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Mini nutritional assessment

机译：迷你营养评估

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摘要

Purpose of review To summarize recent evidences and advances on the implementation and the use of the Mini Nutritional Assessment (MNA). Recent findings Despite being introduced and validated for clinical use about 20 years ago, the MNA has recently received new attention in order to more widely disseminate among healthcare professionals the practice of a systematic nutritional screening and assessment of the old patient. Particularly, the structure has been implemented to face the difficulties in having the patients contributing to the assessment and to reduce further the time required to complete the evaluation. Recent data also confirm that in older populations prevalence of malnutrition by this tool is associated with the level of dependence. The rationale of nutritional assessment is to identify patients candidate to nutritional support. However, the sensitivity of the MNA is still debated because it has been associated with a high-risk 'overdiagnosis' and the advantages of a positive screening need to be assessed both in terms of outcome and money saving. The MNA is a simple and highly sensitive tool for nutritional screening and assessment. The large mass of data collected and the diffusion among healthcare professionals clearly support its use. However, the costeffectiveness of interventions based on its scoring deserves investigation.
机译：审查的目的是总结最近的证据和实施和使用迷你营养评估（MNA）的概况。最近的调查结果尽管20年前正在介绍和验证临床使用，但MANA最近受到了新的关注，以便在医疗保健专业人员之间更广泛传播的制度营养筛查和评估老患者的实践。特别是，已经实施了该结构以面对使患者有助于评估的困难，并进一步减少完成评估所需的时间。最近的数据还确认，在较旧的群体中，该工具的营养不良普遍性与依赖程度相关联。营养评估的基本原理是识别患者候选人营养支持。然而，MNA的敏感性仍然争论，因为它与高风险的“过度输入”有关，并且需要在结果和节省资金方面进行正面筛选的优势。 MNA是一种简单且高度敏感的营养筛选和评估工具。收集的大量数据以及医疗保健专业人员之间的扩散明显支持其使用。然而，基于其得分的干预措施的成本效益应得到调查。

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