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Malnutrition Inflammation Risk Tool (MIRT) of Jansen et al for a Patient with Crohn's Disease

Description

Jansen et al developed a score for evaluating a patient with Crohn's disease for inflammation-driven malnutrition. This can help to identify a patient who may benefit from nutritional support. The authors are from Charite Universitatsmedizin (Berlin), University of Applied Sciences (Neubrandenburg) and Krankenhaus Waldfriede (Berlin) in Germany.


 

Patient selection: Crohn's disease

 

Parameters:

(1) body mass index (BMI) in kg per square meter

(2) weight loss in percent over 3 months

(3) C-reactive protein (CRP) in mg/L

Parameter

Finding

Points

BMI

> 20 kg per square m

0

 

18.5 to 20 kg per sq m

1

 

< 18.5 kg per square m

2

percent weight loss

< 5%

0

 

5 to 9.9%

2

 

>= 10%

3

CRP

< 5 mg/L

0

 

5 to 50 mg/L

2

 

> 50 mg/dL

3

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 8

• The higher the score the greater the risk for inflammation-driven malnutrition and the risk for Crohn's disease related complications.

 


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