| ARCHETYPE ID | openEHR-EHR-OBSERVATION.nutritional_risk_screening.v1 |
| Concept | Nutritional Risk Screening (NRS 2002) |
| Description | Screening for malnutrition using the tool NRS 2002. |
| Use | To be used for adults only. The first 4 questions are used as a initial screening. The main screening is only done if any of the questions in the initial screening are answered YES If all the questions in the initial screening is answered "NO" the patient needs a weekly re screening. If a patient, e.g will undergo a planned major surgery, a preventive nutritional plan needs to be considered to avoid expected nutritional risks. Is the total score ≥3 the patient has a nutritional risk, and a nutritional plan needs to be effectuated. If the total score is <3 the patient needs weekly re screening. If the patient e.g will undergo major surgery a preventive nutrition plan have to be considered to avoid the expected nutritional risk. |
| Misuse | Not to be used in children under the age of 18 years old. |
| Purpose | NRS is a tool used for screening the patients nutritional status. There are several NRS models, in this case a translation from 2014 made by Lene Thoresen and Hilde Wøie and corrected by Jens Kondrup is used. The version recommended by the Norwegian Directorate of Health has other time interval values in the scores. Nutritional risk is defined by combining current nutritional status and the risk of impaired nutritional status due to increased need for nutrition, caused by stress metabolism in the clinical situation. |
| References | Screening for Nutritional Deficiency in the Hospital: Nutritional Risk Screening (NRS 2002) from Kondrup J et al., Clinical Nutrition 2003; 22: 415-421, Recommended by the European Society for Clinical Nutrition and Metabolism (ESPEN) http://www.uniklinik-duesseldorf.de/fileadmin/Datenpool/einrichtungen/klinik_fuer_gastroenterologie_hepatologie_und_infektiologie_id6/Darmzentrum/Formulare_polnisch/ernhrungnrs_schuetz_2002_sept_2006_en.pdf Kondrup J, Rasmussen HH, Hamberg O, Stanga Z, ad hoc ESPEN working group: Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clinical Nutrition (2003) 22(3): 321-336. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN guidelines for nutritional screening 2002. Clinical Nutrition (2003) 22(4) 415-21. Thoresen og Wøien (2014), Screening for ernæringsmessig risiko (Nutritional Risk screening NRS 2002). http://arketyper.no/ckm/document?cid=1078.51.49 |
| Copyright | © Nasjonal IKT HF |
| Authors | Author name: Micaela Thierley Organisation: Helse Bergen Email: micaela.thierley@helse-bergen.no Date originally authored: 2014-07-11 |
| Other Details Language | Author name: Micaela Thierley Organisation: Helse Bergen Email: micaela.thierley@helse-bergen.no Date originally authored: 2014-07-11 |
| OtherDetails Language Independent | {licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=Nasjonal IKT, references=Screening for Nutritional Deficiency in the Hospital: Nutritional Risk Screening (NRS 2002) from Kondrup J et al., Clinical Nutrition 2003; 22: 415-421, Recommended by the European Society for Clinical Nutrition and Metabolism (ESPEN) http://www.uniklinik-duesseldorf.de/fileadmin/Datenpool/einrichtungen/klinik_fuer_gastroenterologie_hepatologie_und_infektiologie_id6/Darmzentrum/Formulare_polnisch/ernhrungnrs_schuetz_2002_sept_2006_en.pdf Kondrup J, Rasmussen HH, Hamberg O, Stanga Z, ad hoc ESPEN working group: Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clinical Nutrition (2003) 22(3): 321-336. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN guidelines for nutritional screening 2002. Clinical Nutrition (2003) 22(4) 415-21. Thoresen og Wøien (2014), Screening for ernæringsmessig risiko (Nutritional Risk screening NRS 2002). http://arketyper.no/ckm/document?cid=1078.51.49, current_contact=Micaela Thierley, Helse Bergen, micaela.thierley@helse-bergen.no, original_namespace=no.nasjonalikt, original_publisher=Nasjonal IKT, custodian_namespace=no.nasjonalikt, MD5-CAM-1.0.1=1BF56ACE03BF868D21F84011F3C442A0, build_uid=2c467180-00f1-4c45-bc19-7adedc254ff6, revision=1.1.1} |
| Keywords | nutrition, Nutritional risk screening, NRS, NRS 2002, malnutrition, undernourishment, weight loss, weight, BMI, nutritional risk |
| Lifecycle | published |
| UID | f14991ee-4c09-430c-829e-dc8eaa628d56 |
| Language used | en |
| Citeable Identifier | 1013.1.2836 |
| Revision Number | 1.1.1 |
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1: Mild [Weight loss > 5% over the last 3 months or nutritional intake <50–75% of required nutritional intake in the previous week.] 2: Moderate [Weight loss >5% within 2 months or BMI 18.5–20.5 kg/m² and reduced general condition (GC) or nutritional intake 25–50% of required nutritional intake in the previous week.] 3: Severe [Weight loss >5 % within a month (>15% over the last 3 months) or BMI <18.5 kg/m² and reduced general condition or nutritional intake 0–25% of required nutritional intake in the previous week.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0032]/items[at0017], code=at0017, itemType=ELEMENT, level=5, text=Illness severity, description=Severity of disease (≈ increased needs)., comment=Indicates that a study directly underpins dividing the disease severity in mild, moderate and severe disease for patients with a certain diagnosis. #Indicates the the diagnosis is based on the prototypes below: Score=1: a patient with chronic illness admitted to the hospital with complications. The patient is weakened but ambulatory. The protein requirement is substantially increased, this is manageable with food and/or nutritional supplements. Score=2: a patient at bed rest due to illness e.g. after major abdominal surgery. The protein requirement is significantly increased, this is manageable, however it is often necessary to use tube feeding and/or intravenous nutrition. Score=3: an intensive care patient needing ventilation support etc. The protein requirement is increased and is not manageable even with tube feeding and/or intravenous nutrition. 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