Validation of GLIM malnutrition criteria for diagnosis of malnutrition in ICU patients: An observational study
| Autor: | Itai Bendavid, Ilya Kagan, Sornwichate Rattanachaiwong, Pierre Singer, Miriam Theilla, Merav Rigler |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male 0301 basic medicine Pediatrics medicine.medical_specialty Critical Care Nutritional Status GLIM 030209 endocrinology & metabolism Critical Care and Intensive Care Medicine Risk Assessment Sensitivity and Specificity 03 medical and health sciences 0302 clinical medicine Humans Medicine Mass index Medical nutrition therapy APACHE Aged 030109 nutrition & dietetics Nutrition and Dietetics APACHE II business.industry Malnutrition Gold standard (test) Middle Aged medicine.disease Mann–Whitney U test Female business Risk assessment |
| Zdroj: | Clinical Nutrition. 40:3578-3584 |
| ISSN: | 0261-5614 |
| Popis: | Summary Background & aims Patients in the Intensive Care Unit (ICU) are at high risk of malnutrition. The only validated malnutrition assessment tool is the Subjective Global Assessment (SGA). The Global Leadership Initiative on Malnutrition (GLIM) is a new malnutrition assessment tool. The present study compares the nutrition-related parameters of the following tools: GLIM tool, SGA, Phase Angle (PA), Low Fat-Free Mass Index (FFMI), and Patient- and Nutrition-Derived Outcome Risk Assessment score (PANDORA), in an attempt to validate an objective tool. Methods Eighty-four ICU patients were included. The tools mentioned above were assessed for their validity in diagnosing malnutrition. All patients were defined as suffering from acute disease and received medical nutrition therapy. To evaluate whether there is a correlation between the GLIM criteria, SGA, PA, and low FFMI, we compared the SGA, PA, and low FFMI to the GLIM criteria using Spearman correlation coefficients and a Chi-square test. Also, a Mann–Whitney U test was used to test the mean differences between the GLIM criteria and the PANDORA. The area under the curve (AUC) of the proposed parameters was evaluated for diagnosis of malnutrition to seek cutoff points that yield good sensitivity and specificity. Results Mean age was 50 ± 20 years, BMI 25.3 ± 5.1 kg/m2, APACHE II 20.5 ± 7.7, PANDORA score 32 ± 8.5. GLIM malnutrition criteria were significantly correlated with the gold standard SGA assessment and with low FFMI, with PA (Phase Angle), and with the PANDORA score. The area under the curve, by using the ROC curve analysis for GLIM criteria stratified by the SGA results, was 0.85 (P Conclusions The SGA malnutrition assessment highly validated the GLIM criteria framework combined with the two-criteria diagnosis of malnutrition with a high level of precision. The GLIM malnutrition assessment seems to be acceptable in the ICU setting. |
| Databáze: | OpenAIRE |
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