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The utilisation of the MUST nutritional screening tool on vascular surgical wards

Whilst malnutrition is prevalent in approximately 40% of general surgical patients, the prevalence of malnutrition and nutritional screening practices amongst vascular patients remain unknown. The Malnutrition Universal Screening Tool (MUST) is recommended for risk screening and provides 3 scores fo...

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Autores principales: Tewari, Nilanjana, Rodrigues, Jeremy, Bothamley, Lydia, Altaf, Nishath, Awad, Sherif
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Publishing Group 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4652729/
https://www.ncbi.nlm.nih.gov/pubmed/26734198
http://dx.doi.org/10.1136/bmjquality.u201374.w1122
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author Tewari, Nilanjana
Rodrigues, Jeremy
Bothamley, Lydia
Altaf, Nishath
Awad, Sherif
author_facet Tewari, Nilanjana
Rodrigues, Jeremy
Bothamley, Lydia
Altaf, Nishath
Awad, Sherif
author_sort Tewari, Nilanjana
collection PubMed
description Whilst malnutrition is prevalent in approximately 40% of general surgical patients, the prevalence of malnutrition and nutritional screening practices amongst vascular patients remain unknown. The Malnutrition Universal Screening Tool (MUST) is recommended for risk screening and provides 3 scores for risk classification: 0=low risk, 1=intermediate risk, 2=high risk. The aim of this preliminary study was to evaluate the use of MUST on vascular wards. This prospective study was undertaken in a tertiary referral vascular unit in the UK. Patient demographics, utilisation of MUST by nursing staff (N-MUST) and referral to nutritional support teams (NST) were studied. When MUST was not completed by nursing staff, the study team (S-MUST) performed it. Fifty-three patients, median (interquartile range, IQR) age 67 (59-75) years were initially studied. For N-MUST: Overall MUST score was recorded in 18/25 (72%) patients, of whom 1 (4%) scored 2, whilst the remainder scored 0. For S-MUST: Overall MUST scores were recorded in 28 patients, MUST=0 in 75% and ≥2 in 21%. An educational session on use of MUST was delivered to nursing staff, as well as a Trust-wide educational initiative to improve assessment of nutritional status and, after a 2-month period, the study was repeated. The second cohort comprised forty-two patients, median (IQR) age 72 (64–79) years. For N-MUST: Overall MUST score was recorded in 37/40 (93%) patients, of whom 3 (8%) scored ≥2. For S-MUST: Overall MUST scores were recorded in 2 patients, MUST = 0 in 67% and ≥2 in 33%. Despite the ease of use of MUST, it was under-utilised on vascular wards. However, following provision of a dedicated educational programme to ward nursing staff, utilisation of MUST for risk scoring patients on admission increased to over 90%.
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spelling pubmed-46527292016-01-05 The utilisation of the MUST nutritional screening tool on vascular surgical wards Tewari, Nilanjana Rodrigues, Jeremy Bothamley, Lydia Altaf, Nishath Awad, Sherif BMJ Qual Improv Rep BMJ Quality Improvement Programme Whilst malnutrition is prevalent in approximately 40% of general surgical patients, the prevalence of malnutrition and nutritional screening practices amongst vascular patients remain unknown. The Malnutrition Universal Screening Tool (MUST) is recommended for risk screening and provides 3 scores for risk classification: 0=low risk, 1=intermediate risk, 2=high risk. The aim of this preliminary study was to evaluate the use of MUST on vascular wards. This prospective study was undertaken in a tertiary referral vascular unit in the UK. Patient demographics, utilisation of MUST by nursing staff (N-MUST) and referral to nutritional support teams (NST) were studied. When MUST was not completed by nursing staff, the study team (S-MUST) performed it. Fifty-three patients, median (interquartile range, IQR) age 67 (59-75) years were initially studied. For N-MUST: Overall MUST score was recorded in 18/25 (72%) patients, of whom 1 (4%) scored 2, whilst the remainder scored 0. For S-MUST: Overall MUST scores were recorded in 28 patients, MUST=0 in 75% and ≥2 in 21%. An educational session on use of MUST was delivered to nursing staff, as well as a Trust-wide educational initiative to improve assessment of nutritional status and, after a 2-month period, the study was repeated. The second cohort comprised forty-two patients, median (IQR) age 72 (64–79) years. For N-MUST: Overall MUST score was recorded in 37/40 (93%) patients, of whom 3 (8%) scored ≥2. For S-MUST: Overall MUST scores were recorded in 2 patients, MUST = 0 in 67% and ≥2 in 33%. Despite the ease of use of MUST, it was under-utilised on vascular wards. However, following provision of a dedicated educational programme to ward nursing staff, utilisation of MUST for risk scoring patients on admission increased to over 90%. British Publishing Group 2013-09-12 /pmc/articles/PMC4652729/ /pubmed/26734198 http://dx.doi.org/10.1136/bmjquality.u201374.w1122 Text en © 2013, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ http://creativecommons.org/licenses/by-nc/2.0/legalcode
spellingShingle BMJ Quality Improvement Programme
Tewari, Nilanjana
Rodrigues, Jeremy
Bothamley, Lydia
Altaf, Nishath
Awad, Sherif
The utilisation of the MUST nutritional screening tool on vascular surgical wards
title The utilisation of the MUST nutritional screening tool on vascular surgical wards
title_full The utilisation of the MUST nutritional screening tool on vascular surgical wards
title_fullStr The utilisation of the MUST nutritional screening tool on vascular surgical wards
title_full_unstemmed The utilisation of the MUST nutritional screening tool on vascular surgical wards
title_short The utilisation of the MUST nutritional screening tool on vascular surgical wards
title_sort utilisation of the must nutritional screening tool on vascular surgical wards
topic BMJ Quality Improvement Programme
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4652729/
https://www.ncbi.nlm.nih.gov/pubmed/26734198
http://dx.doi.org/10.1136/bmjquality.u201374.w1122
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