Terminology interpretation of nutritional risk screening (NRS 2002-01.017)and malnutrition diagnosis (GLIM-phenotypic criteria 01.028, etiologic criteria 01.029)
10.3760/cma.j.cn115822-20201113-00239
- VernacularTitle:营养风险筛查(NRS 2002-01.017)、营养不良诊断(GLIM-表现型指标01.028、病因型指标01.029)
- Author:
Xiangfeng YUE
1
;
Xianna ZHANG
;
Yu WANG
;
Weiming KANG
;
Qian LU
;
Jian YANG
;
Xin YE
;
Hongxia XU
;
Hongming PAN
;
Jingyong XU
;
Zhuming JIANG
Author Information
1. 郑州大学第一附属医院 药学部，450052
- Keywords:
Nutritional risk;
Nutritional risk screening 2002;
Malnutrition;
Malnutrition diagnosis;
Global Leadership Initiative on Malnutrition
- From:
Chinese Journal of Clinical Nutrition
2021;29(2):123-128
- CountryChina
- Language:Chinese
-
Abstract:
In the 42 nd and 44 th workshops of CSPEN-nutritional risk-undernutrition-support-outcome-cost effectiveness ratio (NUSOC) multi-center database collaboration group, Jens Kondrup and Henrik Rasmussen described again the application of NRS 2002, the evidence-based basis of NRS 2002 development and the methodology for prospective validation of clinical effectiveness. There is no gold standard for validation. They both considered that malnutrition could be identified as a score of 3 or more for impaired nutritional status in NRS 2002. Although NRS 2002 is simple and easy to be applied, it is not comprehensive enough for malnutrition diagnosis. ASPEN and ESPEN on-line published the Global Leadership (nutritional) Initiative on Malnutrition(GLIM)diagnosis criteria in September 2018. With the gradual implementation of medicare payment based on diagnosis related groups(DRG)in China, the nutritional risk and the malnutrition diagnosis with Chinese version of ICD-10 (2016) code should be recorded in the first page of the medical records. In this terminology interpretations, the terms of nutritional risk screening(NRS 2002.01.016)and malnutrition diagnosis (GLIM-phenotypic criteria 01.028, etiologic criteria 01.029) published in Parenteral and Enteral Nutrition Terminology 2019 are discussed based on the reports given by Kondrup and Rasmussen in Beijing and Zhengzhou.
