The Cardiovascular
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Nutrition Risk Screening 2002 (NRS-2002)

Screens hospitalized adults for malnutrition risk by combining nutritional status and disease severity.

Nutrition Risk Screening 2002 (NRS-2002)
Impaired nutritional status
Severity of underlying disease
Age >=70 years
Result0 points

Patient is not currently at nutritional risk; re-screen weekly.

When to use

  • Screening hospitalized adults on admission to determine who needs a formal nutrition care plan.

Formula

NRS-2002 = impaired nutritional status score (0-3) + disease severity score (0-3) + 1 point if age >=70. Range 0-7; >=3 indicates nutritional risk.

Pearls and pitfalls

  • Designed for and validated in hospital inpatients, based on the pooled evidence from controlled nutrition-support trials.
  • Preceded by a 4-item initial screen (low BMI, recent weight loss, reduced intake, serious illness); any positive answer triggers the full final screen shown here.

References

  1. Kondrup J, Rasmussen HH, Hamberg O, Stanga Z; Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003;22(3):321-336.