NT 2013: A Recommended Nutrition Screening and Nutrition Format for Practical Clinical Use in Hospitalized Patients in Thailand
Keywords:
Nutrition screening, Nutrition assessment, BNT-NT 2013 nutrition assessment formAbstract
Nutrition Screening (NS) and Nutrition Assessment (NA) are the initial steps in Nutrition Care Process (NCP). In 2000, the BNT format (Bhumibol Adulyadej Hospital Nutrition Triage) was proposed and was widely
used in many hospitals for NS and NA in Thailand. Later, the BNT was updated and became the NT 2013 format in conformance with the Consensus Statement 2012 of A.S.P.E.N., ESPEN, and the Academy of Nutrition and Dietetics on Identification of Adult Malnutrition. Recently, the Society of Parenteral and Enteral Nutrition Support of Thailand (SPENT) was supported by the Ministry of Public Health (MOPH) to initiate “The Qualified Nutrition Support Hospital” project, to encourage the establishment of Nutrition Support Teams at various hospitals. Subsequently the National Health Security Organization (NHSO) began allowing hospitals to file claims for reimbursement for the cost of implementing the new Nutrition Care Process within the NT 2013 format. Also, as an endorsement of the NT 2013, a study by a group of investigators, reported by HITAP has recommended the NT format to be used for NS and NA in Thailand.
References
1. Jitapunkul J, Sarasin K. Comparative study: BNT vs SGA on nutrition screening & assessment in surgical patients. In-training research of General Surgical Residency Training Program presentation. Bhumibol Adulyadej Hospital, 2002.
2. Jarayapun R, Gate C. The prevalence of malnutrition in surgical patients in Bhumibol Adulyadej Hospital. In-training research of General Surgical Residency Training Program presentation. Bhumibol Adulyadej Hospital, 2006.
3. Sirigunya S. The prevalence of malnutrition in gynaeco-oncologic inpatients in Bhumibol Adulyadej Hospital. In-training research of Obstretic and Gynaecological Residency Training Program presentation. Bhumibol Adulyadej Hospital, 2010.
4. Pibul K, Techapongsatorn S, Thiengthiantham R, Manomaipiboon A, Trakulhoon V. Nutrition assessment for 200 surgical patients by BNT and SGA. Thai J Surg 2011;32:45-8.
5. Identification of Malnutrition. In: Guideline for Medical Document Audit. National Health Security Organization (NHSO). 2010;1:191-217.
6. Chittawatanarat K, Chaiwat O, Morakul S, Kongsayreepong S. Outcomes of nutrition status assessment by Bhumibol Nutrition Triage/Nutrition Triage (BNT/NT) in multicenter THAI-SICU study. J Med Assoc Thai 2016;99:S184-92.
7. White JV, Guenter P, Jensen GL, et al, Academy Malnutrition Work Group et al. Consensus statement: Academy of Nutrition and Dietetics and the American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). JPEN J Parenter Enteral Nutr 2012;36:275-83.
8. Malone A, Hamilton C. The Academy of Nutrition and Dietetics /The American Society for Parenteral and Enteral Nutrition Consensus Malnutrition Characteristics: application in practice. Nutr Clin Pract 2013;28:639-50.
9. Jensen GL, Mirtallo J, Compher C, et al. Adult starvation and disease related malnutrition: a rational approach for etiologybased diagnosis in the clinical practice setting from the International Consensus Guideline Committee. JPEN J Parenter Enteral Nutr 2010;34:156-9.
10. Mueller C, Compher C, Druyan ME. The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. A.S.P.E.N. clinical guidelines: nutrition screening, assessment, and intervention. JPEN J Parent Ent Nutr 2011;35:16-24.
11. Charoensilp B. Updated Diagnosis Related Groups [DRGs] and Reimbursement of Malnutrition Diagnoses. Presentation in Annual Meeting of Society of Parenteral and Enteral Nutrition of Thailand - SPENT. 29 November 2018.
