Vajira Surgical Nutritional Screening Tool Compared with Subjective Global Assessment Test (SGA)

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dc.contributor.authorKamonrut Pibulen_US
dc.contributor.authorAnan Manomaipiboonen_US
dc.contributor.authorSuphakarn Techapongsatornen_US
dc.contributor.authorSurasee Boonyavanichen_US
dc.contributor.authorThanaporn Tosanguanrungruangen_US
dc.date.accessioned2011-02-22T09:11:13Z
dc.date.available2011-02-22T09:11:13Z
dc.date.created2010-07-05en_US
dc.date.issued2010-07-05en_US
dc.description.abstractAbstract Vajira Surgical Nutritional Screening Tool Compared with Subjective Global Assessment Test (SGA) Kamonrut             Pibul                                       MD, FRCST, FICS Anan                      Manomaipiboon                   MD, MSc, FRCST, FICS Suphakarn           Techapongsatorn                 MD, MSc, FRCST, FICS Surasee                 Boonyavanich                      MD Thanaporn            Tosanguanrungruang         RN Sunanta                 Vitayaudom                         RN Department of Surgery, BMA Medical College and Vajira Hospital Objective: To evaluate the diagnostic performances of the Vajira surgical nutritional screening tool compared with subjective global assessment (SGA) test. Study design: Descriptive study (diagnostic test). Subjects: A total of 200 patients admitted in the general surgical units, BMA Medical College and Vajira Hospital between January and June 2008. Methods: The nutritional status was evaluated by the Vajira surgical nutritional screening tool in terms of score ranging from 0-11 and SGA test. Age, sex and diseases were also recorded. Main outcome measures: sensitivity, specificity, positive predictive value, negative predictive value and 95% confidence interval (95% CI). Results: The mean age of the patients was 50.5 + 11.5 years. About 36.0% of them were male while 64.0% were female. Hepatobiliary diseases were found in 20.0% while large bowel malignancy was found in 16.0%. Prevalence of malnutrition diagnosed from SGA test was 44.5% including 35.0% of mild-moderate malnutrition and 9.5% of severe malnutrition. The score from Vajira surgical nutritional screening tool at cutoff point \> 4 had a sensitivity of 83.2% (95% CI, 78.0-88.3%), specificity of 87.4% (95% CI, 82.8-92.0%), positive predictive value and negative predictive value of 84.1% (95% CI, 79.0-89.2%) and 86.6% (95% CI, 81.9-91.3%) respectively to diagnose malnutrition compared to SGA test. Conclusion: The Vajira surgical nutritional screening tool is an effective tool with high sensitivity and specificity for identifying malnutrition in surgical patients. Key words: Vajira Surgical Nutritional Screening test, Subjective Global Assessment, SGA, malnutrition, surgical patients   Vajira Med J 2009 ; 54 : 25 - 32  en_US
dc.identifier.citationVajira Medical Journal; Vol. 54 No. 1 January - April 2010; 25-32en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/133080
dc.language.isoen_USen_US
dc.publisherVajira Medical Journalen_US
dc.rightsFaculty of Medicine, Vajira Hospital, University of Bangkok Metropolis, Bangkok, Thailanden_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/VMJ/issue/archiveen_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/VMJ/article/view/4283en_US
dc.titleVajira Surgical Nutritional Screening Tool Compared with Subjective Global Assessment Test (SGA)en_US
dc.typeOriginal Articlesen_US
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