{"id":28881,"date":"2022-06-22T10:11:52","date_gmt":"2022-06-22T08:11:52","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=28881"},"modified":"2022-06-22T10:11:52","modified_gmt":"2022-06-22T08:11:52","slug":"nutritional-risk-screening","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/en\/digital-doctors-bag\/nutritional-risk-screening\/","title":{"rendered":"Nutritional Risk Screening"},"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 \u00abNutritional Risk Screenings\u00bb (NRS) is to detect any existing malnutrition or risk of malnutrition during hospitalization. If the initial screening is abnormal, the final screening is performed. NRS is recommended by the \u00abEuropean Society for Clinical Nutrition and Metabolism\u00bb (ESPEN) for all hospitalized patients <a href=\"#nrs-cite-note-1\">[1]<\/a>.<\/p>\n    <div class=\"medical-calculator nrs\" id=\"medical-calculator-nrs\">\r\n        <form>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-4 col-form-label mt-auto\">\r\n                                    BMI < 20.5 kg\/m\u00b2\r\n                                <\/div>\r\n                <div class=\"col-sm-8 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=\"bmi-lt20pt5\" id=\"medical-calculator-nrs-bmi-lt20pt5-n\" value=\"N\" tabindex=\"1\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"bmi-lt20pt5\" id=\"medical-calculator-nrs-bmi-lt20pt5-y\" value=\"Y\" tabindex=\"2\" autocomplete=\"off\">\r\n                                                        Yes\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-4 col-form-label\">\r\n                                    Reduced dietary intake in the last week?\r\n                                <\/div>\r\n                <div class=\"col-sm-8 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=\"ingestion-reduction\" id=\"medical-calculator-nrs-ingestion-reduction-n\" value=\"N\" tabindex=\"3\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"ingestion-reduction\" id=\"medical-calculator-nrs-ingestion-reduction-y\" value=\"Y\" tabindex=\"4\" autocomplete=\"off\">\r\n                                                        Yes\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-4 col-form-label\">\r\n                                            Weight loss within the last 3 months?\r\n                                    <\/div>\r\n                <div class=\"col-sm-8 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=\"weight-loss-last-3mon\" id=\"medical-calculator-nrs-weight-loss-last-3mon-n\" value=\"N\" tabindex=\"5\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"weight-loss-last-3mon\" id=\"medical-calculator-nrs-weight-loss-last-3mon-y\" value=\"Y\" tabindex=\"6\" autocomplete=\"off\">\r\n                                                        Yes\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-4 col-form-label\">\r\n                                    Severe illness (e. g. intensive therapy)\r\n                                <\/div>\r\n                <div class=\"col-sm-8 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=\"serious-illness\" id=\"medical-calculator-nrs-serious-illness-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=\"serious-illness\" id=\"medical-calculator-nrs-serious-illness-y\" value=\"Y\" tabindex=\"8\" autocomplete=\"off\">\r\n                                                        Yes\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"d-none\" id=\"medical-calculator-nrs-main-screening-wrapper\">\r\n                <div class=\"form-group row\">\r\n                    <div class=\"col-sm-4 col-form-label\">\r\n                                                    Impaired nutritional status\r\n                                            <\/div>\r\n                    <div class=\"col-sm-8\">\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=\"impaired-nutritional-status\" id=\"medical-calculator-nrs-impaired-nutritional-status-1\" value=\"1\" tabindex=\"9\" autocomplete=\"off\">\r\n                                                                Normal nutritional status\r\n                                                            <\/label>\r\n                            <label class=\"btn btn-outline-secondary btn-block\">\r\n                                <input type=\"radio\" name=\"impaired-nutritional-status\" id=\"medical-calculator-nrs-impaired-nutritional-status-2\" value=\"2\" tabindex=\"10\" autocomplete=\"off\">\r\n                                                                <strong>Mild<\/strong><br \/>\r\n                                Weight loss > 5 % in the past 3 months<br \/>\r\n                                <u>or<\/u><br \/>\r\n                                Food intake below 50\u201375 % of normal requirement in preceding week\r\n                                                            <\/label>\r\n                            <label class=\"btn btn-outline-secondary btn-block\">\r\n                                <input type=\"radio\" name=\"impaired-nutritional-status\" id=\"medical-calculator-nrs-impaired-nutritional-status-3\" value=\"3\" tabindex=\"11\" autocomplete=\"off\">\r\n                                                                <strong>Moderate<\/strong><br \/>\r\n                                Weight loss > 5 % in the past 2 months<br \/>\r\n                                <u>or<\/u><br \/>\r\n                                BMI between 18.5 and 20.5 kg\/m\u00b2 and impaired general condition<br \/>\r\n                                <u>or<\/u><br \/>\r\n                                Food intake below 25-50 % of normal requirement in preceding week\r\n                                                            <\/label>\r\n                            <label class=\"btn btn-outline-secondary btn-block\">\r\n                                <input type=\"radio\" name=\"impaired-nutritional-status\" id=\"medical-calculator-nrs-impaired-nutritional-status-3\" value=\"4\" tabindex=\"12\" autocomplete=\"off\">\r\n                                                                <strong>Severe<\/strong><br \/>\r\n                                Weight loss > 