{"id":28865,"date":"2022-06-22T10:06:15","date_gmt":"2022-06-22T08:06:15","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=28865"},"modified":"2022-06-22T10:06:15","modified_gmt":"2022-06-22T08:06:15","slug":"malnutrition-universal-screening-tool-must","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/en\/digital-doctors-bag\/malnutrition-universal-screening-tool-must\/","title":{"rendered":"Malnutrition Universal Screening Tool (MUST)"},"content":{"rendered":"<p>Optimal nutrition is meant to prevent deterioration of mental and physical functions as well as health or treatment complications and to shorten convalescence. The purpose of the \u00abMalnutrition Universal Screening Tool\u00bb (MUST) is to detect existing malnutrition mainly in the outpatient setting, but also in nursing homes and hospitals. The implementation of the MUST is recommended by the \u00abEuropean Society for Clinical Nutrition and Metabolism\u00bb (ESPEN) for outpatients <a href=\"#must-cite-note-1\">[1]<\/a>.<\/p>\n    <div class=\"medical-calculator must\" id=\"medical-calculator-must\">\r\n        <form>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                            Body Mass Index\r\n                                    <\/div>\r\n                <div class=\"col-sm-6\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bmi\" id=\"medical-calculator-must-bmi-1\" value=\"1\" tabindex=\"1\" autocomplete=\"off\">\r\n                                                        &gt; 20 kg\/m\u00b2\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bmi\" id=\"medical-calculator-must-bmi-2\" value=\"2\" tabindex=\"2\" autocomplete=\"off\">\r\n                                                        18.5 - 20 kg\/m\u00b2 (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"bmi\" id=\"medical-calculator-must-bmi-3\" value=\"3\" tabindex=\"3\" autocomplete=\"off\">\r\n                                                        &lt; 18.5 kg\/m\u00b2 (+2)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                            Unplanned weight loss in the past 3\u20136 months\r\n                                    <\/div>\r\n                <div class=\"col-sm-6\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"unplanned-weight-loss\" id=\"medical-calculator-must-unplanned-weight-loss-1\" value=\"1\" tabindex=\"4\" autocomplete=\"off\">\r\n                                                        &lt; 5 %\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"unplanned-weight-loss\" id=\"medical-calculator-must-unplanned-weight-loss-2\" value=\"2\" tabindex=\"5\" autocomplete=\"off\">\r\n                                                        5 - 10 % (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"unplanned-weight-loss\" id=\"medical-calculator-must-unplanned-weight-loss-3\" value=\"3\" tabindex=\"6\" autocomplete=\"off\">\r\n                                                        &gt; 10 % (+2)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                    Acutely ill patient with food abstinence > 5 days (also expected)\r\n                                <\/div>\r\n                <div class=\"col-sm-6 mt-3\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"acutely-ill-patient\" id=\"medical-calculator-must-acutely-ill-patient-n\" value=\"N\" tabindex=\"7\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"acutely-ill-patient\" id=\"medical-calculator-must-acutely-ill-patient-y\" value=\"Y\" tabindex=\"8\" autocomplete=\"off\">\r\n                                                        Yes (+2)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/form>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12\">\r\n                <div id=\"medical-calculator-must-result-text\" class=\"result-text\">\r\n                    <p><h5><span id=\"medical-calculator-must-result-value\"><\/span><\/h5><\/p>\r\n                    <p id=\"medical-calculator-must-result-interpretation\"><\/p>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            Interpretation\r\n                                    <\/h5>\r\n                <div class=\"table-responsive-sm\">\r\n                    <table class=\"table table-bordered\">\r\n                        <thead>\r\n                            <tr>\r\n                                <th>\r\n                                                                            Points\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Risk\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Recommendation\r\n                                                                    <\/th>\r\n                            <\/tr>\r\n                        <\/thead>\r\n                        <tbody>\r\n                            <tr class=\"table-row-a\">\r\n                                <td>\r\n                                                                            0\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            Low risk for malnutrition\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            <p><strong>Repeat Screening:<\/strong><\/p>\r\n                                        <ul>\r\n                                            <li>Hospital: weekly<\/li>\r\n                                            <li>Nursing home: monthly<\/li>\r\n                                            <li>Practice: annually for risk groups (e. g. age > 75 