1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. URL Address <a href="http://doi.org/10.1097/01.ASW.0000479803.09658.cb" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/01.ASW.0000479803.09658.cb</a> Pages 136–142; quiz 142, E1 Issue 3 Volume 29 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Development of a Nutrition Screening Tool for an Outpatient Wound Center. Publisher An entity responsible for making the resource available Advances in Skin & Wound Care Date A point or period of time associated with an event in the lifecycle of the resource 2016 2016-03 Subject The topic of the resource *Nutrition Assessment; Adult; Ambulatory Care Facilities; Ambulatory Care/*methods; Bivariate Statistics; Convenience Sample; Descriptive Statistics; Human; Humans; Logistic Regression; Malnutrition – Risk Factors; Malnutrition/*diagnosis/etiology; Mass Screening/*methods; Nutrition; Nutritional Status; Ohio; Outcome Assessment (Health Care); Outpatients/*statistics & numerical data; Pilot Projects; Pilot Studies; Prospective Studies; Reliability and Validity; Wound Care; Wounds and Injuries/complications Creator An entity primarily responsible for making the resource Fulton Judith; Evans Brad; Miller Stephannie; Blasiole Kimberly N; Leone Raymond; Beinlich Nancy; Meehan Anita; Loose Claire Description An account of the resource OBJECTIVE: To construct a quickly and easily administered nutrition screening tool using variables believed to be predictive of malnutrition risk in the wound patient population. DESIGN: A prospective pilot study assessed patients on a list of suspected variables, as well as the Scored Patient-Generated Subjective Global Assessment (PG-SGA), chosen as the criterion standard. Variables were analyzed to select the most appropriate items for inclusion on a new nutrition screening tool using preliminary bivariate correlations and chi tests of association. Items significantly associated with malnutrition were dichotomized, and binary logistic regression analyses were performed to arrive at a final model. A sum score was computed, and receiver operating characteristic analysis was used to determine designation of risk. SETTING: An outpatient wound center in Northeast Ohio. PARTICIPANTS: The pilot study included a convenience sample of 105 outpatients with at least 1 active wound. MAIN OUTCOME MEASURES: Malnutrition as assessed by the Scored PG-SGA. MAIN RESULTS: The final nutrition screening tool, the MEAL Scale, is composed of 4 dichotomous elements: multiple wounds (number of wounds), eats less than 3 meals per day, appetite decrease (eats less than usual), and level of activity. These variables predicted 83.7% of the malnutrition cases assessed by the Scored PG-SGA. The receiver operating characteristic analysis showed an acceptable area under the curve (0.8581), and a cutoff score of 2 or greater was selected to indicate risk (median sensitivity = 91.4%, median specificity = 60.9%). CONCLUSIONS: Although further studies of validity and reliability are necessary to establish the tool before widespread use, the MEAL Scale is a needed step toward nutrition screening in a wound patient population. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1097/01.ASW.0000479803.09658.cb" target="_blank" rel="noreferrer noopener">10.1097/01.ASW.0000479803.09658.cb</a> Rights Information about rights held in and over the resource Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s). *Nutrition assessment 2016 Adult Advances in skin & wound care Ambulatory Care Facilities Ambulatory Care/*methods Beinlich Nancy Bivariate Statistics Blasiole Kimberly N Convenience Sample Descriptive Statistics Evans Brad Fulton Judith Human Humans Leone Raymond Logistic Regression Loose Claire Malnutrition – Risk Factors Malnutrition/*diagnosis/etiology Mass Screening/*methods Meehan Anita Miller Stephannie nutrition Nutritional Status Ohio Outcome Assessment (Health Care) Outpatients/*statistics & numerical data Pilot Projects Pilot Studies Prospective Studies Reliability and Validity Wound Care Wounds and Injuries/complications