5 % last month<br \/>\r\n                                <u>or<\/u><br \/>\r\n                                BMI < 18.5 kg\/m\u00b2 and impaired general condition<br \/>\r\n                                <u>or<\/u><br \/>\r\n                                Food intake below 0-25 % of normal requirement in preceding week\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-4 col-form-label\">\r\n                                                    Severity of disease (\u2248 increase in requirements)\r\n                                            <\/div>\r\n                    <div class=\"col-sm-8\">\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=\"seriousness-of-disease\" id=\"medical-calculator-mna-seriousness-of-disease-1\" value=\"1\" tabindex=\"13\" autocomplete=\"off\">\r\n                                                                Normal nutritional requirements\r\n                                                            <\/label>\r\n                            <label class=\"btn btn-outline-secondary btn-block\">\r\n                                <input type=\"radio\" name=\"seriousness-of-disease\" id=\"medical-calculator-mna-seriousness-of-disease-2\" value=\"2\" tabindex=\"14\" autocomplete=\"off\">\r\n                                                                <strong>Mild<\/strong><br \/>\r\n                                Hip fracture, chronic patients with acute complications (cirrhosis, COPD), chronic hemodialysis, diabetes, oncology\r\n                                                            <\/label>\r\n                            <label class=\"btn btn-outline-secondary btn-block\">\r\n                                <input type=\"radio\" name=\"seriousness-of-disease\" id=\"medical-calculator-mna-seriousness-of-disease-3\" value=\"3\" tabindex=\"15\" autocomplete=\"off\">\r\n                                                                <strong>Moderate<\/strong><br \/>\r\n                                Major abdominal surgery, stroke, severe pneumonia, hematologic malignancy\r\n                                                            <\/label>\r\n                            <label class=\"btn btn-outline-secondary btn-block\">\r\n                                <input type=\"radio\" name=\"seriousness-of-disease\" id=\"medical-calculator-mna-seriousness-of-disease-4\" value=\"4\" tabindex=\"16\" autocomplete=\"off\">\r\n                                                                <strong>Severe<\/strong><br \/>\r\n                                Head injury, bone marrow transplantation, intensive care patients\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-4 col-form-label\">\r\n                                                    Age &ge; 70 years\r\n                                            <\/div>\r\n                    <div class=\"col-sm-8\">\r\n                        <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                            <label class=\"btn btn-outline-secondary\">\r\n                                <input type=\"radio\" name=\"age-ge-70\" id=\"medical-calculator-nrs-age-ge-70-n\" value=\"N\" tabindex=\"17\" autocomplete=\"off\">\r\n                                                                No\r\n                                                            <\/label>\r\n                            <label class=\"btn btn-outline-secondary\">\r\n                                <input type=\"radio\" name=\"age-ge-70\" id=\"medical-calculator-nrs-age-ge-70-y\" value=\"Y\" tabindex=\"18\" autocomplete=\"off\">\r\n                                                                Yes\r\n                                                            <\/label>\r\n                        <\/div>\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-nrs-result-text\" class=\"result-text\">\r\n                    <p><h5><span id=\"medical-calculator-nrs-result-value\"><\/span><\/h5><\/p>\r\n                    <p id=\"medical-calculator-nrs-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                                            References\r\n                                    <\/h5>\r\n                <ol class=\"references\">\r\n                    <li id=\"nrs-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=\"nrs-cite-note-2\">Kondrup J, Rasmussen HH, Hamberg O et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr 2003; 22: 321-336<\/li>\r\n                    <li id=\"nrs-cite-note-3\">Kondrup J, Johansen N, Plum LM et al. Incidence of nutritional risk and causes of inadequate nutritional care in hospitals. Clin Nutr 2002; 21: 461-468<\/li>\r\n                <\/ol>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n    <script type=\"text\/javascript\">\r\n                var medical_calculator_nrs_messages = {\r\n            'result_normal' : 'Low risk of malnutrition',\r\n            'result_lt_3' : 'Mild risk of malnutrition',\r\n            'result_ge_3' : 'High risk of malnutrition',\r\n            'interpretation_normal' : 'Repeat screening weekly.',\r\n            'interpretation_lt_3' : 'Repeat screening weekly.',\r\n            'interpretation_ge_3' : 'Nutritional therapy recommended. Involve nutritional consulting if possible.',\r\n            'point' : 'point',\r\n            'points' : 'points'\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 \u00abNutritional Risk Screenings\u00bb (NRS) is to detect any existing malnutrition or risk of malnutrition during hospitalization. If the initial screening is abnormal, the final screening is performed. NRS [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":28833,"menu_order":122,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-28881","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28881","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=28881"}],"version-history":[{"count":1,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28881\/revisions"}],"predecessor-version":[{"id":28882,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28881\/revisions\/28882"}],"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=28881"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}