Nutritional Risk Index (Buzby NRI)

Nutritional Risk Index (Buzby, VA-TPN) = 1.519 x albumin (g/L) + 41.7 x (current weight / usual weight); bands >100 none, 97.5-100 mild, 83.5-97.5 moderate, <83.5 severe.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Serum albumin
40 g/L
Current weight
60 kg
Usual weight
70 kg

Result: Nutritional Risk Index 96.5 — moderate nutritional risk (bands: >100 none, 97.5-100 mild, 83.5-97.5 moderate, <83.5 severe).

The tool opens with these values already filled in. Replace them with your own.

What the result means

> 100
No nutritional risk.
97.5-100
Mild nutritional risk.
83.5 to < 97.5
Moderate nutritional risk.
< 83.5
Severe nutritional risk. A lower NRI marks greater perioperative risk.

What you enter

  • Serum albumin
  • Current weight
  • Usual weight
How this is calculated

Buzby GP, et al., for the Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. Perioperative total parenteral nutrition in surgical patients. N Engl J Med. 1991;325(8):525-532. NRI = 1.519 x albumin (g/L) + 41.7 x (current/usual weight). Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.