II. Evaluation: Assign SGA rating to each criteria (where A is well nourished and C is severely malnourished)

  1. Weight Change in last 6 months
    1. A: <5%
    2. B: 5-10%
    3. C: >10%
  2. Weight change in last 2 weeks
    1. A: Increased
    2. B: Unchanged
    3. C: Decreased
  3. Dietary intake overall change
    1. A: Increased
    2. B: Unchanged
    3. C: Decreased
  4. Dietary Change Duration (in weeks or months)
    1. Clinician subjectively rates A-C
  5. Type of dietary change
    1. Clinician subjectively rates A-C
    2. Examples: Suboptimal solid diet, Full liquid Diet, Hypocaloric liquids, or Starvation diet
  6. Gastrointestinal symptoms persisting >2 weeks
    1. Clinician subjectively rates A-C
    2. Examples: Nausea, Vomiting, Diarrhea, anorexia
  7. Functional capacity overall Impairment
    1. A: None
    2. B: Moderate
    3. C: Severe
  8. Functional Capacity Change Duration (in days, weeks or months)
    1. Clinician subjectively rates A-C
  9. Functional Capacity Progression
    1. A: Getting better
    2. B: Unchanged
    3. C: Getting Worse
  10. Physical findings (rated as A = normal and C=Severe)
    1. Loss of subcutaneous fat at triceps and chest
    2. Muscle wasting at deltoids and quadriceps
    3. Edema at ankle or Sacrum
    4. Ascites
  11. Primary underlying condition affecting nutrition
    1. A: Mild
    2. B: Moderate
    3. C: Severe
  12. Primary underlying conditions affect on metabolic demand
    1. A: None
    2. B: Low to Moderate
    3. C; High

III. Interpretation

  1. Using the above ratings estimate an overall SGA Score
  2. A: Well Nourished
  3. B: Moderately malnourished
  4. C: Severely malnourished

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