Development of a local malnutrition risk screening tool-hospital (MRST-H) for hospitalised elderly patients

Harith Sakinah, Suzana Shahar, M. Y. Noor Aini, J. H. Philip Poi, K. Shahrul Bahyah

Research output: Contribution to journalArticle

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Abstract

Introduction: Hospitalised elderly patients are at high risk of malnutrition due to the presence of chronic diseases and inadequate food intake. It was on this premise that a Malnutrition Risk Screening Tool-Hospital (MRST-H) was developed for identifying the risk of malnutrition among Malaysian elderly patients. Methods: A total of 181 respondents aged 65 years and above who had been admitted to the Geriatric Ward of the University Malaya Medical Centre were recruited. The respondents' nutritional assessment was assessed using the Global Indicator of Malnutrition (GIM), a reference gold standard of malnutrition consisting of anthropometric measurements, biochemical indicators and the Subjective Global Assessment (SGA). Important predictive factors of malnutrition were determined by logistic regression analysis. Results: Five out of 18 predictive factors were significantly associated with malnutrition (p<0.05) in the final multivariate logistic regression model. These five factors were used to develop the MRST-H. Its validity was tested among 100 elderly inpatients in the Kuala Lumpur Hospital. The MRST-H was found to have 66.7% sensitivity, 96.2% specificity and 82.4% positive predictive value to GIM. The MRST-H was tested for reliability among 40 patients involving three raters (a dietitian and two nurses). The Kappa index of agreement was excellent between the dietitian with nurse A (81.3%, Kappa=0.84) and nurse B (87.5%, Kappa=0.89) respectively. Conclusion: The MRST-H developed showed high validity and reliability as a screening tool for identifying hospitalised elderly patients with high risk of malnutrition.

Original languageEnglish
Pages (from-to)131-147
Number of pages17
JournalMalaysian Journal of Nutrition
Volume18
Issue number2
Publication statusPublished - 2012

Fingerprint

risk screening
Malnutrition
malnutrition
nurses
Nutritionists
Logistic Models
Nurses
dietitians
Malaya
Nutrition Assessment
nutrition assessment
Malaysia
anthropometric measurements
chronic diseases
Reproducibility of Results
Geriatrics

Keywords

  • Hospital malnutrition
  • MRST-H
  • Reliability
  • Screening tool
  • Validation

ASJC Scopus subject areas

  • Nutrition and Dietetics
  • Food Science

Cite this

Development of a local malnutrition risk screening tool-hospital (MRST-H) for hospitalised elderly patients. / Sakinah, Harith; Shahar, Suzana; Noor Aini, M. Y.; Philip Poi, J. H.; Shahrul Bahyah, K.

In: Malaysian Journal of Nutrition, Vol. 18, No. 2, 2012, p. 131-147.

Research output: Contribution to journalArticle

Sakinah, H, Shahar, S, Noor Aini, MY, Philip Poi, JH & Shahrul Bahyah, K 2012, 'Development of a local malnutrition risk screening tool-hospital (MRST-H) for hospitalised elderly patients', Malaysian Journal of Nutrition, vol. 18, no. 2, pp. 131-147.
Sakinah, Harith ; Shahar, Suzana ; Noor Aini, M. Y. ; Philip Poi, J. H. ; Shahrul Bahyah, K. / Development of a local malnutrition risk screening tool-hospital (MRST-H) for hospitalised elderly patients. In: Malaysian Journal of Nutrition. 2012 ; Vol. 18, No. 2. pp. 131-147.
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