The nutrition impact symptoms (<scp>NIS</scp>) score detects malnutrition risk in patients admitted to nephrology wards

MacLaughlin, Helen; Twomey, J A; Saunt, R.; Blain, S.; Campbell, Katrina L.; Emery, Peter W.

doi:10.1111/jhn.12553

Cited by 17 publications

(15 citation statements)

References 19 publications

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“…Training materials are useful too. The work by Yamada [20] Campbell [21], Xia [22], Jackson [23]or MacLaughlin [24] may offer a solution for your unit and we recommend that your multidisciplinary team look at these and others to decide how best to screen your patients.…”

Section: Rationale For Clinical Practice Guidelinesmentioning

confidence: 99%

Clinical practice guideline on undernutrition in chronic kidney disease

et al. 2019

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Section: Rationale For Clinical Practice Guidelinesmentioning

confidence: 99%

Clinical practice guideline on undernutrition in chronic kidney disease

et al. 2019

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“…The prevalence of malnutrition is 15-80 % in hospitalised patients, while only 3 % could be diagnosed and treated (8,12) . It has been reported that over 40 % of CKD patients are undernourished (13) and uraemia and dialysis can impact the nutritional status of patients with kidney disease (14,15) . AKI as the spread of inflammatory processes from the kidney to other organ systems is also affected by metabolic changes and undernutrition.…”

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confidence: 99%

Malnutrition screening and acute kidney injury in hospitalised patients: a retrospective study over a 5-year period from China

Chen

et al. 2019

Br J Nutr

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Malnutrition and acute kidney injury (AKI) are common complications in hospitalised patients, and both increase mortality; however, the relationship between them is unknown. This is a retrospective propensity score matching study enrolling 46 549 inpatients, aimed to investigate the association between Nutritional Risk Screening 2002 (NRS-2002) and AKI and to assess the ability of NRS-2002 and AKI in predicting prognosis. In total, 37 190 (80 %) and 9359 (20 %) patients had NRS-2002 scores <3 and ≥3, respectively. Patients with NRS-2002 scores ≥3 had longer lengths of stay (12·6 (sd 7·8) v. 10·4 (sd 6·2) d, P < 0·05), higher mortality rates (9·6 v. 2·5 %, P < 0·05) and higher incidence of AKI (28 v. 16 %, P < 0·05) than patients with normal nutritional status. The NRS-2002 showed a strong association with AKI, that is, the risk of AKI changed in parallel with the score of the NRS-2002. In short- and long-term survival, patients with a lower NRS-2002 score or who did not have AKI achieved a significantly lower risk of mortality than those with a high NRS-2002 score or AKI. Univariate Cox regression analyses indicated that both the NRS-2002 and AKI were strongly related to long-term survival (AUC 0·79 and 0·71) and that the combination of the two showed better accuracy (AUC 0·80) than the individual variables. In conclusion, malnutrition can increase the risk of AKI and both AKI and malnutrition can worsen the prognosis that the undernourished patients who develop AKI yield far worse prognosis than patients with normal nutritional status.

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“…In nephropathic patients, the identification of NIS is a nutritional screening tool that allows identification of the risk of malnutrition and has been associated with the length of stay in the hospital [26]. These results show that NIS are also common in other pathologies, which reinforces the importance of nutritional assessment to identify symptoms early and optimize nutritional therapy.…”

Section: Plos Onementioning

confidence: 63%

Malnutrition and nutrition impact symptoms (NIS) in surgical patients with cancer

et al. 2020

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Background and aim Nutrition impact symptoms (NIS) are common in cancer patients and the negative impacts on nutritional status indicate the need for research, diagnosis and nutritional intervention in order to reduce the risk of malnutrition. We aimed to verify the presence of malnutrition, the need for nutritional intervention, NIS and their influence on the nutritional status of surgical patients with cancer. Methods This cross-sectional study was carried out in a public tertiary hospital, from March 2017 to October 2019. Nutritional status, the need for nutritional intervention and NIS were assessed through the Patient-Generated Subjective Global Assessment (PG-SGA) in the first 48 hours of hospital admission. Results Among the 135 patients evaluated, 55.6% were elderly and 51.1% were male; patients had a median age of 62 years and a predominance of cancer located in the lower gastrointestinal tract (35.6%). Malnutrition and the need for nutritional intervention were identified in 60.0% and 90.4% of cases, respectively. The presence of three or more NIS was reported by 51.9% of patients. Significant differences in NIS were observed according to sex, PG-SGA classification and PG-SGA score. After logistic regression analysis, it was determined that the symptoms that increased the chances of malnutrition were anorexia, constipation, strange taste, mouth sores and others (depression, dental or financial problems). Conclusion Malnutrition, the need for nutritional intervention and the presence of three or more NIS were elevated in the patients evaluated. Malnutrition was associated with the presence of NIS, indicating the need for attention and care in antineoplastic treatment.

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The nutrition impact symptoms (NIS) score detects malnutrition risk in patients admitted to nephrology wards

Abstract: Nutrition impact symptoms score is a valid stand-alone nutrition screening tool for identifying malnutrition risk in nephrology inpatients and is associated with LOS.

Cited by 17 publications

References 19 publications

Clinical practice guideline on undernutrition in chronic kidney disease

Clinical practice guideline on undernutrition in chronic kidney disease

Malnutrition screening and acute kidney injury in hospitalised patients: a retrospective study over a 5-year period from China

Malnutrition and nutrition impact symptoms (NIS) in surgical patients with cancer

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