CONUT Score (Controlling Nutritional Status) Calculator
Patient Parameters
All three laboratory values are required.
Clinical Context
The Controlling Nutritional Status (CONUT) score is a laboratory-based screening index calculated from serum albumin, total lymphocyte count, and total cholesterol.
The original score in this tool assigns component points according to the thresholds listed below. The total is the sum of all three component scores.
Important considerations
- Interpret laboratory values with the clinical context and local laboratory methods.
- Albumin can be influenced by inflammation, fluid status, hepatic function, and other conditions; it is not a nutrition-specific marker.
- The score is not a substitute for comprehensive nutritional assessment or clinical judgment.
Score Interpretation
| Total score | Interpretation |
|---|---|
| 0–1 | Normal nutritional status |
| 2–4 | Mild nutritional impairment |
| 5–8 | Moderate nutritional impairment |
| 9–12 | Severe nutritional impairment |
Component Scoring Criteria
| Parameter | Laboratory value | Points |
|---|---|---|
| Serum albumin (g/dL) | ≥ 3.50 | 0 |
| 3.00–3.49 | 2 | |
| 2.50–2.99 | 4 | |
| < 2.50 | 6 | |
| Absolute lymphocyte count (/µL) | ≥ 1600 | 0 |
| 1200–1599 | 1 | |
| 800–1199 | 2 | |
| < 800 | 3 | |
| Total cholesterol (mg/dL) | ≥ 180 | 0 |
| 140–179 | 1 | |
| 100–139 | 2 | |
| < 100 | 3 |
Reference
de Ulíbarri JI, González-Madroño A, de Villar NGP, González P, González B, Mancha A, Rodríguez F, Fernández G. CONUT: a tool for controlling nutritional status. First validation in a hospital population. Nutr Hosp. 2005;20(1):38–45. PMID: 15762418.
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