years)<\/li>\r\n                                        <\/ul>\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-b\">\r\n                                <td>\r\n                                                                            1\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            Moderate risk for malnutrition\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            <p><strong>Observe:<\/strong><\/p>\r\n                                        <ul>\r\n                                            <li>Nutrition protocol over 3 days (hospital and nursing home)<\/li>\r\n                                        <\/ul>\r\n                                        <p>Repeat Screening:<\/p>\r\n                                        <ul>\r\n                                            <li>Hospital: weekly<\/li>\r\n                                            <li>Nursing home: monthly<\/li>\r\n                                            <li>Practice: every 2\u20133 months <\/li>\r\n                                        <\/ul>\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-c\">\r\n                                <td>\r\n                                                                            &ge; 2\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            High risk for malnutrition\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            <p><strong>Treat:<\/strong><\/p>\r\n                                        <ul>\r\n                                            <li>Begin nutrition therapy<\/li>\r\n                                        <\/ul>\r\n                                        <p>Review of therapy:<\/p>\r\n                                        <ul>\r\n                                            <li>Hospital: weekly<\/li>\r\n                                            <li>Nursing home: monthly<\/li>\r\n                                            <li>Practice: monthly<\/li>\r\n                                        <\/ul>                                        \r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                        <\/tbody>\r\n                    <\/table>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            References\r\n                                    <\/h5>\r\n                <ol class=\"references\">\r\n                    <li id=\"must-cite-note-1\">Kondrup J, Allison SP, Elia M et al. ESPEN guidelines for nutrition screening 2002. Clin Nutr 2003; 22:415-421<\/li>\r\n                    <li id=\"must-cite-note-2\">Vellas B, Guigoz Y, Garry PJ et al. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 1999; 15: 116-122<\/li>\r\n                <\/ol>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n    <script type=\"text\/javascript\">\r\n                var medical_calculator_must_messages = {\r\n            'result_0' : 'Low risk for malnutrition',\r\n            'result_1' : 'Moderate risk for malnutrition',\r\n            'result_ge_2' : 'High risk for malnutrition',\r\n            'interpretation_0' : '<p><strong>Repeat Screening:<\/strong><\/p>'+\r\n                '<ul>'+\r\n                    '<li>Hospital: weekly<\/li>'+\r\n                    '<li>Nursing home: monthly<\/li>'+\r\n                    '<li>Practice: annually for risk groups (e. g. age > 75 years)<\/li>'+\r\n                '<\/ul>',\r\n            'interpretation_1' : '<p><strong>Observe:<\/strong><\/p>'+\r\n                '<ul>'+\r\n                    '<li>Nutrition protocol over 3 days (hospital and nursing home)<\/li>'+\r\n                '<\/ul>'+\r\n                '<p>Repeat Screening:<\/p>'+\r\n                '<ul>'+\r\n                    '<li>Hospital: weekly<\/li>'+\r\n                    '<li>Nursing home: monthly<\/li>'+\r\n                    '<li>Practice: every 2\u20133 months <\/li>'+\r\n                '<\/ul>',\r\n            'interpretation_ge_2' : '<p><strong>Treat:<\/strong><\/p>'+\r\n                '<ul>'+\r\n                    '<li>Begin nutrition therapy<\/li>'+\r\n                '<\/ul>'+\r\n                '<p>Review of therapy:<\/p>'+\r\n                '<ul>'+\r\n                    '<li>Hospital: weekly<\/li>'+\r\n                    '<li>Nursing home: monthly<\/li>'+\r\n                    '<li>Practice: monthly<\/li>'+\r\n                '<\/ul>'\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>Optimal nutrition is meant to prevent deterioration of mental and physical functions as well as health or treatment complications and to shorten convalescence. The purpose of the \u00abMalnutrition Universal Screening Tool\u00bb (MUST) is to detect existing malnutrition mainly in the outpatient setting, but also in nursing homes and hospitals. The implementation of the MUST is [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":28833,"menu_order":130,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-28865","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28865","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/comments?post=28865"}],"version-history":[{"count":1,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28865\/revisions"}],"predecessor-version":[{"id":28866,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28865\/revisions\/28866"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28833"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/media?parent=28865"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}