Nutrition Risk Screening 2002 (NRS-2002)
NRS-2002 Calculator
Nutritional Status Impairment
Severity of Disease
Age ≥70 years
NRS-2002 Score:
0
Not At Risk
0 points: Patient is not nutritionally at risk. Re-screen weekly.
Predicts risk of malnutrition in hospitalized patients, recommended by ACG guidelines .
Why Use
Recommended by American College of Gastroenterology (ACG) gudelines for nutrition therapy .
When to Use
Hospitalized patients at risk for malnutrition. For ICU patients, the NUTRIC Score is a more widely validated risk predictor.
Formula
Initial Screening: If “Yes” to any, proceed to Final Screening. BMI <20.5 kg/m² Yes / No Weight loss within 3 months Yes / No Reduced dietary intake in the last week Yes / No ICU patient Yes / No Final Screening: addition of the selected points. Nutritional impairment None 0 points Mild: weight loss >5% in 3 months or food intake <50–75% of normal requirement in the preceding week 1 point Moderate: weight loss >5% in 2 months or BMI 18.5–20.5 plus impaired general condition or food intake 25–60% of normal requirement in preceding week 2 points Severe: weight loss >5% in 1 month (>15% in 3 months) or BMI <18.5 plus impaired general condition or food intake 0–25% of normal requirement in preceding week 3 points Severity of disease Normal nutritional requirement 0 points Hip fracture, chronic illness (may have acute complications, e.g. cirrhosis or COPD), chronic dialysis, diabetes, cancer 1 point Major abdominal surgery, stroke, severe pneumonia, hematologic malignancy 2 points Head injury, bone marrow transplant, ICU patient with APACHE >10 3 points Age <70 years 0 points ≥70 years 1 point
Advice
Consider nutrition consult in patients at risk for malnutrition.
More Information
Interpretation: NRS-2002 Risk group Recommendation 0-3 Low risk Re-screen weekly 4 At risk Initiate nutritional care plan (food, oral supplements, tube feeding, and/or parenteral nutrition as appropriate) 5-7 High risk Initiate early intervention nutritional care plan From ASPEN guidelines 2016 .