Research status of different tools for nutrition screening and evaluation of patients with gastrointestinal malignant tumor

doi:10.3877/cma.j.issn.1674-0793.2021.02.018

Abstract

Abstract:

Nutritional risk screening and nutritional status assessment is important in assessing the risk of complications and prognosis of patients undergoing gastrointestinal surgery. Especially, due to the poor basic nutritional status, elderly patients and cancer patients have high incidence of postoperative complications, affecting the prognosis and even leading to death. At present, there are a wide variety of nutritional risk screening and assessment methods, each with its own advantages and focuses. In view of the individualized characteristics of patients with gastrointestinal cancer, it is helpful to find more effective and suitable tools for rapid and accurate nutritional status assessment and risk screening, which will help to reduce the operation related complications and improve the prognosis of patients.

Key words: Gastrointestinal neoplasms, Digestive system surgical procedures, Nutrition assess-ment, Tools, Prognosis

Qi Xiao, Yansong Pu, Baojun Duan, Yatao Tian, Kang Pu, Xianglong Duan. Research status of different tools for nutrition screening and evaluation of patients with gastrointestinal malignant tumor[J]. Chinese Archives of General Surgery(Electronic Edition), 2021, 15(02): 157-160.

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References 24

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筛查工具	优点	缺点
NRS 2002	侧重营养风险筛查	卧床患者或有水肿、腹水、意识障碍者有限制性，但该类问题在筛查工具中普遍存在
	适用范围广，可信度高，一般患者均建议筛查，花费时间少	卧床患者或有水肿、腹水、意识障碍者有限制性，但该类问题在筛查工具中普遍存在
		对并发症的预测缺乏证据
MUST	适用于老年患者，预测死亡率和住院时间优于其他	循证医学证据不足，仍需大量的临床样本验证
MNA-SF	老年患者的危险评估	需要询问病史
	易于操作	不适用于营养不良早期
	可预测健康结局，死亡率，住院时间及花费	不适用于儿童的营养风险筛查
CONUT	适用于老年结直肠肿瘤患者	缺乏足够的循证医学证据
	对并发症发生率和死亡率预测性好
	以实验室指标为主
PG-SGA	适合肿瘤患者	更多反映疾病状况
	定性、定量两方面评估营养状况	缺少足够临床证据证实预测准确性
	预测并发症优于其他	主观性、专业性较强
NRI	适用于胸、腹部大手术患者营养评价	水肿等影响预测结果
	加入实验室指标	影响蛋白含量的因素限制其实用性
	对死亡率和住院时间有很好的预测性

筛查工具	优点	缺点
NRS 2002	侧重营养风险筛查	卧床患者或有水肿、腹水、意识障碍者有限制性，但该类问题在筛查工具中普遍存在
	适用范围广，可信度高，一般患者均建议筛查，花费时间少	卧床患者或有水肿、腹水、意识障碍者有限制性，但该类问题在筛查工具中普遍存在
		对并发症的预测缺乏证据
MUST	适用于老年患者，预测死亡率和住院时间优于其他	循证医学证据不足，仍需大量的临床样本验证
MNA-SF	老年患者的危险评估	需要询问病史
	易于操作	不适用于营养不良早期
	可预测健康结局，死亡率，住院时间及花费	不适用于儿童的营养风险筛查
CONUT	适用于老年结直肠肿瘤患者	缺乏足够的循证医学证据
	对并发症发生率和死亡率预测性好
	以实验室指标为主
PG-SGA	适合肿瘤患者	更多反映疾病状况
	定性、定量两方面评估营养状况	缺少足够临床证据证实预测准确性
	预测并发症优于其他	主观性、专业性较强
NRI	适用于胸、腹部大手术患者营养评价	水肿等影响预测结果
	加入实验室指标	影响蛋白含量的因素限制其实用性
	对死亡率和住院时间有很好的预测性

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