Journal of Clinical Nutrition and Metabolism

Reach Us +1 850 754 6199

Malnutrition Indicators which is More Predictive? Nutrition Risk Index (NRI) or Malnutrition Universal Screening Tool (MUST)

Background: Traumatic brain injury (TBI) is a major cause of disability, death and economic cost. Malnutrition is one of the common factors at the time hospital admission and tends to worsen during hospitalization, among TBI.

Methods: This study was conducted in an outpatient neurosurgery clinic at Khoula Hospital (National Trauma Center)–Muscat–Oman. 77 TBI adult patients, aged 18-65 years, males and females were included in this study. Patients were invited to participate in an anonymous survey. This invitation was extended during routine outpatient visits.

Results: The majority of patients were males (85.9%) with 6.1:1 male to female ratio. Most of the patients (75%) were aged between 18-30. 46.5% of subjects were classified as mild TBI while 12.7% and 40.8% were classified as moderate and severe TBI respectively using Glasgow Coma Scale. Motor vehicle accidents were the most common cause of TBI (91.7%), followed by falls from height (8.3%), (28.1%) of patients were underweight BMI<18.5 kg/m² while (16.9%) and (7.1%) were overweight and obese respectively.

Conclusion: NRI is more predictive malnutrition assessment tool than MUST in TBI patients. The higher sensitivities of NRI (92.9%) mean it is the better screening tool because there is a possibility that only 5%-7% of patients who may be malnourished were not correctly identified. Early recognition and management may help decrease hospital lengths of stay, readmission rates and associated healthcare costs.

Special Features

Full Text

View

Track Your Manuscript

Recommended Conferences

Share This Page

Media Partners

Associations