Validity of subjective global assessment as a screening method for hospital malnutrition. Prevalence of malnutrition in a tertiary hospital

Moriana, Miriam; Civera, Miguel; Artero, Ana; Real, José T.; Caro, Juan; Ascaso, Juan F.; Martínez-Valls, José Francisco

doi:10.1016/j.endoen.2014.03.004

Cited by 11 publications

(11 citation statements)

References 19 publications

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“…Relative to these prior studies, we report a lower prevalence of malnutrition in COVID-19 inpatients in 2020 (9.3%), though higher than our pre-COVID-19 institutional malnutrition prevalence of 3.1% [ 22 ]. Possible reasons for the discrepancy in malnutrition prevalence for COVID-19 inpatients across these studies include variability in the severity of illness, age, comorbidities, source of admission, and the methodologies utilized to establish the malnutrition diagnosis, which presently lacks global uniform standards [ 12 , 32 , 33 , 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

Malnutrition Increases Hospital Length of Stay and Mortality among Adult Inpatients with COVID-19

et al. 2022

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Background: Malnutrition has been linked to adverse health economic outcomes. There is a paucity of data on malnutrition in patients admitted with COVID-19. Methods: This is a retrospective cohort study consisting of 4311 COVID-19 adult (18 years and older) inpatients at 5 Johns Hopkins-affiliated hospitals between 1 March and 3 December 2020. Malnourishment was identified using the malnutrition universal screening tool (MUST), then confirmed by registered dietitians. Statistics were conducted with SAS v9.4 (Cary, NC, USA) software to examine the effect of malnutrition on mortality and hospital length of stay among COVID-19 inpatient encounters, while accounting for possible covariates in regression analysis predicting mortality or the log-transformed length of stay. Results: COVID-19 patients who were older, male, or had lower BMIs had a higher likelihood of mortality. Patients with malnutrition were 76% more likely to have mortality (p < 0.001) and to have a 105% longer hospital length of stay (p < 0.001). Overall, 12.9% (555/4311) of adult COVID-19 patients were diagnosed with malnutrition and were associated with an 87.9% increase in hospital length of stay (p < 0.001). Conclusions: In a cohort of COVID-19 adult inpatients, malnutrition was associated with a higher likelihood of mortality and increased hospital length of stay.

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Section: Discussionmentioning

confidence: 99%

Malnutrition Increases Hospital Length of Stay and Mortality among Adult Inpatients with COVID-19

et al. 2022

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“…Ambos valores fueron más elevados en comparación con Allard y colaboradores. Las discrepancias podrían deberse a la diferencia en la prevalencia de DN de los estudios (8,38) .…”

Section: Discussionunclassified

Criterios GLIM: análisis de su consistencia interna y una comparación con respecto a la valoración global subjetiva

Navarro

Capelli

Adaglio

et al. 2021

Rev. Nutr. Clin. Metab.

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Introducción: los criterios Global Leadership Initiative on Malnutrition (GLIM), creados para alcanzar un consenso mundial en cuanto a los criterios diagnósticos de la desnutrición (DN) asociada con la enfermedad, requieren ser validados para su uso en la práctica clínica. Objetivo: estimar la consistencia interna de los criterios GLIM y compararlos con respecto a la valoración global subjetiva (VGS) con el fin de diagnosticar DN en pacientes hospitalizados con riesgo nutricional. Métodos: se evaluaron 123 adultos hospitalizados con riesgo de DN (SNAQ > 2). Se utilizaron la VGS y GLIM para diagnosticar DN. Se calculó la consistencia interna del GLIM y su concordancia, validez, seguridad y razón de probabilidad con respecto a VGS. Resultados: la prevalencia de DN fue de 91 % según GLIM y 88,62 % según VGS, y fue grave en 52,03 % y 32,52 %, respectivamente. La consistencia interna del GLIM resultó aceptable (alfa de Cronbach: 0,6425). La concordancia entre VGS y GLIM fue moderada (𝜅: 0,5946) o buena (𝜅: 0,7777) según la categorización utilizada. GLIM obtuvo una sensibilidad del 99,1 % (intervalo de confianza [IC] 95 %: 95 %-100 %) y una especificidad del 71,4 % (IC 95 %: 41,9 %-91,6 %). El valor predictivo positivo fue 96,4 % (IC 95 %: 91,1 %-99 %) y el negativo fue 90,9 % (IC 95 %: 58,7-99,8). La razón de verosimilitud positiva fue 3,47 (IC 95 %: 1,51-7,94) y la negativa fue 0,0128 (IC 95 %: 0,018- 0,929). Conclusiones: la herramienta GLIM posee una validez justa y concuerda moderadamente con la VGS. Se requieren estudios de validez para su aplicación en la población hospitalaria general. Palabras clave: GLIM, desnutrición, valoración global subjetiva, diagnóstico nutricional, evaluación nutricional.

