Subjective Global Assessment

Learn about SGA, a simple bedside method of assessing patient malnutrition risk

For some time now, people have looked for a reliable and validated approach to assess the nutritional status of patients. SGA is the tool that will help. However, the literature does not adequately describe how to perform this procedure. This two-part video series has already trained hundreds on the technique. Now it is available in digital form.

Traditionally, nutritional assessment and malnutrition risk has been based on point-in-time measurements of Body Mass Index (BMI), serum proteins, weight, or the percentage change in food intake. However, a snapshot does not predict the future progression of nutrition deterioration. Many people cannot accurately remember weight, height and exact dietary intake. SGA overcomes these limitations by evaluating a dimensionless progression of factors which can alter nutritional status. Thus it does not rely on patient memory or physical parameters which could be affected by non-nutritional factors to predict the future progression of nutritional status.

Subjective Global Assessment, or SGA, is a proven nutritional assessment tool that has been found to be highly predictive of nutrition-associated complications. SGA fulfills the requirements of a desirable system of nutritional assessment by:

  • Identifying malnutrition
  • Distinguishing malnutrition from a disease state
  • Predicting outcome
  • Identifying patients in whom nutritional therapy can alter outcome

There are two sections: 

  1. SGA training, where you learn how to perform this assessment 
  2. Patient test, where you can test your knowledge against 3 patients.
Khursheed Jeejeebhoy
Khursheed Jeejeebhoy
M.D., F.R.C.P.(C), Ph.D., Developer of SGA

About the instructor

Dr. Jeejeebhoy received his medical degree from the Christian Medical College Hospital in Vellore, India in 1959 and completed residency in India and the UK. He has since systematically studied the nutritional requirements in the sick patient. He has published over 500 peer-reviewed articles, abstracts and book chapters in prestigious journals and text books by invitation. He was instrumental in developing an approach for delivering TPN to surgical patients and introduced the concept of Subjective Global Assessment to the world.

He says, “SGA is a simple bedside method of assessing the risk of malnutrition and identifying those who would benefit from nutritional support. Its validity for this purpose has been demonstrated in a variety of conditions including surgical patients, those with cancer, on renal dialysis and in the ICU.”

What do others say about this course?

Signing up now provides access to these training materials for 180 days, so you can build confidence in your SGA skill.