A Comparison of the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment-Short Form (MNA-SF) Tool for Older Patients Undergoing General Surgery

Kokkinakis, Stamatios; Venianaki, Maria; Petra, Georgia; Chrysos, Alexandros; Chrysos, Emmanuel; Lasithiotakis, Konstantinos

doi:10.3390/jcm10245860

Cited by 8 publications

(4 citation statements)

References 29 publications

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“…[58] Inadequate nutrition is widespread worldwide, posing a serious burden on both health facilities and societies. [59] The presence of malnutrition increases hospitalization periods and mortality rates associated with diseases. [2,60] In addition, inadequate nutrition negatively affects daily life, cognitive functions, and frailty status.…”

Section: Discussionmentioning

confidence: 99%

Assessment of frailty, daily life activities, and nutrition of elderly immigrants: A household based cross-sectional study

Değer,

Sezerol,

Atak

2024

Medicine

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With the global migrant population on the rise, it’s imperative to focus on the health status of more vulnerable groups within these communities. The elderly immigrants face myriad physical and psychosocial challenges that significantly impact their health and quality of life. This study aims to investigate the nutrition, daily life activities, and clinical frailty status of elderly immigrants residing in Türkiye. A cross-sectional design was employed in the Sultanbeyli District, focusing on Syrian immigrants aged 65 and over. Participants were surveyed face-to-face by interpreters proficient in Arabic. The questionnaire comprised sociodemographic details, health status, and scales like Katz Daily Life Activities, Clinical Frailty, and Mini Nutritional Assessment. The data analysis was executed using SPSS 22. Continuous variables were presented as mean ± standard deviation (SD) and median, while categorical ones were expressed in numbers and percentages (%). A significance level of P < .05 was considered for the analyses. The average age of the participants was determined as 71.64 ± 6.20 years. In the study group, 49.7% were female, 75.5% were younger than 75 years old, 47.7% had less than primary school education, 56.3% were married, 42.4% had a low income level, and 56.9% lived in the same household with 5 or more people. Among the participants in the study group, 47% had walking and balance problems, 29.1% had a history of falls in the last year, 10.6% were disabled, 69.5% complained of pain, 82.8% had a chronic illness, and 43% had polypharmacy. The median value of the KATZ Daily Living Activities scale was 6, the mean score of the Clinical Frailty Score scale was 3.25 ± 1.25, and the mean score of the Mini Nutritional Assessment scale was 12.40 ± 2.15. Among immigrant elderly individuals, 88.1% were able to sustain their lives independently, 13.9% were clinically frail, and 3.3% were at risk of malnutrition. Factors such as age, level of education, socioeconomic status, marital status, number of cohabitants in the household, BMI, neurological problems, walking-balance disorders, disability, and presence of chronic diseases are associated with daily life activities, frailty, and malnutrition status. It is believed that broader field research with greater participation would be beneficial for evaluating the nutritional status of immigrant elderly individuals.

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Section: Discussionmentioning

confidence: 99%

Assessment of frailty, daily life activities, and nutrition of elderly immigrants: A household based cross-sectional study

Değer,

Sezerol,

Atak

2024

Medicine

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“…Although a wide variety of screening tools exist to predict malnutrition risk, the Mini Nutritional Assessment Short Form (MNA-SF) is recommended in practice guidelines for the elderly (Guigoz and Vellas, 2021). However, there is no accepted gold standard screening tool to determine the nutritional status of individuals and classify malnutrition risk (Kokkinakis et al , 2021). Separately, nutritional screening is not sufficient for a full nutritional assessment.…”

Section: Introductionmentioning

confidence: 99%

Association between neutrophil to lymphocyte ratio, handgrip strength and nutritional status in geriatric patients

Epçaçan,

Gönül,

Bayram

et al. 2023

NFS

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Purpose This study aims to examine the relationship between neutrophil to lymphocyte ratio (NLR), handgrip strength (HGS) and nutritional status in non-critically ill patients and outpatients. Design/methodology/approach A cross-sectional study was conducted on 80 geriatric patients. Nutritional status was evaluated using the Mini Nutritional Assessment Short Form, Geriatric Nutritional Risk Index, some anthropometric and biochemical parameters. NLR was calculated from the complete blood count results. Data were analyzed using SPSS 24.0. Findings While 38.3% of patients were malnourished or at risk of malnutrition, 61.7% had normal nutritional status. Mini Nutritional Assessment Short Form was not correlated with NLR, whereas it showed a weak positive correlation with HGS. According to the logistic regression analysis, age, HGS, hemoglobin and platelet to lymphocyte ratio were significant independent factors for predicting malnutrition or risk of malnutrition. The receiver operator characteristic curve analysis showed that the optimum HGS cut-off point for patients with malnourished or at risk of malnutrition was 13.2. In conclusion, HGS was associated with the nutritional status. NLR was not associated with nutritional status but associated with nutritional risk. Originality/value It is well known that malnutrition is a serious health problem among older adults, and it is important to assess the nutritional status of older adults because of the adverse health effects. In addition, to the best of the authors’ knowledge, this is the first study to determine the relationship between NLR, HGS and nutritional status in non-critically ill patients and outpatients.

