Table 3.
Nutritional status | Score | Stress metabolism (severity of disease) | Score |
None | 0 | None | 0 |
Moderate | 2 | Moderate stress metabolism | 2 |
Weight loss >5% in 2 months | Patient is bedridden due to illness | ||
BMI 18.5–20.5 kg/m2 AND | Highly increased protein requirement | ||
Reduced general condition | Stroke, hematologic cancer, severe pneumonia, extended abdominal surgery | ||
OR | |||
25–50% of the normal food intake in the last week | |||
Severe | 3 | Severe stress metabolism | 3 |
Weight loss >5% in 1 month | Patient is critically ill (intensive care unit) | ||
OR | Very strongly increased protein requirement can only be achieved with parenteral nutrition | ||
BMI <18.5 kg/m2 AND reduced general condition | APACHE II >10, bone marrow transplantation, head traumas | ||
OR | |||
0–25% of the normal food intake in the last week |
Total (A) Total (B)
Age = <70 years: 0 pt, ≥70 years: 1 pt
Total = (A) + (B) + Age
≥3 points: Patient is at nutritional risk. Nutritional care plan to be set up, <3 points: Repeat screening weekly