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The Combined Usage of the Global Leadership Initiative on Malnutrition Criteria and Controlling Nutrition Status Score in Acute Care Hospitals

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Title: The Combined Usage of the Global Leadership Initiative on Malnutrition Criteria and Controlling Nutrition Status Score in Acute Care Hospitals
Authors: Mitani, Asako Browse this author
Iwai, Takahito Browse this author
Shichinohe, Toshiaki Browse this author →KAKEN DB
Takeda, Hiroshi Browse this author
Kumagai, Satomi Browse this author
Nishida, Mutsumi Browse this author
Sugita, Junichi Browse this author
Teshima, Takanori Browse this author →KAKEN DB
Keywords: Global Leadership Initiative on Malnutrition criteria
Controlling Nutrition Status score
Subjective Global Assessment
Clinical outcome
Issue Date: Sep-2021
Publisher: Karger
Journal Title: Annals of Nutrition and Metabolism
Volume: 77
Issue: 3
Start Page: 178
End Page: 184
Publisher DOI: 10.1159/000516994
Abstract: Introduction: The Global Leadership Initiative on Malnutrition (GLIM) lacks reliable blood tests for evaluating the nutrition status. We retrospectively compared the GLIM criteria, Controlling Nutrition Status (CONUT) score, and Subjective Global Assessment (SGA) to establish effective malnutrition screening and provide appropriate nutritional interventions according to severity. Methods: We classified 177 patients into 3 malnutrition categories (normal/mild, moderate, and severe) according to the GLIM criteria, CONUT score, and SGA. We investigated the malnutrition prevalence, concordance of malnutrition severity, predictability of clinical outcome, concordance by etiology, and clinical outcome by inflammation. Results: The highest prevalence of malnutrition was found using the GLIM criteria (87.6%). Concordance of malnutrition severity was low between the GLIM criteria and CONUT score. Concordance by etiology was low in all groups but was the highest in the "acute disease" group. The area under the curve of clinical outcome and that of the "with inflammation group" were significantly higher when using the CONUT score versus using the other tools (0.679 and 0.683, respectively). Conclusion: The GLIM criteria have high sensitivity, while the CONUT score can effectively predict the clinical outcome of malnutrition. Their combined use can efficiently screen for malnutrition and patient severity in acute care hospitals.
Rights: This is the peer-reviewed but unedited manuscript version of the following article: Annals of Nutrition and Metabolism 2021, 77, 178-184 (DOI: 10.1159/000516994). The final, published version is available at
Type: article
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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