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“…Expert consensus recommends the Malnutrition Universal Screening Tool because it uses combinations of various criteria as a more accurate method for assessing the risk for malnutrition. 7 The Malnutrition Universal Screening Tool (MUST), developed by the British Association for Parenteral and Enteral Nutrition (BAPEN). 8 It’s a five-step screening tool to identify patients who are malnourished and at risk of malnutrition (or undernutrition) 9,10 is considered an appropriate malnutrition screening tool because it has face, content, concurrent, and predictive validity with a range of other screening tools.…”

Section: Introductionmentioning

confidence: 99%

Can the Malnutrition Universal Screening Tool (MUST) Predict Healing Complications Following Microvascular Reconstruction of the Head and Neck?

Mosquera

Silva

Weyh

et al. 2023

Craniomaxillofacial Trauma & Reconstruction

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Study Design Retrospective cohort study. Objective Malnutrition has been found to have negative effects on the immune system and inflammatory responses, impairing the wound healing process. Free flap failure is a serious complication in patients undergoing microvascular reconstruction, as it increases patient morbidity, length of stay in the hospital, patient, and hospital costs, as well as causes the need for further surgical interventions1. Malnutrition is estimated to be present in 35-50% of head and neck cancer patients with higher rates in those experiencing hypo-oropharyngeal disease. This is often caused by functional and pain limitations from due to disease burden causing odynophagia and dysphagia. The Malnutrition Universal Screening Tool (MUST) is recommended for risk screening and provides three scores for risk classification: high, intermediate, and low2. We argue that the use of MUST as a preoperative assessment tool is useful to predict postoperative surgical site infection and delayed wound healing in patients that will undergo reconstruction with free flaps for head and neck defects. Methods A retrospective cohort study was designed to include all subjects who underwent head and neck microvascular free tissue transfer at a single institution between 2013 and 2019. Primary and secondary reconstructions were included, for benign or malignant pathology, osteonecrosis, osteomyelitis, congenital defects, and trauma. The nutritional risk was evaluated using MUST, which analyzes body mass index, weight loss, and acute disease effect, to classify patients as low, intermediate, and high risk. We further divided the subjects into two comparison groups- low-intermediate and high risk. The primary outcome was surgical site complications and delayed wound healing. Data was analyzed as frequencies and means with standard deviations, as well as Fisher’s exact test and t-test. P-values <0.05 were considered statistically significant. Analyses were done utilizing IBM SPSS Statistics Version 29. Results 131 subjects were included for data analysis, with 54 being considered low MUST risk, 12 intermediate risk (66 low-intermediate), and 65 were high risk. The mean BMI overall was 25.5 ±5.3, and 27.2 in the low-intermediate group, and 23.7 in the high-risk group. Eighty-two subjects experienced <5-pound weight loss in the preceding 6 months to surgery, while 17 lost between 5-10 pounds, and 23 lost 10< pounds. Cancer/osteonecrosis was the etiology for 54 (82%) subjects of the low-intermediate group, and 61 (92%) of the high-risk group ( P = .089). The subjects classified in High-risk group according to the MUST score had 11% more surgical site complications ( P = .120) and 13.7% more delayed wound healing and dehiscence( P = .09); only 3 subjects in the study presented total flap loss and they were all in the High-risk group. Surgical site complication, delayed wound healing rates and partial or total flap loss were not increased by any specific medical comorbidity or history such as radiation or chemotherapy. Conclusions In conclusion, Subjects with high MUST score had increased complications and poor wound healing, and subjects with acute disease effect that induces a phase of nil per os for > 5 day have higher risk of total flap loss and surgical site complication.

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A Comparison of the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment-Short Form (MNA-SF) Tool for Older Patients Undergoing General Surgery

Cited by 8 publications

References 29 publications

Assessment of frailty, daily life activities, and nutrition of elderly immigrants: A household based cross-sectional study

Assessment of frailty, daily life activities, and nutrition of elderly immigrants: A household based cross-sectional study

Association between neutrophil to lymphocyte ratio, handgrip strength and nutritional status in geriatric patients

Can the Malnutrition Universal Screening Tool (MUST) Predict Healing Complications Following Microvascular Reconstruction of the Head and Neck?

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