12. Chittawatanarat K, Tekarnjanavanich S, Premayothin P. Development of Nutrition Screening and Assessment Tool to identify hospitalized patient at risk which is appropriate to use in Thailand. Policy Brief, issue 39, November 2016. Health Intervention and Technology Assessment Program- HITAP. http://www.hitap. net/research/165294.
13. Oken M, Creech R, Tormey D, et al. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 1982;5:649-55.
14. ARDS Network. IBW Formula. N Engl J Med 2000;342:1301-8.
15. Lowenstein DH, Joseph BM, Stephen LH. Approach to the Patient with Neurologic Disease. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison’s Principles of Internal Medicine. 20th ed. New York: McGrawHill Education; 2018. p. 3028.
16. Silverman EK, Crapo JD, Make BJ. Chronic obstructive pulmonary disease. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison’s Principles of Internal Medicine. 20th ed. New York: McGraw-Hill Education; 2018. p. 1996.
17. Garney MG, Hoofnagle JH. Approach to the patient with liver disease. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison’s Principles of Internal Medicine. 20th ed, New York: McGraw-Hill Education; 2018. p. 2337.
18. Bargman JM, Skoreki KL. Chronic Kidney Disease. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison ‘s Principles of Internal Medicine. 20th ed. New York: McGraw-Hill Education; 2018. p. 2112.
19. Kress JP, Hall JB. Approach to the patient with critical illness. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison’s Principles of Internal Medicine. 20th ed. NewYork: McGraw-Hill Education; 2018. p. 2023.
20. Raith EP, Udy AA, Bailey M, McGloughlin S, et al. Prognostic accuracy of the SOFA Score, SIRS Criteria, and qSOFA Score for in hospital mortality among adults with suspected infection admitted to the intensive care unit. JAMA 2017;317:290-300.
21. Seymoore CW, Derek CA. Sepsis and septic shock. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison’s Principles of Internal Medicine. 20th ed. New York: McGraw-Hill Education; 2018. p. 2044.
22. Gyawali B, Ramakrishna K, Dhamoon AS. Sepsis: The evolution in definition, pathophysiology, and management. SAGE Open Med 2019;7:2050312119835043.
23. Mandell LA, WunderinkR. Pneumonia. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison ‘s Principles of Internal Medicine. 20th ed. New York: McGraw-Hill Education; 2018. p. 908.
24. Friedstat J, Fred WE, Gibran. Burns. In: Brunicardi FC, Dana KA, Billiar TR, et al. Schwartz’s Principle of Surgery; 10th ed. New York: McGraw-Hill Education; 2015. p. 227.
25. Berger MM. Nutrition support in burns patients. In: Sobotka L, Allison PS, Meire RF, et al, editors. Basic in Clinical Nutrition. ESPEN 4th edition; 2011. p. 563.
2. Jarayapun R, Gate C. The prevalence of malnutrition in surgical patients in Bhumibol Adulyadej Hospital. In-training research of General Surgical Residency Training Program presentation. Bhumibol Adulyadej Hospital, 2006.
3. Sirigunya S. The prevalence of malnutrition in gynaeco-oncologic inpatients in Bhumibol Adulyadej Hospital. In-training research of Obstretic and Gynaecological Residency Training Program presentation. Bhumibol Adulyadej Hospital, 2010.
4. Pibul K, Techapongsatorn S, Thiengthiantham R, Manomaipiboon A, Trakulhoon V. Nutrition assessment for 200 surgical patients by BNT and SGA. Thai J Surg 2011;32:45-8.
5. Identification of Malnutrition. In: Guideline for Medical Document Audit. National Health Security Organization (NHSO). 2010;1:191-217.
6. Chittawatanarat K, Chaiwat O, Morakul S, Kongsayreepong S. Outcomes of nutrition status assessment by Bhumibol Nutrition Triage/Nutrition Triage (BNT/NT) in multicenter THAI-SICU study. J Med Assoc Thai 2016;99:S184-92.
7. White JV, Guenter P, Jensen GL, et al, Academy Malnutrition Work Group et al. Consensus statement: Academy of Nutrition and Dietetics and the American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). JPEN J Parenter Enteral Nutr 2012;36:275-83.