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“…Lucchesi Nutritional status and evaluation of the perioperative fasting time among patients submitted to elective and emergency surgeries at a reference hospital. It is a method that is easy to perform, dispenses expensive resources, and can be carried out by professionals of the nutritional therapy multidisciplinary team 5,9 .…”

Section: Original Articlementioning

confidence: 99%

“…It should be identified through simple assessment, based on scientific evidences and adaptable to clinical circumstances such as age, gender, and disease severity. However, no tool is universally accepted for this purpose 9 . Subjective Global Assessment (SGA)…”

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confidence: 99%

Estado nutricional e avaliação do tempo de jejum perioperatório de pacientes submetidos à cirurgias eletivas e de emergência em um hospital de referência.

Lucchesi

Gadelha

2019

Rev. Col. Bras. Cir.

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RESUMO Objetivo: avaliar o perfil clínico, cirúrgico e nutricional de pacientes cirúrgicos internados em um hospital de referência da cidade de Recife - PE. Métodos: estudo de caráter transversal, realizado nas enfermarias do Serviço de Cirurgia Geral do Hospital da Restauração Governador Paulo Guerra, no período de junho a setembro de 2018. Foram incluídos pacientes adultos e idosos de ambos os sexos, submetidos a procedimentos toracoabdominais e cirurgias abdominais, de caráter eletivo ou de emergência, em que a avaliação do estado nutricional pôde ser realizada em até 72 horas da admissão hospitalar. Foram coletados dados sobre o estado nutricional, sobre os procedimentos cirúrgicos, assim como, informações clínicas e bioquímicas. Resultados: foram estudados 140 pacientes, com mediana de idade de 45 anos, 59,3% do sexo feminino, sendo que 23% apresentavam-se desnutridos, através da Avaliação Subjetiva Global. A mediana do tempo de jejum pré-operatório para as cirurgias de porte I foi de 15 horas e para as de porte II, 13,5 horas. Maior tempo de permanência hospitalar no pós-operatório apresentou forte correlação com o tempo total de internamento em ambos os portes cirúrgicos. Pacientes desnutridos apresentaram maior tempo de jejum perioperatório e de permanência hospitalar quando comparados com os bem nutridos (p<0,001). Conclusão: o tempo de jejum perioperatório das cirurgias eletivas esteve acima do que é preconizado pela literatura. Pacientes com maior tempo de jejum permaneceram mais tempo internados.

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Validity of subjective global assessment as a screening method for hospital malnutrition. Prevalence of malnutrition in a tertiary hospital

Cited by 11 publications

References 19 publications

Malnutrition Increases Hospital Length of Stay and Mortality among Adult Inpatients with COVID-19

Malnutrition Increases Hospital Length of Stay and Mortality among Adult Inpatients with COVID-19

Criterios GLIM: análisis de su consistencia interna y una comparación con respecto a la valoración global subjetiva

Estado nutricional e avaliação do tempo de jejum perioperatório de pacientes submetidos à cirurgias eletivas e de emergência em um hospital de referência.

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