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Titolo:
COMPARISON OF PROFESSIONAL JUDGMENT VERSUS AN ALGORITHM FOR NUTRITIONSTATUS CLASSIFICATION
Autore:
LOWERY JC; HILLER LD; DAVIS JA; SHORE CJ;
Indirizzi:
VA HLTH SERV RES & DEV FIELD PROGRAM,POB 130170 ANN ARBOR MI 48113 JAMES A HALEY VA HOSP,NUTR & FOOD SERV TAMPA FL 00000 US FDA,CTR FOOD SAFETY & APPL NUTR WASHINGTON DC 20204
Titolo Testata:
Medical care
fascicolo: 11, volume: 36, anno: 1998,
pagine: 1578 - 1588
SICI:
0025-7079(1998)36:11<1578:COPJVA>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
GASTROINTESTINAL SURGERY; HOSPITAL STAY; NECK-CANCER; MALNUTRITION; CARE; DIAGNOSIS; RELIABILITY; RECOGNITION; OUTCOMES; LENGTH;
Keywords:
NUTRITION STATUS; NUTRITION SCREENING; NUTRITION EVALUATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
39
Recensione:
Indirizzi per estratti:
Citazione:
J.C. Lowery et al., "COMPARISON OF PROFESSIONAL JUDGMENT VERSUS AN ALGORITHM FOR NUTRITIONSTATUS CLASSIFICATION", Medical care, 36(11), 1998, pp. 1578-1588

Abstract

OBJECTIVES. The classification of a patient's nutrition status is important for identifying patients who require nutrition care, for designing effective nutrition interventions, and for measuring severity of illness. The objective of this study was to evaluate the reliability and validity of two variants of the Department of Veterans Affairs' nutrition status classification: professional judgment versus an algorithm. METHODS. The study consisted of two phases, both of which included providing a sample of approximately 60 registered dietitians and 60 clinical dietetic technicians with data on 16 (phase I) and 20 (phase II)patients, to which they assigned nutrition statuses using both professional judgment and the algorithm. Improvements in instructions and training were implemented between the two phases. Interrater reliabilityof the responses was calculated, and content validity was measured bycomparing the staff's responses with those of an expert panel. RESULTS. Reliability improved significantly between phases for both professional judgment and the algorithm. Greater reliability and validity wereobserved with use of the algorithm, by both dietitians and technicians, during both phases. CONCLUSION. Classification of a patient's nutrition status is important in the delivery of cost-effective health care. The Department of Veterans Affairs' nutrition status classification is a good one for assessing nutrition status quickly and reliably, especially when an algorithm is used. The results underscore the advantages of a classification system based on an algorithm when the system isdesigned to be used by many different staff across multiple facilities.

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Documento generato il 11/07/20 alle ore 20:48:21