Nutritional Assessment for Surgical Patients by Bhumibol Nutrition Triage (BNT) and Subjective Global Assessment (SGA)
Keywords:
Bhumibol Nutrition Triage, malnutrition, Subjective Global Assessment, surgical patientAbstract
Objective: To compare Bhumibol Nutrition Triage (BNT) to Subjective Global Assessment (SGA) insurgical patients.
Study design: diagnostic test.
Subjects: A total of 200 patients admitted to the general surgical units, Bangkok Metropolitan
Administration (BMA) Medical College and Vajira Hospital between January and June 2008.
Methods: The nutritional status was evaluated by BNT and SGA in term of score. Age, sex and diseases
were also recorded.
Main outcome measures: sensitivity, specificity and 95% confidence interval.
Results: A total of 200 patients with mean age of 50.5 ± 11.5 years old were recruited. Thirty six percent
of them were male while 64% were female. The most common diseases were hepatobiliary disease (20.0%) and
large bowel malignancy (16.0%). Prevalence of malnutrition was 44.5% including mild-moderate malnutrition
35.0% and severe malnutrition 9.5%. The BNT score ≥ 4 had 78.7% sensitivity (95% CI, 73.0-84.3%) and 86.5%
specificity (95% CI, 81.8-91.2%) to detect malnutrition.
Conclusion: Bhumibol nutritional screening tool is a simple and effective screening tool for detecting
malnutrition in surgical patients.
References
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Jeejeebhoy KN. Evaluating the accuracy of nutritional
assessment techniques applied to hospitalized patients:
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patients. J Am Diet Assoc 1985;85:332-5.
7. Ek AC, Unosson M, Larsson J, Ganowiak W, Bjurulf P. Interrater
variability and validity in subjective nutritional assessment of
elderly patients. Scand J Caring Sci 1996;10:163-8.
8. Young GA, Kopple JD, Lindholm B, et al. Nutritional assessment
of continuous ambulatory peritoneal dialysis patients:
an international study. Am J Kidney Dis 1991;17:462-71.
9. Jones JM. The methodology of nutritional screening and
assessment tools. J Hum Nutr Diet 2002;15:59-71.
10. McWhirter JP, Pennington CR. Incidence and recognition
of malnutrition in hospital. BMJ 1994;308:945-8.
11. Waitzberg DL, Caiaffa WT, Correia MI. Hospital malnutrition:
the Brazilian national survey (IBRANUTRI): a study of 4000
patients. Nutrition 2001;17:573-80.
12. Shirodkar M, Mohandas KM. Subjective global assessment:
a simple and reliable screening tool for malnutrition among
Indians. Indian J Gastroenterol 2005;24:246-50.
13. Barreto Penié J. Cuban Group for the Study of Hospital
Malnutrition. State of malnutrition in Cuban hospitals.
Nutrition 2005;21:487-97.
14. Correia MI, Campos AC; ELAN Cooperative Study.
Prevalence of hospital malnutrition in Latin America: the
multicenter ELAN study. Nutrition 2003;19:823-5.
global assessment of nutritional status? J Parenter Enteral
Nutr 1987;11:8-13.
2. Detsky AS, Smalley PS, Chang J. Is the patient malnourished?
JAMA 1994;271:54-8.
3. Carney DE, Meguid MM. Current concepts in nutritional
assessment. Arch Surg 2002;137:42-5
4. Wakahara T, Shiraki M, Murase K, et al. Nutritional screening
with SGA predicts hospital stay in patients with digestive
disease. Nutrition 2007;23:634-9.
5. Detsky AS, Baker JP, Mendelson RA, Wolman SL, Wesson DE,
Jeejeebhoy KN. Evaluating the accuracy of nutritional
assessment techniques applied to hospitalized patients:
methodology and comparisons. J Parenter Enteral Nutr.
1984;8:153-9.
6. Hunt DR. A simple nutrition screening procedure for hospital
patients. J Am Diet Assoc 1985;85:332-5.
7. Ek AC, Unosson M, Larsson J, Ganowiak W, Bjurulf P. Interrater
variability and validity in subjective nutritional assessment of
elderly patients. Scand J Caring Sci 1996;10:163-8.
8. Young GA, Kopple JD, Lindholm B, et al. Nutritional assessment
of continuous ambulatory peritoneal dialysis patients:
an international study. Am J Kidney Dis 1991;17:462-71.
9. Jones JM. The methodology of nutritional screening and
assessment tools. J Hum Nutr Diet 2002;15:59-71.
10. McWhirter JP, Pennington CR. Incidence and recognition
of malnutrition in hospital. BMJ 1994;308:945-8.
11. Waitzberg DL, Caiaffa WT, Correia MI. Hospital malnutrition:
the Brazilian national survey (IBRANUTRI): a study of 4000
patients. Nutrition 2001;17:573-80.
12. Shirodkar M, Mohandas KM. Subjective global assessment:
a simple and reliable screening tool for malnutrition among
Indians. Indian J Gastroenterol 2005;24:246-50.
13. Barreto Penié J. Cuban Group for the Study of Hospital
Malnutrition. State of malnutrition in Cuban hospitals.
Nutrition 2005;21:487-97.
14. Correia MI, Campos AC; ELAN Cooperative Study.
Prevalence of hospital malnutrition in Latin America: the
multicenter ELAN study. Nutrition 2003;19:823-5.
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Published
2011-06-30
How to Cite
1.
Pibul K, Techapongsatorn S, Thiengthiantham R, Manomaipiboon A, Trakulhoon V. Nutritional Assessment for Surgical Patients by Bhumibol Nutrition Triage (BNT) and Subjective Global Assessment (SGA). Thai J Surg [Internet]. 2011 Jun. 30 [cited 2024 Nov. 23];32(2). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/227229
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