Development of B-eNSP (Baptist Electronic Nutritional Screening Program) Using Integrated Medical Information System and Clinical Efficiency

Sang-Min Lee; Jong-Woo Choi; Yun-Sik Lee

doi:10.4174/jkss.2010.79.Suppl1.S1

Journal List > J Korean Surg Soc > v.79(Suppl 1) > 1011222

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Lee, Choi, and Lee: Development of B-eNSP (Baptist Electronic Nutritional Screening Program) Using Integrated Medical Information System and Clinical Efficiency

Original Article

Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 79(Suppl 1): S1-S6.

Published online: 31 December 2010

DOI: https://doi.org/10.4174/jkss.2010.79.Suppl1.S1

Development of B-eNSP (Baptist Electronic Nutritional Screening Program) Using Integrated Medical Information System and Clinical Efficiency

Sang-Min Lee, M.D., Jong-Woo Choi, M.D., Yun-Sik Lee, M.D.

Department of Surgery, Wallce Memorial Baptist Hospital, Busan, Korea.

Corresponding author (ysleewmbh@hanmail.net)

Received 26 April 2010 Accepted 1 November 2010

Abstract

Purpose

The aim of this study was to develop a baptist electronic Nutritional Screening Program (B-eNSP) that could be easily used to identify patients with nutrition at risk or malnutrition on their admission to hospital using an integrated medical information system and to evaluate validity, reliability and efficiency of B-eNSP.

Methods

From June 1 2009 to June 21 2009, we enrolled 496 patients for prospective research. We analyzed age, sex, weight, height, weight loss in the last 3 months, serum albumin, alteration of dietary intake, gastrointestinal symptom, functional capacity, diagnosis and its relationship to nutritional requirements, physical examination and Subjective Global Assessment (SGA). B-eNSP included body mass index (BMI), weight loss in the last 3 months, serum albumin. Each component was scored. Sensitivity and specificity were calculated to evaluate the validity of the B-eNSP. The receiver operating characteristic (ROC) curve was drawn by using B-eNSP to choose a cut-off value that maximizes sensitivity and specificity and Yoden Index. Comparison with SGA and the reliability of the B-eNSP was done using kappa statistics.

Results

The maximum Yoden Index was 0.866 and the cut-off value of the ROC curve was 2. A B-eNSP score higher than 2 was defined as nutrition at risk or malnutrition. Reliability of the B-eNSP was in accordance with SGA by kappa 0.845.

Conclusion

The B-eNSP can be used efficiently to identify patients with nutrition at risk or malnutrition by simply using an integrated medical information system.

Keywords: Nutritional screening, Nutrition at risk, Malnutrition

Figures and Tables

Fig. 1

Receiver operating characteristic curve (Area under curve=0.955).

Table 1

Baptist electronic nutritional screening program (B-eNSP)

Table 2

Baseline subject demographic and clinical characteristics

Table 3

Validity of the Baptist electronic nutritional screening program (B-eNSP)

Table 4

Validity of Baptist electronic nutritional screening program's components according to SGA score

^*A class is well nourished; ^†B class is moderately (or suspected of being) malnourished; ^‡C class is severely malnourished.

Table 5

Validity of components according to Baptist electronic nutritional screening program (B-eNSP) score

Table 6

Validity of the Baptist electronic nutritional screening program (B-eNSP)

^*A class is well nourished; ^†B class is moderately (or suspected of being) malnourished; ^‡C class is severely malnourished.

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