compares prevalence, association with resident risk factors and sensitivity (SE) and specificity (SP) of malnutrition or risk categorization in 638 residents from 32 LTC homes in Canada using four tools: the Mini-Nutritional Assessment Short Form (MNA-SF); Patient-Generated Subjective Global Assessment (PG-SGA) Global Category Rating and the Pt-Global webtool; and the interRAI Long Term Care Facility undernutrition trigger. Prevalence was most common with MNA-SF (53.7%) and lowest with InterRAI (28.9%), while the PG-SGA Global Category Rating (44%) was higher than the Pt-Global webtool (33.4%). Tools were consistently associated with resident covariates with few exceptions. The PG-SGA Global Category Rating demonstrated the best sensitivity and specificity when compared to all other tools. Further work to determine the predictive validity of this tool in LTC residents is required.

AB - The ideal tool for determination of malnutrition risk or malnutrition in long term care (LTC) is elusive. This study compares prevalence, association with resident risk factors and sensitivity (SE) and specificity (SP) of malnutrition or risk categorization in 638 residents from 32 LTC homes in Canada using four tools: the Mini-Nutritional Assessment Short Form (MNA-SF); Patient-Generated Subjective Global Assessment (PG-SGA) Global Category Rating and the Pt-Global webtool; and the interRAI Long Term Care Facility undernutrition trigger. Prevalence was most common with MNA-SF (53.7%) and lowest with InterRAI (28.9%), while the PG-SGA Global Category Rating (44%) was higher than the Pt-Global webtool (33.4%). Tools were consistently associated with resident covariates with few exceptions. The PG-SGA Global Category Rating demonstrated the best sensitivity and specificity when compared to all other tools. Further work to determine the predictive validity of this tool in LTC residents is required.

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KW - ondervoeding

UR - http://www.mendeley.com/research/prevalence-malnutrition-risk-residents-long-term-care-comparison-four-tools

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DO - 10.1080/21551197.2019.1640165

M3 - Article

SN - 2155-1200

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EP - 344

JO - Journal of Nutrition in Gerontology and Geriatrics

JF - Journal of Nutrition in Gerontology and Geriatrics

IS - 4

ER -

Prevalence of malnutrition or risk in residents in long term care: comparison of four tools

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Keywords

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