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🥗 PONS (Perioperative Nutrition Screen)

UseWhen to use: pre-op clinics before major elective surgery.

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Strata≥1 = nutrition risk → dietitian / prehabilitation pathway.

LimitsWhen not to use: emergency surgery delaying all screens. · Pitfall: albumin as pure malnutrition label. · Not a sole case cancellation.

SourcePONS perioperative nutrition screen (ASER / POQI)

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Score + version; reference only — not a substitute for care · no HIS write

Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.

Methodology · worked example, guidelines & full notes
Clinical takeaway

Four items.

When to use

When to use: pre-op clinics before major elective surgery.

How it works

+1 each: low BMI (age-specific), >10% weight loss/6 mo, <50% intake/week, albumin <3.0 g/dL.

Key points

  • Four items.
  • Any ≥1 positive.
  • Next: ONS / dietitian.

References

  • PONS perioperative nutrition screen (ASER / POQI)

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Age >65 years (BMI threshold)≤65 (BMI cut <18.5)
BMI22 kg/m²
Unintentional weight loss >10% in 6 monthsNo (0)
Eating <50% of normal diet in past weekNo (0)
Serum albumin <3.0 g/dLNo / unknown (0)

→PONS0/4

  • BMI points:0
  • Cue:0 — screen negative; continue standard perioperative nutrition
Age >65 years (BMI threshold)>65 (BMI cut <20)
BMI22 kg/m²
Unintentional weight loss >10% in 6 monthsYes (+1)
Eating <50% of normal diet in past weekYes (+1)
Serum albumin <3.0 g/dLYes (+1)

→PONS3/4

  • BMI points:0
  • Cue:≥1 — nutrition risk; refer for assessment / optimization
Verification & sources · governance
FAQ

Frequently asked questions

Does PONS (Perioperative Nutrition Screen) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is PONS (Perioperative Nutrition Screen) calculated in practice? Can you show a worked example?
Inputs: Age >65 years (BMI threshold) ≤65 (BMI cut <18.5), BMI 22 kg/m², Unintentional weight loss >10% in 6 months No (0), Eating <50% of normal diet in past week No (0), Serum albumin <3.0 g/dL No / unknown (0) → Result: PONS 0 /4(BMI points: 0, Cue: 0 — screen negative; continue standard perioperative nutrition) Inputs: Age >65 years (BMI threshold) >65 (BMI cut <20), BMI 22 kg/m², Unintentional weight loss >10% in 6 months Yes (+1), Eating <50% of normal diet in past week Yes (+1), Serum albumin <3.0 g/dL Yes (+1) → Result: PONS 3 /4(BMI points: 0, Cue: ≥1 — nutrition risk; refer for assessment / optimization)
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