Steensgaard et al reported the SCI-SCREEN tool for evaluating a patient with spinal cord injury. This can help to identify a patient at risk of malnutrition. The authors are from Spinal Cord Injury Centre of Western Denmark, Regional Hospital of Viborg, and Aarhus University in Denmark.
Patient selection: spinal cord injury, age > 18 years
Parameters:
(1) age and sex related factor, based on age, sex, height (meters) and weight (kg)
(2) activity factor
(3) stress factor
(4) post-acute energy expenditure factor
(5) wound factor during post-acute phase
Sex
Age
Age and Sex Factor
male
19-30
(0.0669 * (weight)) + 2.28
31-60
(0.06 * (weight)) + (1.31 * (height)) + 0.473
61-70
(0.0476 * (weight)) + (2.26 * (height)) - 0.574
> 70
(0.0478 * (weight)) + (2.26 * (height)) - 1.070
female
19-30
(0.0546 * (weight)) + 2.33
31-60
(0.0433 * (weight)) + (2.57 * (height)) - 1.18
61-70
(0.0342 * (weight)) + (2.1 * (height)) - 0.0486
> 70
(0.0356 * (weight)) + (1.76 * (height)) + 0.0448
Parameter
Status
Factor
activity factor
paraplegic with manual wheelchair
1.2
paraplegic with electric wheelchair
1.1
tetraplegic with manual wheelchair
1.2
tetraplegic with electric wheelchair
1.1
up-and-going
1.3
bed-bound
1.1
stress factor
post-acute
1.0
acute
1.2
post acute energy expenditure
paraplegic
0.89
tetraplegic
0.81
independent from wheelchair
1.0
wound post-acute phase
none
1.0
present
1.15
daily energy expenditure in megajoules =
= PRODUCT(all of the factors)
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