Routine hospital screening tool (nrs-2002) is adequate for identifying malnourished dialysis patients in malaysia.

Malnutrition is prevalent (>50%) in maintenance hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) patients in Malaysia. The priority is to identify a suitable nutritional screening tool for use in dialysis units. We conducted a study between June to November 2011 testing simplified nutritional screening tools on 155 HD and 90 CAPD patients to validate their potential application. Routine nutritional screening tools commonly used for hospitalized patients (NRS–2002, MST, MUST) were compared against tools specific to dialysis such as the malnutrition-inflammation score (MIS), modified Subjective Global Assessment (mSGA) and geriatric nutritional risk index (GNRI) with diagnostic values inclusive of anthropometry, biochemistry and dietary itnake. The mSGA compared to MIS indicated greater specificity for BMI<25kg/m2, serum albumin<40g/dL, AMA≤15th percentile, energy intake <30 kcal/kg/day and protein intake