8. Malone A, Hamilton C. The Academy of Nutrition and Dietetics /The American Society for Parenteral and Enteral Nutrition Consensus Malnutrition Characteristics: application in practice. Nutr Clin Pract 2013;28:639-50.
9. Jensen GL, Mirtallo J, Compher C, et al. Adult starvation and disease related malnutrition: a rational approach for etiologybased diagnosis in the clinical practice setting from the International Consensus Guideline Committee. JPEN J Parenter Enteral Nutr 2010;34:156-9.
10. Mueller C, Compher C, Druyan ME. The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. A.S.P.E.N. clinical guidelines: nutrition screening, assessment, and intervention. JPEN J Parent Ent Nutr 2011;35:16-24.
11. Charoensilp B. Updated Diagnosis Related Groups [DRGs] and Reimbursement of Malnutrition Diagnoses. Presentation in Annual Meeting of Society of Parenteral and Enteral Nutrition of Thailand - SPENT. 29 November 2018.
12. Chittawatanarat K, Tekarnjanavanich S, Premayothin P. Development of Nutrition Screening and Assessment Tool to identify hospitalized patient at risk which is appropriate to use in Thailand. Policy Brief, issue 39, November 2016. Health Intervention and Technology Assessment Program- HITAP. http://www.hitap. net/research/165294.
13. Oken M, Creech R, Tormey D, et al. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 1982;5:649-55.
14. ARDS Network. IBW Formula. N Engl J Med 2000;342:1301-8.
15. Lowenstein DH, Joseph BM, Stephen LH. Approach to the Patient with Neurologic Disease. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison’s Principles of Internal Medicine. 20th ed. New York: McGrawHill Education; 2018. p. 3028.
16. Silverman EK, Crapo JD, Make BJ. Chronic obstructive pulmonary disease. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison’s Principles of Internal Medicine. 20th ed. New York: McGraw-Hill Education; 2018. p. 1996.
17. Garney MG, Hoofnagle JH. Approach to the patient with liver disease. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison’s Principles of Internal Medicine. 20th ed, New York: McGraw-Hill Education; 2018. p. 2337.
18. Bargman JM, Skoreki KL. Chronic Kidney Disease. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison ‘s Principles of Internal Medicine. 20th ed. New York: McGraw-Hill Education; 2018. p. 2112.
19. Kress JP, Hall JB. Approach to the patient with critical illness. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison’s Principles of Internal Medicine. 20th ed. NewYork: McGraw-Hill Education; 2018. p. 2023.
20. Raith EP, Udy AA, Bailey M, McGloughlin S, et al. Prognostic accuracy of the SOFA Score, SIRS Criteria, and qSOFA Score for in hospital mortality among adults with suspected infection admitted to the intensive care unit. JAMA 2017;317:290-300.
21. Seymoore CW, Derek CA. Sepsis and septic shock. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison’s Principles of Internal Medicine. 20th ed. New York: McGraw-Hill Education; 2018. p. 2044.
22. Gyawali B, Ramakrishna K, Dhamoon AS. Sepsis: The evolution in definition, pathophysiology, and management. SAGE Open Med 2019;7:2050312119835043.
23. Mandell LA, WunderinkR. Pneumonia. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison ‘s Principles of Internal Medicine. 20th ed. New York: McGraw-Hill Education; 2018. p. 908.
24. Friedstat J, Fred WE, Gibran. Burns. In: Brunicardi FC, Dana KA, Billiar TR, et al. Schwartz’s Principle of Surgery; 10th ed. New York: McGraw-Hill Education; 2015. p. 227.
25. Berger MM. Nutrition support in burns patients. In: Sobotka L, Allison PS, Meire RF, et al, editors. Basic in Clinical Nutrition. ESPEN 4th edition; 2011. p. 563.
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Published
2019-12-31
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Prammanasudh B, Trakulhoon V. NT 2013: A Recommended Nutrition Screening and Nutrition Format for Practical Clinical Use in Hospitalized Patients in Thailand. Thai J Surg [Internet]. 2019 Dec. 31 [cited 2024 Apr. 23];40(4):107-16. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/246561
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