PD061 - NUTRITIONAL SCREENING IN JAPAN: INSIGHTS FROM NUTRITIONDAY

PD061

NUTRITIONAL SCREENING IN JAPAN: INSIGHTS FROM NUTRITIONDAY

H. Takemoto^1,*, A. Nagano², I. Tabei³, N. Mori⁴

¹Surgery, Kaizuka City Hospital, Kaizuka, ²Nursing, Nishinomiya Kyoritsu Neurosurgical Hospital , Nishinomiya, ³Surgery, The Jikei University School of Medicine, West Medical Center, Komae, ⁴Palliative and Supportive Medicine, Aichi Medical University, Nagakute, Japan

Rationale: Since 2016, nutritionDay has also conducted questionnaire surveys on nutritional screening for each unit. This study compared the current state of screening in Japan with global data.

Methods: Based on national data from Japan surveyed from 2016 to 2023, 162 units and 3784 cases were included in a comparison with 8727 units and 164291 cases in 74 countries worldwide.

Results: Regarding screening upon hospitalization, in Japan, “Other international tool” accounted for 53.7%, and “Experience / visual assessment only” as SGA accounted for 26.5%, with these two accounting for the majority at 80%.NRS2002 was used in 4.3% of cases, and the use of MST, MUST, and SNAQ was less than 1%. “Other international tool” are likely Mini Nutritional Assessment-Short Form (MNA-SF), which was not included in the survey items. Meanwhile, globally, the most common screening method was the NRS2002 at 32.7%, followed by other standardized methods at 15.4%, and then “Weighing / BMI only” at 14.4%. 7.5% used the MST, 6.4% used MUST, and 1.3% used SNAQ. SGA was used at 6.8%. 9.3% did not perform any screening. Of those who underwent these screenings, 12.2% in Japan and 12.3% globally were diagnosed with malnutrition. 23% in Japan and 18.8% globally were classified as at risk, while 58.5% in Japan and 61.7% globally were found to have no problems. Although the screening methods differed between Japan and the rest of the world, the proportion of those diagnosed with malnutrition was almost the same.

Conclusion: While there are differences in screening methods between Japan and the worldwide, the proportion of individuals judged to be malnourished was roughly the same. In Japan, the 2024 revision of medical fee schedules recommends the use of GLIM criteria for diagnosing malnutrition. JSPEN recommends MUST and NRS-2002, rather than “SGA,as screening methods for this purpose, suggesting that the screening methods will change.

Disclosure of Interest: None declared