Incorporating the Malnutrition Screening Tool and the Malnutrition Universal Screening Tool in Rehabilitation Practice: Comparison With the Nutrition Risk Screening 2002

To demonstrate the prevalence of malnutrition risk in a specific rehabilitation setting. The secondary aim of the study was to compare Malnutrition Screening Tool (MST) and Malnutrition Universal Screening Tool (MUST) with Nutritional Risk Screening-2002 (NRS-2002). Patients diagnosed with stroke, anoxic brain injury, spinal cord injury, multiple sclerosis, arthritis, neuromuscular diseases, Parkinson's disease, and lymphedema who were admitted to a rehabilitation hospital were included. NRS-2002, MST, and MUST were used to assess malnutrition risk. Body weight (kg), height (cm), and mid upper arm circumference (cm) were measured. Twenty-four hours dietary records were obtained. Routine blood test results were recorded from patient files. Five hundred sixteen patients with a mean age of 54.3 +/- 18.0 years were included. The most prominent diagnoses were stroke and spinal cord injury. According to NRS-2002, 71.7% (n = 370) of the patients were at low risk, but 28.3% (n = 146) of the patients were at high risk. Comparisons between NRS-2002 and MST showed that these two scales have similar results at classifying patients for malnutrition risk (p = 0.154). Comparison between NRS-2002 and MUST showed significant differences (p < 0.001). Both sensitivity and specificity of MST were above 80.0%. Sensitivity of MUST was 78.1% and specificity was 88.1%. Approximately one-third of the patients were at risk of malnutrition. Specificity and sensitivity of MST and MUST were as high as routinely used scale NRS-2002, and therefore it can be supposed that, considering the diagnostic groups of the patients, MST and MUST are useful in rehabilitation practice.