A simple screening tool for assessment of nutritional status in cardiac patients.

Neubeck, Lis; Lowres, Nicole; Jackson, Anna; Freedman, Ben; Briffa, Tom; Bauman, Adrian; Redfern, Julie

Abstract

Background: Two-thirds of Australians do not meet nutritional
recommendations. Unfortunately, nutritional screening is often overlooked in cardiac assessments, possibly because of competing time demands and perceived complexity of nutritional assessments. Aims: To establish the validity of a simple nutritional screening tool. Method: A six-item categorical nutritional screening tool was completed by acute coronary syndrome patients following hospital discharge. A multiple-pass diet assessment was subsequently administered by a dietitian blinded to the screening tool results. Dietary assessment results for the screening tool and the multiple-pass method were compared to determine agreement.
Results: 34 participants were recruited (76% male; mean age: 65±11 years). Sensitivity, specificity and Kappa were highest for categorical items (e.g. fruit, 100%, 69% K=0.69); lower for complex items (e.g. monounsaturated fats, 92%, 25% K=0.29); and good for identifying requirement for further dietary intervention (96%, 50%, K=0.54).
Conclusions: This brief tool shows potential to identify selected
nutritional variables and the need for further dietary intervention as part of cardiac patient assessment.

Citation

Neubeck, L., Lowres, N., Jackson, A., Freedman, B., Briffa, T., Bauman, A., & Redfern, J. (2014). A simple screening tool for assessment of nutritional status in cardiac patients. British Journal of Cardiac Nursing, 9(10), 508-512. https://doi.org/10.12968/bjca.2014.9.10.508

• Journal Article Type: Article
• Acceptance Date: Aug 21, 2014
• Online Publication Date: Oct 1, 2014
• Publication Date: Oct 2, 2014
• Deposit Date: Oct 28, 2016
• Journal: British Journal of Cardiac Nursing
• Print ISSN: 1749-6403
• Publisher: Mark Allen Healthcare
• Peer Reviewed: Peer Reviewed
• Volume: 9
• Issue: 10
• Pages: 508-512
• DOI: https://doi.org/10.12968/bjca.2014.9.10.508
• Keywords: Diet, secondary prevention, responder burden, screening tool, nutrition screening,
• Public URL: http://researchrepository.napier.ac.uk/Output/409339