geriatrics anaesthesia-icu general-medicine
NRS-2002 — Nutritional Risk Screening
ESPEN-endorsed inpatient nutritional risk screen (Kondrup 2003). Combines impaired nutritional status + severity of disease, with age adjustment.
Score interpretation
Not at nutritional risk 0–2
→ Re-screen weekly during hospitalisation. Routine diet. Encourage oral intake.
At risk — initiate nutrition plan 3–7
→ Set nutritional goals (25–30 kcal/kg/day, 1.0–1.5 g protein/kg/day). Use ONS / enteral feeding / parenteral nutrition as indicated. Monitor electrolytes (refeeding risk if BMI <16, weight loss >15%, little/no intake >10 days). Dietitian-led.
Interpretation bands for the NRS-2002. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
- Vitamins with minerals and trace elements · Parenteral nutrition supplement
- Enteral feeds · Nutritional support
- Dairy products · Nutritional source (calcium, protein, vitamin D)
- Parenteral nutrition supplements · Parenteral nutrition
- Palivizumab · RSV Prophylaxis — Monthly Monoclonal Antibody (High-Risk Infants)
- Vitamin E (Tocopherol — Topical Scar Management) · Topical Nutritional / Scar Management
Pathways
- Falls Assessment in Older Adults · NICE CG161 2013
- Delirium Outside ICU · NICE CG103
- Comprehensive Geriatric Assessment (CGA) · BGS / NICE
- Delirium Assessment and Management · NICE CG103 2010
- Frailty Recognition and Management · BGS Frailty Framework / NHS NHSE
- Polypharmacy and Medicines Optimisation · STOPP/START v2 2014 / NICE NG5
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.