Shulou(Shulou.com)05/31 Report--

Audio commentary

Hello, everyone. The meeting will answer your questions. Nrs2002 score standard, nrs2002 score this many people do not know, now let's take a look at it!

Answer:

1. Nrs2002 score, there are 6 key points: primary screening, disease severity score, nutritional damage score, age score and total score; NRS2002 can only judge whether there is nutritional risk, but can not judge whether patients have malnutrition and the degree of malnutrition, and the score can not judge the degree of nutritional risk. 3 points, there is nutritional risk, should be combined with clinical nutrition support plan; 3 points, no nutritional risk.

2. Related introduction:

3, applicable object, NRS2002 is not applicable to all inpatients, patients who are not within the scope of application should choose other appropriate screening or evaluation tools; hospitalization for more than one day: refers to patients who are expected to be hospitalized for more than one day, non-outpatient or 24-hour hospitalization. According to the Health Industry Standard of the people's Republic of China, hospitalized patients should complete nutritional risk screening within 24 hours of hospitalization. 200 common misunderstandings: screening can only be carried out after one day in hospital

4. during the initial screening, if all four questions are "no", the screening will be completed and re-examined a week later. If one or more items are "yes", then enter the final screening; BMI15: the original foreign table is the body mass index (BMI) of 20.5 kg/m, because the lower limit of the Chinese normal BMI is 15kg/m, when screening the nutritional risk of Chinese patients, ask whether the BMI of the patients is less than 1. Has there been a reduction in food intake in the past week? Should be compared with normal nutritional needs, such as with normal diets in the past

5, disease severity score, when there are more diseases, take the highest score, should not be accumulated; major abdominal surgery: if it is an emergency operation, get 2 points; if it is an elective operation, score according to the diagnosis of other diseases; APACHE score: usually have this score in the patient's medical records. If not, please refer to page 3. Supplementary scoring criteria for disease severity: when a patient's diagnosis is not included in the diagnosis of the above diseases, a "calling number" is required, such as acute cholecystitis and senile dementia, which can be called "patients with acute attack of chronic diseases or complications". When the disease cannot be linked, supplementary criteria are used to score according to the changes in nutritional requirements caused by the current disease status.

6. Nutritional damage score: when both weight loss and food intake are reduced, take the highest score, and the score does not accumulate; 5% weight loss means that the percentage of weight loss in kilograms is more than 5% of the past weight; for example, the patient weighed 70 kg three months ago, lost 5 kg in three months, and lost 5 kg in 5%, with a score of 1%. The reduction in food intake in the last week is compared to normal nutritional needs, not to food intake a week ago. Questions should be objective and neutral and avoid seductive questions; for example, you should first ask "is there any change in food intake in the last week?" instead of directly asking "has food intake decreased in the last week? how much?"

7. Age, age should be based on the age shown in electronic medical records; the score of 70 years old is 1 point; in addition, 18-year-old and 90-year-old patients are not applicable.

This is the end of this article. I hope it will be helpful to all of you.

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