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Comparison of nutritional risk screening with NRS2002 and the GLIM diagnostic criteria for malnutrition in hospitalized patients.
Trollebø, Marte A; Skeie, Eli; Revheim, Ingrid; Stangeland, Helene; Erstein, Mari-Anne H; Grønning, Martin K; Tangvik, Randi J; Morken, Mette H; Nygård, Ottar; Eagan, Tomas M L; Rosendahl-Riise, Hanne; Dierkes, Jutta.
Afiliación
  • Trollebø MA; Center for Nutrition, University of Bergen, Bergen, Norway. marte.trollebo@uib.no.
  • Skeie E; Mohn Nutrition Research Laboratory, University of Bergen, Bergen, Norway. marte.trollebo@uib.no.
  • Revheim I; Department of Clinical Medicine, University of Bergen, Bergen, Norway. marte.trollebo@uib.no.
  • Stangeland H; Department of Research and Development, Haukeland University Hospital, Bergen, Norway.
  • Erstein MH; Center for Nutrition, University of Bergen, Bergen, Norway.
  • Grønning MK; Department of Clinical Medicine, University of Bergen, Bergen, Norway.
  • Tangvik RJ; Center for Nutrition, University of Bergen, Bergen, Norway.
  • Morken MH; Center for Nutrition, University of Bergen, Bergen, Norway.
  • Nygård O; Center for Nutrition, University of Bergen, Bergen, Norway.
  • Eagan TML; Center for Nutrition, University of Bergen, Bergen, Norway.
  • Rosendahl-Riise H; Mohn Nutrition Research Laboratory, University of Bergen, Bergen, Norway.
  • Dierkes J; Department of Clinical Medicine, University of Bergen, Bergen, Norway.
Sci Rep ; 12(1): 19743, 2022 11 17.
Article en En | MEDLINE | ID: mdl-36396666
Nutritional risk screening, to identify patients at risk of malnutrition, is the first step in the prevention and treatment of malnutrition in hospitalized patients, and should be followed by a thorough nutritional assessment resulting in a diagnosis of malnutrition and subsequent treatment. In 2019, a consensus on criteria has been suggested for the diagnosis of malnutrition by the Global Leadership Initiative for Malnutrition (GLIM). This study investigates the diagnosis of malnutrition in hospitalized patients using nutritional risk screening and the diagnostic assessment suggested by GLIM. Hospitalized patients (excluding cancer, intensive care, and transmissible infections) who underwent nutritional risk screening (by NRS2002) were included. Nutritional risk screening was followed by anthropometric measurements including measurement of muscle mass, assessment of dietary intake and measurement of serum C-reactive protein (CRP) for inflammation in all patients. Malnutrition was diagnosed according to the GLIM-criteria. In total, 328 patients (median age 71 years, 47% women, median length of stay 7 days) were included. Nutritional risk screening identified 143 patients as at risk of malnutrition, while GLIM criteria led to a diagnosis of malnutrition in 114 patients. Of these 114 patients, 77 were also identified as at risk of malnutrition by NRS2002, while 37 patients were not identified by NRS2002. Malnutrition was evident in fewer patients than at risk of malnutrition, as expected. However, a number of patients were malnourished who were not identified by the screening procedure. More studies should investigate the importance of inflammation and reduced muscle mass, which is the main difference between nutritional risk screening and GLIM diagnostic assessment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desnutrición / Liderazgo Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Límite: Aged / Female / Humans / Male Idioma: En Revista: Sci Rep Año: 2022 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desnutrición / Liderazgo Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Límite: Aged / Female / Humans / Male Idioma: En Revista: Sci Rep Año: 2022 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Reino Unido