{"id":13855,"date":"2020-10-28T15:37:09","date_gmt":"2020-10-28T14:37:09","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=13855"},"modified":"2020-10-28T15:37:09","modified_gmt":"2020-10-28T14:37:09","slug":"malnutrition-universal-screening-tool-must","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/fr\/calculateurs\/malnutrition-universal-screening-tool-must\/","title":{"rendered":"Malnutrition Universal Screening Tool (MUST)"},"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 des traitements, tout en raccourcissant la p\u00e9riode de convalescence. Le but du Malnutrition Universal Screening Tool (MUST) est de d\u00e9pister les personnes en situation de d\u00e9nutrition, surtout en ambulatoire, mais \u00e9galement en hospitalier et en EMS. La passation du MUST est recommand\u00e9e pour les patients ambulatoires par l\u2019European Society for Clinical Nutrition and Metabolism (ESPEN) <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                                            Indice de masse corporelle\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                                            Perte de poids non intentionnelle au cours des 3-6 derniers mois\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                                    Chez un patient pr\u00e9sentant une maladie aigu\u00eb avec je\u00fbne de > 5 jours document\u00e9 ou suspect\u00e9.\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                                                        Non\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                                                        Oui (+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                                            Interpr\u00e9tation\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                                                                            Risque\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Recommandation\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                                                                            Faible risque de d\u00e9nutrition\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            <p><strong>R\u00e9p\u00e9ter le d\u00e9pistage:<\/strong><\/p>\r\n                                        <ul>\r\n                                            <li>en milieu hospitalier : chaque semaine<\/li>\r\n                                            <li>en EMS : chaque mois<\/li>\r\n                                            <li>en cabinet : chaque ann\u00e9e chez les patients \u00e0 risque (p. ex. > 75 ans)<\/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                                                                            Risque de d\u00e9nutrition mod\u00e9r\u00e9\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            <p><strong>\u00c0 observer:<\/strong><\/p>\r\n                                        <ul>\r\n                                            <li>protocole alimentaire sur 3 jours (h\u00f4pital et EMS)<\/li>\r\n                                        <\/ul>\r\n                                        <p>R\u00e9p\u00e9ter le d\u00e9pistage:<\/p>\r\n                                        <ul>\r\n                                            <li>en milieu hospitalier : chaque semaine<\/li>\r\n                                            <li>en EMS : chaque mois<\/li>\r\n                                            <li>en cabinet : tous les 2-3 mois<\/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                                                                            Risque de d\u00e9nutrition \u00e9lev\u00e9\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            <p><strong>Traiter:<\/strong><\/p>\r\n                                        <ul>\r\n                                            <li>commencer le traitement nutritionnel<\/li>\r\n                                        <\/ul>\r\n                                        <p>V\u00e9rifier le traitement:<\/p>\r\n                                        <ul>\r\n                                            <li>en milieu hospitalier : chaque semaine<\/li>\r\n                                            <li>en EMS : chaque mois<\/li>\r\n                                            <li>en cabinet : chaque mois<\/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                                            R\u00e9f\u00e9rences\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' : 'Faible risque de d\u00e9nutrition',\r\n            'result_1' : 'Risque de d\u00e9nutrition mod\u00e9r\u00e9',\r\n            'result_ge_2' : 'Risque de d\u00e9nutrition \u00e9lev\u00e9',\r\n            'interpretation_0' : '<p><strong>R\u00e9p\u00e9ter le d\u00e9pistage:<\/strong><\/p>'+\r\n                '<ul>'+\r\n                    '<li>en milieu hospitalier : chaque semaine<\/li>'+\r\n                    '<li>en EMS : chaque mois<\/li>'+\r\n                    '<li>en cabinet : chaque ann\u00e9e chez les patients \u00e0 risque (p. ex. > 75 ans)<\/li>'+\r\n                '<\/ul>',\r\n            'interpretation_1' : '<p><strong>\u00c0 observer:<\/strong><\/p>'+\r\n                '<ul>'+\r\n                    '<li>protocole alimentaire sur 3 jours (h\u00f4pital et EMS)<\/li>'+\r\n                '<\/ul>'+\r\n                '<p>R\u00e9p\u00e9ter le d\u00e9pistage:<\/p>'+\r\n                '<ul>'+\r\n                    '<li>en milieu hospitalier : chaque semaine<\/li>'+\r\n                    '<li>en EMS : chaque mois<\/li>'+\r\n                    '<li>en cabinet : tous les 2-3 mois<\/li>'+\r\n                '<\/ul>',\r\n            'interpretation_ge_2' : '<p><strong>Traiter:<\/strong><\/p>'+\r\n                '<ul>'+\r\n                    '<li>commencer le traitement nutritionnel<\/li>'+\r\n                '<\/ul>'+\r\n                '<p>V\u00e9rifier le traitement:<\/p>'+\r\n                '<ul>'+\r\n                    '<li>en milieu hospitalier : chaque semaine<\/li>'+\r\n                    '<li>en EMS : chaque mois<\/li>'+\r\n                    '<li>en cabinet : chaque mois<\/li>'+\r\n                '<\/ul>'\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 des traitements, tout en raccourcissant la p\u00e9riode de convalescence. Le but du Malnutrition Universal Screening Tool (MUST) est de d\u00e9pister les personnes en situation de d\u00e9nutrition, surtout en ambulatoire, mais \u00e9galement en hospitalier et [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":7598,"menu_order":557,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-13855","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13855","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=13855"}],"version-history":[{"count":1,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13855\/revisions"}],"predecessor-version":[{"id":13856,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13855\/revisions\/13856"}],"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=13855"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}