J Med Assoc Thai 2004; 87 (3):289

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A Comparison of Nutritional Screening Tools in the Prediction of Post-Operative Infectious and Wound Complications in the Elderly Patients Undergoing Abdominal Operations Pinmanee Reodecha, RN, MNS, Panwadee Putwatana, RN, DSc,
Sirapongam Y Mail, Lertsithichai P

Objective : To compare four nutritional screening tools -the Short Form Mini Nutritional
Assessment (MNA-SF), the Nutrition Risk Classification (NRC), the Malnutrition Screening Tool
(MST), and the Nutrition Risk Score (NRS) -in the prediction of post-operative infectious and wound
complications in elderly patients undergoing abdominal surgery.
Patients and Method : During the nine-month period from April 2002 to December 2002
nutritional screening was performed on 190 patients aged 60 years or over who underwent major abdo-
minal surgery. Each patient was classified as either at risk or not at risk of malnutrition. This classifi-
cation, for each screening tool, was tested for association with the occurrence of post-operative infec-
tious and wound complications. Each screening tool was calculated and compared under the area of
Receiver Operating Characteristic (ROC) curve.
Result and Conclusion : The NRC classification was the best prediction for the occurrence
of post-operative infectious and wound complications in elderly surgical patients.
Key word : Malnutrition, Nutrition Screening Tools, Serum Albumin, Postoperative Infectious,
Wound Complications

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