지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Purpose: This study was to examine the reliability and validity of Patient-Generated Subjective Global Assessment (PG-SGA) as a nutritional measurement for stroke patients. Methods: This was a methodological study performed from May 6 to June 10, 2009 at a tertiary university hospital in Seoul. For reliability of PG-SGA, inter-rater reliability was used for statistics. For concurrent validity, BMI and biomarkers were compared between PG-SGA 0 ~ 8 and ≥ 9. In addition, sensitivity, specificity, and predictive value of PG-SGA compared with SGA were calculated using a contingency table. For predictive validity, hospital day, complications, and readmission within 1-month after discharge were compared between PG-SGA 0 ~ 8 and ≥ 9. Results: Correlation of PG-SGA score between two observers was 0.83, and kappa value for the agreement of severe malnutrition was 0.78(all ps < .001). The scored PG-SGA showed high sensitivity and specificity (100% and 96.7%, respectively). Severe undernourished patients (PG-SGA ≥ 9) had significantly low TLC, protein, albumin, and prealbumin (all p<SUB>s</SUB> < .01) compared with non-undernourished patients (PG-SGA 0 ~ 8). Also, in severe undernourished patients, complications and readmission (all p<SUB>s</SUB> = 0.01) were more often represented, and hospital days (p = .013) were significantly delayed. Conclusion: PG-SGA is a reliable and valid measurement to assess nutritional status for stroke patients.
목차
Ⅰ. 서론
Ⅱ. 연구방법
Ⅲ. 연구결과
Ⅳ. 논의
Ⅴ. 결론 및 제언
References
참고문헌 (23)
참고문헌 신청
1. [학술지(정기간행물)] - Atalay, B. G. / 2008 / Use of subjective global assessment and clinical outcomes in critically ill geriatric patients receiving nutrition support / Journal of Parenteral and Enteral Nutrition 32 (4) : 454 ~ 459
2. [학술지(정기간행물)] - Baker, J. P. / 1982 / Nutritional assessment: A comparison of clinical judgement and objective measurements / The New England Journal of Medicine 306 (16) : 969 ~ 972
3. [학술지(정기간행물)] - Bauer, J. / 2002 / Use of the scored Patient-Generated Subjective Global Assessment(PG-SGA) as a nutrition assessment tool in patients with cancer / European Journal of Clinical Nutrition 56 (8) : 779 ~ 785
4. [학술지(정기간행물)] - Bistrian, B. R. / 1976 / Prevalence of malnutrition in general medical patients / JAMA: The Journal of the American Medical Association 235 (15) : 1567 ~ 1570
5. [학술지(정기간행물)] - Covinsky, K. E. / 2002 / Serum albumin concentration and clinical assessments of nutritional status in hospitalized older people: Different sides of different coins? / Journal of the American Geriatrics Society 50 (4) : 631 ~ 637
2. [학술지(정기간행물)] - Baker, J. P. / 1982 / Nutritional assessment: A comparison of clinical judgement and objective measurements / The New England Journal of Medicine 306 (16) : 969 ~ 972
3. [학술지(정기간행물)] - Bauer, J. / 2002 / Use of the scored Patient-Generated Subjective Global Assessment(PG-SGA) as a nutrition assessment tool in patients with cancer / European Journal of Clinical Nutrition 56 (8) : 779 ~ 785
4. [학술지(정기간행물)] - Bistrian, B. R. / 1976 / Prevalence of malnutrition in general medical patients / JAMA: The Journal of the American Medical Association 235 (15) : 1567 ~ 1570
5. [학술지(정기간행물)] - Covinsky, K. E. / 2002 / Serum albumin concentration and clinical assessments of nutritional status in hospitalized older people: Different sides of different coins? / Journal of the American Geriatrics Society 50 (4) : 631 ~ 637
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UCI(KEPA) : I410-ECN-0101-2012-512-003586565