cliot (version 1.0.0)

must_screening_tool: Malnutrition Universal Screening Tool (MUST)

Description

Calculates the MUST score to identify adults who are malnourished, at risk of malnutrition (undernutrition), or obese. It also includes management guidelines which can be used to develop a care plan.

Usage

must_screening_tool(bmi, weight_loss_percent, acute_disease_effect)

Value

A list containing:

MUST_Score

The calculated total score (Range 0-6).

Risk_Category

Classification (Low Risk: 0, Medium Risk: 1, High Risk: >=2).

Management_Guideline

General management recommendations based on the risk category.

Arguments

bmi

Numeric. Body Mass Index (kg/m^2). >20.0: 0 pts. 18.5-20.0: 1 pt. <18.5: 2 pts.

weight_loss_percent

Numeric. Unplanned weight loss in the past 3-6 months (percent). <5%: 0 pts. 5-10%: 1 pt. >10%: 2 pts.

acute_disease_effect

Numeric (0 or 1). Is the patient acutely ill and there has been or is likely to be no nutritional intake for >5 days? (1 = Yes, +2 pts).

References

Stratton RJ, Hackston A, Longmore D, et al. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the 'malnutrition universal screening tool' ('MUST') for adults. Br J Nutr. 2004;92(5):799-808. doi:10.1079/bjn20041258

Examples

# Example 1: High Risk
# BMI 17 (+2), No weight loss (0), No acute illness (0)
# Score = 2
must_screening_tool(17, 0, 0)

# Example 2: Medium Risk
# BMI 22 (0), 7% weight loss (+1), No acute illness (0)
# Score = 1
must_screening_tool(22, 7, 0)