000 02020cam a2200229 4500500
005 20250121135441.0
041 _afre
042 _adc
100 1 0 _aBusnel, Catherine
_eauthor
700 1 0 _a Ludwig, Catherine
_eauthor
245 0 0 _aScreening 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
260 _c2018.
500 _a88
520 _aIntroduction: 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®. Sensitivity, specificity and area under the curve were estimated for the RAI-HC measures, with the MNA-SF® 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® is recommended to optimize the early screening of individuals at risks of undernutrition.
690 _aassessment
690 _aelderly people
690 _ahome care
690 _aundernutrition
690 _anursing
786 0 _nRecherche en soins infirmiers | o 132 | 1 | 2018-04-11 | p. 54-63 | 0297-2964
856 4 1 _uhttps://shs.cairn.info/journal-recherche-en-soins-infirmiers-2018-1-page-54?lang=en&redirect-ssocas=7080
999 _c578475
_d578475