{"id":13821,"date":"2020-10-27T09:13:04","date_gmt":"2020-10-27T08:13:04","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=13821"},"modified":"2020-11-02T11:31:45","modified_gmt":"2020-11-02T10:31:45","slug":"nutritional-risk-screening","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/fr\/calculateurs\/nutritional-risk-screening\/","title":{"rendered":"Nutritional Risk Screening"},"content":{"rendered":"<p>Un r\u00e9gime alimentaire optimal vise \u00e0 pr\u00e9venir la d\u00e9t\u00e9rioration des fonctions mentales et physiques ainsi que les complications des maladies et de leurs traitements, tout en raccourcissant la p\u00e9riode de convalescence. Le Nutritional Risk Screenings (NRS) vise \u00e0 identifier une malnutrition pr\u00e9sente ou une nutrition \u00e0 risque pendant l&rsquo;hospitalisation. Si le premier questionnaire est anormal, le patient r\u00e9pond au questionnaire d\u00e9taill\u00e9. La Soci\u00e9t\u00e9 europ\u00e9enne de nutrition clinique et m\u00e9tabolisme (ESPEN) recommande la passation du NRS par tous les patients hospitalis\u00e9s.<\/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                                    IMC < 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                                                        Non\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                                                        Oui\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                                    Baisse des apports alimentaires au cours des derni\u00e8res semaines\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                                                        Non\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                                                        Oui\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                                            Perte de poids au cours des 3 derniers mois\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                                                        Non\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                                                        Oui\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                                    Maladie grave (p. ex. traitement intensif)\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                                                        Non\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                                                        Oui\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                                                    \u00c9tat nutritionnel anormal\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                                                                \u00c9tat nutritionnel normal\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>\u00c9tat nutritionnel l\u00e9g\u00e8rement d\u00e9pl\u00e9t\u00e9<\/strong><br \/>\r\n                                Perte de poids > 5% dans les 3 derniers mois<br \/>\r\n                                <u>ou<\/u><br \/>\r\n                                Apport alimentaire entre 50-75% de l\u2019apport normal au cours de la derni\u00e8re semaine\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>\u00c9tat nutritionnel mod\u00e9r\u00e9ment d\u00e9pl\u00e9t\u00e9<\/strong><br \/>\r\n                                Perte de poids > 5% dans les 2 derniers mois<br \/>\r\n                                <u>ou<\/u><br \/>\r\n                                IMC 18,5-20,5 avec baisse de l\u2019\u00e9tat g\u00e9n\u00e9ral<br \/>\r\n                                <u>ou<\/u><br \/>\r\n                                Apport alimentaire entre 25-50% de l\u2019apport normal au cours de la derni\u00e8re semaine\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>\u00c9tat nutritionnel s\u00e9v\u00e8rement d\u00e9pl\u00e9t\u00e9<\/strong><br \/>\r\n                                Perte de poids > 5% au cours du mois dernier<br \/>\r\n                                <u>ou<\/u><br \/>\r\n                                IMC < 18,5 avec baisse de l\u2019\u00e9tat g\u00e9n\u00e9ral<br \/>\r\n                                <u>ou<\/u><br \/>\r\n                                Apport alimentaire entre 0-25% de l\u2019apport normal au cours de la derni\u00e8re semaine\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                                                    Gravit\u00e9 de la maladie (\u2248 stress m\u00e9tabolique)\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                                                                Besoins nutritionnels normaux\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>Faible augmentation des besoins<\/strong><br \/>\r\n                                P. ex.  fracture du col du f\u00e9mur, maladie chronique avec complications aigu\u00ebs (cirrhose, BPCO), dialyse chronique, diab\u00e8te, cancer\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>Augmentation mod\u00e9r\u00e9e des besoins<\/strong><br \/>\r\n                                P. ex. grosse op\u00e9ration abdominale, AVC, infection pulmonaire grave, cancer h\u00e9matologique\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>Forte augmentation des besoins<\/strong><br \/>\r\n                                P. ex. graves \u00e0 la t\u00eate, greffe m\u00e9dullaire, soins intensifs\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                                                    \u00c2ge &ge; 70 ans\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                                                                Non\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                                                                Oui\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                                            R\u00e9f\u00e9rences\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' : 'Le risque de malnutrition est faible',\r\n            'result_lt_3' : 'Le risque de malnutrition est mod\u00e9r\u00e9',\r\n            'result_ge_3' : 'Le risque de malnutrition est \u00e9lev\u00e9',\r\n            'interpretation_normal' : 'Repasser le questionnaire chaque semaine',\r\n            'interpretation_lt_3' : 'Repasser le questionnaire chaque semaine',\r\n            'interpretation_ge_3' : 'Traitement nutritionnel recommand\u00e9 avec, selon disponibilit\u00e9, consultation di\u00e9t\u00e9tique',\r\n            'point' : 'point',\r\n            'points' : 'points'\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>Un r\u00e9gime alimentaire optimal vise \u00e0 pr\u00e9venir la d\u00e9t\u00e9rioration des fonctions mentales et physiques ainsi que les complications des maladies et de leurs traitements, tout en raccourcissant la p\u00e9riode de convalescence. Le Nutritional Risk Screenings (NRS) vise \u00e0 identifier une malnutrition pr\u00e9sente ou une nutrition \u00e0 risque pendant l&rsquo;hospitalisation. Si le premier questionnaire est anormal, [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":7598,"menu_order":567,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-13821","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13821","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/comments?post=13821"}],"version-history":[{"count":2,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13821\/revisions"}],"predecessor-version":[{"id":13911,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13821\/revisions\/13911"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/7598"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/media?parent=13821"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}