[Screening for undernutrition among older adults receiving home care: an estimation of the diagnostic accuracy of indicators available in the Resident Assessment Instrument - Home Care adapted for Switzerland.]

Title[Screening for undernutrition among older adults receiving home care: an estimation of the diagnostic accuracy of indicators available in the Resident Assessment Instrument - Home Care adapted for Switzerland.]
Publication TypeJournal Article
Year of Publication2018
AuthorsBusnel C., Ludwig C.
JournalRech Soins Infirm
Issue132
Pagination54-63
Date PublishedMar
ISBN Number0297-2964 (Print)<br/>0297-2964
Accession Number29771099
Keywords*Home Care Services, *Mass Screening, *Nutrition Assessment, Aged, Geriatric Assessment/*methods, Humans, Malnutrition/*diagnosis, Reproducibility of Results, switzerland
Abstract

INTRODUCTION: in homecare practice, nurses are central actors for the screening of individuals at risks of undernutrition. CONTEXT: in Switzerland, homecare nurses estimate the nutritional status of care recipients by means of a standardized geriatric assessment done with the RAI-HC. AIMS: The aim of the study is to estimate the diagnostic accuracy of the << nutritional status >> score, the body mass index and the weight loss documented from the RAI-HC. METHOD: a sample of 267 homecare recipients aged 65 was assessed using the RAI-HC and the MNA-SF(R). Sensitivity, specificity and area under the curve were estimated for the RAI-HC measures, with the MNA-SF(R) as the gold standard reference. RESULTS: for the scores considered, sensitivity varied between 16.51 % and 68.81 %, specificity between 66.94 % and 99.37 %, and areas under the curve between 0.579 at 0.708. DISCUSSION: the diagnostic accuracy of the RAI-HC indicators is not sufficient for an optimal screening of undernutrition in older homecare recipients. CONCLUSION: an additional assessment with the MNA-SF(R) is recommended to optimize the early screening of individuals at risks of undernutrition.

URLhttps://www.ncbi.nlm.nih.gov/pubmed/29771099
DOI10.3917/rsi.132.0054
Short TitleRecherche en soins infirmiersRecherche en soins infirmiers
Alternate JournalRecherche en soins infirmiers
Original PublicationDepister la denutrition chez la personne agee beneficiant de soins a domicile : une evaluation de la precision diagnostique des indicateurs issus du Resident Assessment Instrument - Home Care adapte pour la Suisse.