Elsevier

Clinical Nutrition

Volume 22, Issue 4, August 2003, Pages 415-421
Clinical Nutrition

Special Article
ESPEN Guidelines for Nutrition Screening 2002

https://doi.org/10.1016/S0261-5614(03)00098-0Get rights and content

Abstract

Aim: To provide guidelines for nutrition risk screening applicable to different settings (community, hospital, elderly) based on published and validated evidence available until June 2002.

Note: These guidelines deliberately make reference to the year 2002 in their title to indicate that this version is based on the evidence available until 2002 and that they need to be updated and adapted to current state of knowledge in the future.

In order to reach this goal the Education and Clinical Practice Committee invites and welcomes all criticism and suggestions (button for mail to ECPC chairman).

Section snippets

Background

About 30% of all patients in hospital are undernourished. A large part of these patients are undernourished when admitted to hospital and in the majority of these, undernutrition develops further while in hospital (1). This can be prevented if special attention is paid to their nutritional care. Other features of the patient's primary disease are screened routinely and treated (e.g. dehydration, blood pressure, fever), and it is unacceptable that nutritional problems causing significant

The community: MUST for adults (see appendix)

The purpose of the MUST system is to detect undernutrition on the basis of knowledge about the association between impaired nutritional status and impaired function (5). It was primarily developed for use in the community, where serious confounders of the effect of undernutrition are relatively rare.

Evaluation. The predictive validity of MUST in the community is based on previous and new studies of the effect of semi-starvation/starvation on mental and physical function in healthy volunteers

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