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      CONUT: A tool for Controlling Nutritional Status. First validation in a hospital population Translated title: CONUT: una herramienta para controlar el estado nutritivo. Primera validación en una población hospitalaria

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          Abstract

          Background: The serious problem of hospital undernutrition is still being underestimated, despite its impact on clinical evolution and costs. The screening methods developed so far are not useful for daily clinical practice due to their low effectiveness/cost ratio. Objective:We present an screening tool for CONtrolling NUTritional status (CONUT) that allows an automatic daily assessment of nutritional status of all inpatients that undergo routine analysis. Design: The system is based on a computer application that compiles daily all useful patient information available in hospital databases, through the internal network. It automatically assesses the nutritional status taking into account laboratory information including serum albumin, total cholesterol level and total lymphocyte count. We have studied the association between the results of the Subjective Global Assessment (SGA) and Full Nutritional Assessment (FNA) with those from CONUT, in a sample of 53 individuals. Results: The agreement degree between CONUT and FNA as measured by kappa index is 0.669 (p = 0.003), and between CONUT and SGA is 0.488 (p = 0.034). Considering FNA as "gold standard" we obtain a sensitivity of 92.3 and a specificity of 85.0. Conclusions: CONUT seems to be an efficient tool for early detection and continuous control of hospital undernutrition, with the suitable characteristics for these screening functions.

          Translated abstract

          Antecedentes: El grave problema de la desnutrición hospitalaria sigue siendo infravalorado, pese a sus repercusiones sobre la evolución clínica y los costes de la hospitalización. Los procedimientos de filtro desarrollados hasta ahora no son útiles para la práctica diaria por su baja relación efectividad/costo. Objetivo: Presentamos un sistema de cribado para el CONtrol NUTricional que permite valorar a diario, de manera automática, la situación nutricional de la totalidad de los pacientes ingresados a los que se practica análisis de rutina. Diseño: El sistema se basa en una aplicación informática que recopila a diario, a través de la red interna, aquellos datos de los pacientes ingresados que se consideran útiles para evaluar su estado nutricional y que están disponibles en bases de datos del hospital. Automáticamente determina la situación nutricional de los pacientes considerando los datos de laboratorio: albúmina, colesterol y linfocitos totales. Hemos estudiado la asociación entre los resultados del Subjective Global Assessment (SGA) y del Full Nutritional Assessment (FNA) con aquellos del CONUT, en una muestra de 53 individuos. Resultados: El grado de concordancia entre el CONUT y el FNA, medido por el índice kappa es de 0,699 (p = 0,003), y entre el CONUT y el SGA es de 0,488 (p = 0,034). Si consideramos que el FNA es la "prueba de referencia", obtenemos una sensibilidad del 92,3 y una especificidad del 85,0. Conclusiones: Parece que CONUT es una herramienta eficaz para la detección precoz y el control continuo de la desnutrición hospitalaria, con las características adecuadas a las funciones de cribado.

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          Prevalence of decubitus ulcer and associated risk factors in an institutionalized Spanish elderly population

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            Detección precoz y control de la desnutrición hospitalaria

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              Preoperative serum albumin level as a predictor of operative mortality and morbidity: results from the national VA surgical risk study

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                nh
                Nutrición Hospitalaria
                Nutr. Hosp.
                Grupo Arán (Madrid, Madrid, Spain )
                0212-1611
                1699-5198
                February 2005
                : 20
                : 1
                : 38-45
                Affiliations
                [02] orgnameHospital Universitario La Princesa orgdiv1Clinical Epidemiology Unit
                [01] orgnameHospital Universitario La Princesa orgdiv1Clinical Nutrition and Dietetic Unit
                [03] Madrid orgnameHospital Universitario La Princesa orgdiv1Service of Admission and Documentation Spain
                Article
                S0212-16112005000100006
                a396620c-3519-48ac-a8dc-b930f14a9aad

                This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.

                History
                : 20 October 2004
                : 06 October 2004
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 41, Pages: 8
                Product

                SciELO Spain


                Desnutrición,malnutrición,cribado,valoración nutritiva,albúmina,colesterol total,recuento linfocitario total,nutrición clínica,Undernutrition,malnourishment,screening,nutritional assessment,albumin,total cholesterol,total lymphocyte count,clinical nutrition

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