Determination of the Effectiveness of the Three-minute Nutrition Screening (3-MinNS) Tool in Adult Patients Hospitalized in a Cardiology Clinic

Overview

Journal Saudi Med J

Specialty General Medicine

Date 2024 Sep 1

PMID 39218472

Authors

Asli Onur Canaydin

Habibe Sahin

Affiliations

Soon will be listed here.

Abstract

Objectives: To determine the efficacy of the 3-Minute Nutrition Screening (3-MinNS) tool in adults hospitalized for cardiovascular diseases.

Methods: In this descriptive cross-sectional study of 759 cardiovascular disease patients in Erciyes University Cardiology Clinic, anthropometric measurements and some routine biochemical parameters were recorded, and nutrition screening tools were used to determine malnutrition status. The power of 3-MinNS to detect malnutrition in cardiovascular diseases patients was calculated.

Results: There was a strong positive correlation between 3-MinNS and Nutrition Risk Screening-2002 (NRS-2002) (r=0.719, <0.001). A moderate agreement was found between 3-MinNS and NRS-2002 (κ=0.496, <0.001). The sensitivity, specificity, and AUC of 3-MinNS were 79.1%, 75.0%, and 0.851, respectively, and it was determined to be a moderately effective nutrition screening tool that can be used to identify malnutrition in patients with cardiovascular diseases.

Conclusion: The 3-MinNS is a moderately effective nutrition screening tool that can be administered within the first 24 hours of hospitalization in patients with cardiovascular diseases.

References

von Haehling S, Anker S . Cachexia as a major underestimated and unmet medical need: facts and numbers. J Cachexia Sarcopenia Muscle. 2011; 1(1):1-5. PMC: 3060651. DOI: 10.1007/s13539-010-0002-6. View

Jones J . The methodology of nutritional screening and assessment tools. J Hum Nutr Diet. 2002; 15(1):59-71; quiz 73-5. DOI: 10.1046/j.1365-277x.2002.00327.x. View

Wawrzenczyk A, Anaszewicz M, Wawrzenczyk A, Budzynski J . Clinical significance of nutritional status in patients with chronic heart failure-a systematic review. Heart Fail Rev. 2019; 24(5):671-700. DOI: 10.1007/s10741-019-09793-2. View

Tah P, Kee C, Abdul Majid H . Validity and Reliability of a Nutrition Screening Tool in Identifying Malnutrition Among Hospitalized Adult Patients. Nutr Clin Pract. 2019; 35(5):942-950. DOI: 10.1002/ncp.10416. View

Stratton R, Hackston A, Longmore D, Dixon R, Price S, Stroud M . Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the 'malnutrition universal screening tool' ('MUST') for adults. Br J Nutr. 2004; 92(5):799-808. DOI: 10.1079/bjn20041258. View

Emami A, Saitoh M, Valentova M, Sandek A, Evertz R, Ebner N . Comparison of sarcopenia and cachexia in men with chronic heart failure: results from the Studies Investigating Co-morbidities Aggravating Heart Failure (SICA-HF). Eur J Heart Fail. 2018; 20(11):1580-1587. DOI: 10.1002/ejhf.1304. View

Cereda E, Pedrolli C, Klersy C, Bonardi C, Quarleri L, Cappello S . Nutritional status in older persons according to healthcare setting: A systematic review and meta-analysis of prevalence data using MNA. Clin Nutr. 2016; 35(6):1282-1290. DOI: 10.1016/j.clnu.2016.03.008. View

Bielecka-Dabrowa A, Ebner N, Dos Santos M, Ishida J, Hasenfuss G, von Haehling S . Cachexia, muscle wasting, and frailty in cardiovascular disease. Eur J Heart Fail. 2020; 22(12):2314-2326. DOI: 10.1002/ejhf.2011. View

Volkert D, Beck A, Cederholm T, Cruz-Jentoft A, Hooper L, Kiesswetter E . ESPEN practical guideline: Clinical nutrition and hydration in geriatrics. Clin Nutr. 2022; 41(4):958-989. DOI: 10.1016/j.clnu.2022.01.024. View

10.

Weekes C, Elia M, Emery P . The development, validation and reliability of a nutrition screening tool based on the recommendations of the British Association for Parenteral and Enteral Nutrition (BAPEN). Clin Nutr. 2004; 23(5):1104-12. DOI: 10.1016/j.clnu.2004.02.003. View

11.

Lim S, Ong K, Chan Y, Loke W, Ferguson M, Daniels L . Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin Nutr. 2011; 31(3):345-50. DOI: 10.1016/j.clnu.2011.11.001. View

12.

Giryes S, Leibovitz E, Matas Z, Fridman S, Gavish D, Shalev B . MEasuring Nutrition risk in hospitalized patients: MENU, a hospital-based prevalence survey. Isr Med Assoc J. 2012; 14(7):405-9. View

13.

Ben-Noun L, SOHAR E, Laor A . Neck circumference as a simple screening measure for identifying overweight and obese patients. Obes Res. 2001; 9(8):470-7. DOI: 10.1038/oby.2001.61. View

14.

Kruizenga H, Van Tulder M, Seidell J, Thijs A, Ader H, van Bokhorst-de van der Schueren M . Effectiveness and cost-effectiveness of early screening and treatment of malnourished patients. Am J Clin Nutr. 2005; 82(5):1082-9. DOI: 10.1093/ajcn/82.5.1082. View

15.

Drescher T, Singler K, Ulrich A, Koller M, Keller U, Christ-Crain M . Comparison of two malnutrition risk screening methods (MNA and NRS 2002) and their association with markers of protein malnutrition in geriatric hospitalized patients. Eur J Clin Nutr. 2010; 64(8):887-93. DOI: 10.1038/ejcn.2010.64. View

16.

Sze S, Pellicori P, Zhang J, Clark A . Malnutrition, congestion and mortality in ambulatory patients with heart failure. Heart. 2018; 105(4):297-306. DOI: 10.1136/heartjnl-2018-313312. View

17.

Townsend N, Kazakiewicz D, Wright F, Timmis A, Huculeci R, Torbica A . Epidemiology of cardiovascular disease in Europe. Nat Rev Cardiol. 2021; 19(2):133-143. DOI: 10.1038/s41569-021-00607-3. View

18.

Oguri M, Ishii H, Yasuda K, Sumi T, Takahashi H, Murohara T . Combined prognostic value of malnutrition using GLIM criteria and renal insufficiency in elderly heart failure. ESC Heart Fail. 2021; 9(1):704-711. PMC: 8787968. DOI: 10.1002/ehf2.13685. View

19.

Timmis A, Vardas P, Townsend N, Torbica A, Katus H, De Smedt D . European Society of Cardiology: cardiovascular disease statistics 2021. Eur Heart J. 2022; 43(8):716-799. DOI: 10.1093/eurheartj/ehab892. View

20.

Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff S . ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2016; 36(1):49-64. DOI: 10.1016/j.clnu.2016.09.004. View