A Comparison of the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment-Short Form (MNA-SF) Tool for Older Patients Undergoing General Surgery
The optimal malnutrition screening tool in geriatric surgery has yet to be determined. Herein, we compare two main tools in older patients undergoing general surgery operations. Older patients (>65 years old) who underwent general surgery operations between 2012 and 2017 in a tertiary centre were...
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| Format: | Article |
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MDPI AG
2021-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/24/5860 |
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| author | Stamatios Kokkinakis Maria Venianaki Georgia Petra Alexandros Chrysos Emmanuel Chrysos Konstantinos Lasithiotakis |
| author_facet | Stamatios Kokkinakis Maria Venianaki Georgia Petra Alexandros Chrysos Emmanuel Chrysos Konstantinos Lasithiotakis |
| author_sort | Stamatios Kokkinakis |
| collection | DOAJ |
| description | The optimal malnutrition screening tool in geriatric surgery has yet to be determined. Herein, we compare two main tools in older patients undergoing general surgery operations. Older patients (>65 years old) who underwent general surgery operations between 2012 and 2017 in a tertiary centre were included. The Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment Short Form (MNA-SF) were used for nutritional risk assessment. Preoperative variables as well as postoperative outcomes were recorded prospectively. Agreement between tools was determined with the weighted kappa (κ) statistic. Multiple regression analysis was used to assess the association of the screening tools with postoperative outcomes. A total of 302 patients (median age 74 years, range: 65–92) were included. A similar number of patients were classified as medium/high risk for malnutrition with the MNA-SF and MUST (26% vs. 36%, <i>p</i> = 0.126). Agreement between the two tools was moderate (weighted κ: 0.474; 95%CI: 0.381–0.568). In the multivariate analysis, MNA-SF was associated significantly with postoperative mortality (<i>p</i> = 0.038) and with postoperative length of stay (<i>p</i> = 0.001). MUST was associated with postoperative length of stay (<i>p</i> = 0.048). The MNA-SF seems to be more consistently associated with postoperative outcomes in elderly patients undergoing general surgery compared with the MUST tool. |
| first_indexed | 2024-03-10T03:51:07Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T03:51:07Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-c404f4d3b4e845f89469e6220fb50ae32023-11-23T08:57:15ZengMDPI AGJournal of Clinical Medicine2077-03832021-12-011024586010.3390/jcm10245860A Comparison of the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment-Short Form (MNA-SF) Tool for Older Patients Undergoing General SurgeryStamatios Kokkinakis0Maria Venianaki1Georgia Petra2Alexandros Chrysos3Emmanuel Chrysos4Konstantinos Lasithiotakis5Department of General Surgery, University General Hospital of Heraklion, 71110 Heraklion, GreeceDepartment of General Surgery, University General Hospital of Heraklion, 71110 Heraklion, GreeceDepartment of General Surgery, University General Hospital of Heraklion, 71110 Heraklion, GreeceDepartment of General, Visceral and Transplantation Surgery, University Clinic RWTH Aachen, Pauwelsstrasse 30, 52074 Aachen, GermanyDepartment of General Surgery, University General Hospital of Heraklion, 71110 Heraklion, GreeceDepartment of General Surgery, University General Hospital of Heraklion, 71110 Heraklion, GreeceThe optimal malnutrition screening tool in geriatric surgery has yet to be determined. Herein, we compare two main tools in older patients undergoing general surgery operations. Older patients (>65 years old) who underwent general surgery operations between 2012 and 2017 in a tertiary centre were included. The Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment Short Form (MNA-SF) were used for nutritional risk assessment. Preoperative variables as well as postoperative outcomes were recorded prospectively. Agreement between tools was determined with the weighted kappa (κ) statistic. Multiple regression analysis was used to assess the association of the screening tools with postoperative outcomes. A total of 302 patients (median age 74 years, range: 65–92) were included. A similar number of patients were classified as medium/high risk for malnutrition with the MNA-SF and MUST (26% vs. 36%, <i>p</i> = 0.126). Agreement between the two tools was moderate (weighted κ: 0.474; 95%CI: 0.381–0.568). In the multivariate analysis, MNA-SF was associated significantly with postoperative mortality (<i>p</i> = 0.038) and with postoperative length of stay (<i>p</i> = 0.001). MUST was associated with postoperative length of stay (<i>p</i> = 0.048). The MNA-SF seems to be more consistently associated with postoperative outcomes in elderly patients undergoing general surgery compared with the MUST tool.https://www.mdpi.com/2077-0383/10/24/5860geriatric surgerymalnutritionmini nutritional assessment short-formmalnutrition universal screening tool |
| spellingShingle | Stamatios Kokkinakis Maria Venianaki Georgia Petra Alexandros Chrysos Emmanuel Chrysos Konstantinos Lasithiotakis A Comparison of the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment-Short Form (MNA-SF) Tool for Older Patients Undergoing General Surgery Journal of Clinical Medicine geriatric surgery malnutrition mini nutritional assessment short-form malnutrition universal screening tool |
| title | A Comparison of the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment-Short Form (MNA-SF) Tool for Older Patients Undergoing General Surgery |
| title_full | A Comparison of the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment-Short Form (MNA-SF) Tool for Older Patients Undergoing General Surgery |
| title_fullStr | A Comparison of the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment-Short Form (MNA-SF) Tool for Older Patients Undergoing General Surgery |
| title_full_unstemmed | A Comparison of the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment-Short Form (MNA-SF) Tool for Older Patients Undergoing General Surgery |
| title_short | A Comparison of the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment-Short Form (MNA-SF) Tool for Older Patients Undergoing General Surgery |
| title_sort | comparison of the malnutrition universal screening tool must and the mini nutritional assessment short form mna sf tool for older patients undergoing general surgery |
| topic | geriatric surgery malnutrition mini nutritional assessment short-form malnutrition universal screening tool |
| url | https://www.mdpi.com/2077-0383/10/24/5860 |
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