Screening
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A |
Has food intake declined over the past 3 months due to loss of appetite, digestive problems, or chewing or swallowing difficulties? |
0 = severe decrease in food intake |
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1 = moderate decrease in food intake |
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2 = no decrease in food intake |
B |
Weight loss during the last 3 months |
0 = weight loss greater than 3 kg |
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1 = does not know |
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2 = weight loss between 1 and 3 kg |
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3 = no weight loss |
C |
Mobility |
0 = bedridden or chair bound |
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1 = able to get out of bed/chair but does not go out |
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2 = goes out |
D |
Has the patient suffered psychological stress or acute disease in the past 3 months? |
0 = yes |
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2 = no |
E |
Neuropsychological problems |
0 = severe dementia or depression |
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1 = mild dementia |
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2 = no psychological problems |
F1 |
Body mass index (BMI) |
0 = BMI less than 19 |
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1 = BMI 19 to less than 21 |
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2 = BMI 21 to less than 23 |
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3 = BMI 23 or greater |
If BMI is not available, replace question F1 with F2. Do not answer F2 if F1 is already completed.
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F2 |
Calf circumference (CC) in cm |
0 = CC less than 31 |
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3 = CC 31 or greater |
Screening Score
|
12–14 points |
Normal nutritional status |
|
8–11 points |
At risk of malnutrition |
|
0–7 points |
Malnourished |
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