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目的:分析营养风险筛查2002(NRS2002)在老年病科住院患者营养风险筛查中的应用情况。方法:利用欧洲营养风险筛查2002(NRS2002)、微型营养评定工具(MNA)及主观全面营养评价法(SGA)对本院老年病科345例住院患者营养风险及住院时间进行评估。结果:NRS2002的灵敏度为84.7%,ROC曲线下的面积(AUC-ROC)为0.899;NRS2002评估有营养不良风险的患者住院时间大于10 d的可能性高于无营养不良风险组患者(OR=6.43,95%CI=2.45-12.67)。结论:NRS2002对于老年病科住院患者住院时间有较好的预测性,但其在老年病科住院患者中的适用性还有待于深入分析。
OBJECTIVE: To analyze the application of Nutrition Risk Screening 2002 (NRS 2002) in the nutrition risk screening of inpatients in geriatrics. Methods: The nutrition risk and length of hospital stay of 345 hospitalized patients in our department of geriatrics were evaluated by NRS2002, MNA and SGA. Results: The sensitivity of NRS2002 was 84.7%, and the area under the ROC curve (AUC-ROC) was 0.899. Patients with NRS 2002 assessment of malnutrition were more likely to be hospitalized for more than 10 days than those without risk of malnutrition (OR 6.43 , 95% CI = 2.45-12.67). Conclusion: NRS2002 has good predictability for inpatients in geriatrics, but its applicability in inpatients in geriatrics needs to be further analyzed.