PMID- 26652856
OWN - NLM
STAT- MEDLINE
DCOM- 20160607
LR  - 20191210
IS  - 1475-2662 (Electronic)
IS  - 0007-1145 (Print)
IS  - 0007-1145 (Linking)
VI  - 115
IP  - 4
DP  - 2016 Feb 28
TI  - The Graz Malnutrition Screening (GMS): a new hospital screening tool for 
      malnutrition.
PG  - 650-7
LID - 10.1017/S0007114515004924 [doi]
AB  - Despite the significant impact of malnutrition in hospitalised patients, it is 
      often not identified by clinical staff in daily practice. To improve nutritional 
      support in hospitals, standardised routine nutritional screening is essential. 
      The Graz Malnutrition Screening (GMS) tool was developed for the purpose of 
      malnutrition risk screening in a large hospital setting involving different 
      departments. It was the aim of the present study to validate the GMS against 
      Nutritional Risk Screening (NRS) and Mini Nutritional Assessment-short form 
      (MNA-sf) in a randomised blinded manner. A total of 404 randomly selected 
      patients admitted to the internal, surgical and orthopaedic wards of the 
      University Hospital Graz were screened in a blinded manner by different raters. 
      Concurrent validity was determined by comparing the GMS with the NRS and in older 
      patients (70+ years) with the MNA-sf additionally. According to GMS, 31.9 or 
      28.5% of the admitted patients were categorised as at 'risk of malnutrition' 
      (depending on the rater). According to the reference standard of NRS, 24.5% of 
      the patients suffered from malnutrition. Pearson's r values of 0.78 compared with 
      the NRS and 0.84 compared with the MNA showed strong positive correlations. 
      Results of accuracy (0.85), sensitivity (0.94), specificity (0.77), positive 
      predictive value (0.76) and negative predictive value (0.95) of GMS were also 
      very high. Cohen's kappa for internal consistency of the GMS was 0.82. GMS proves to 
      be a valid and reliable instrument for the detection of malnutrition in adult 
      patients in acute-care hospitals.
FAU - Roller, Regina E
AU  - Roller RE
AD  - 1Department of Internal Medicine,Medical University of Graz,Auenbruggerplatz 
      15,A-8036 Graz,Austria.
FAU - Eglseer, Doris
AU  - Eglseer D
AD  - 2Center of Dietetics and Applied Nutrition,General Hospital Graz,Auenbruggerplatz 
      21,8036 Graz,Austria.
FAU - Eisenberger, Anna
AU  - Eisenberger A
AD  - 2Center of Dietetics and Applied Nutrition,General Hospital Graz,Auenbruggerplatz 
      21,8036 Graz,Austria.
FAU - Wirnsberger, Gerhard H
AU  - Wirnsberger GH
AD  - 1Department of Internal Medicine,Medical University of Graz,Auenbruggerplatz 
      15,A-8036 Graz,Austria.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Validation Study
DEP - 20151214
PL  - England
TA  - Br J Nutr
JT  - The British journal of nutrition
JID - 0372547
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Austria/epidemiology
MH  - Body Mass Index
MH  - Cohort Studies
MH  - Cross-Sectional Studies
MH  - Double-Blind Method
MH  - Elder Nutritional Physiological Phenomena
MH  - Feeding and Eating Disorders/etiology/physiopathology
MH  - Female
MH  - Hospitals, University
MH  - Humans
MH  - Male
MH  - Malnutrition/*diagnosis/epidemiology/etiology
MH  - Mass Screening/*methods
MH  - Middle Aged
MH  - *Nutrition Assessment
MH  - Prevalence
MH  - Risk
MH  - Sensitivity and Specificity
MH  - Severity of Illness Index
MH  - Weight Loss
MH  - Young Adult
PMC - PMC4762240
OTO - NOTNLM
OT  - Adults
OT  - ESPEN European Society for Clinical Nutrition and Metabolism
OT  - GMS Graz Malnutrition Screening
OT  - Hospital nutrition
OT  - IT information technology
OT  - MNA-sf Mini Nutritional Assessment-short form
OT  - Malnutrition
OT  - NRS Nutritional Risk Screening
OT  - Risk screening
OT  - SGA subjective global assessment
EDAT- 2015/12/15 06:00
MHDA- 2016/06/09 06:00
PMCR- 2016/02/22
CRDT- 2015/12/15 06:00
PHST- 2015/12/15 06:00 [entrez]
PHST- 2015/12/15 06:00 [pubmed]
PHST- 2016/06/09 06:00 [medline]
PHST- 2016/02/22 00:00 [pmc-release]
AID - S0007114515004924 [pii]
AID - 00492 [pii]
AID - 10.1017/S0007114515004924 [doi]
PST - ppublish
SO  - Br J Nutr. 2016 Feb 28;115(4):650-7. doi: 10.1017/S0007114515004924. Epub 2015 
      Dec 14.