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

Mitani, Asako; Iwai, Takahito; Shichinohe, Toshiaki; Takeda, Hiroshi; Kumagai, Satomi; Nishida, Mutsumi; Sugita, Junichi; Teshima, Takanori

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

Mitani, Asako; Iwai, Takahito; Shichinohe, Toshiaki et al.

Annals of Nutrition and Metabolism, 2021, 77(3), 178-184

Permalink : https://hdl.handle.net/2115/84609

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https://doi.org/10.1159/000516994			7

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アクセス権	metadata only access
URI	https://hdl.handle.net/2115/84609
タイトル	The Combined Usage of the Global Leadership Initiative on Malnutrition Criteria and Controlling Nutrition Status Score in Acute Care Hospitals
著者	Mitani, Asako ; Iwai, Takahito ; Shichinohe, Toshiaki ; Takeda, Hiroshi ; Kumagai, Satomi ; Nishida, Mutsumi ; Sugita, Junichi ; Teshima, Takanori
著者名 Mitani, Asako
著者名 Iwai, Takahito
e-Rad_Researcher 70374353 著者名 Shichinohe, Toshiaki
著者名 Takeda, Hiroshi
著者名 Kumagai, Satomi
著者名 Nishida, Mutsumi
著者名 Sugita, Junichi
e-Rad_Researcher 40284096 著者名 Teshima, Takanori
言語	英語
キーワード	Global Leadership Initiative on Malnutrition criteria
	Controlling Nutrition Status score
	Subjective Global Assessment
	Malnutrition
	Clinical outcome
発行日	2021-09
出版者	Karger
収録物名	Annals of Nutrition and Metabolism
巻(号)	77(3)
ページ	178-184
抄録	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.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
権利情報	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 http://www.karger.com/?doi=10.1159/000516994.
PISSN	0250-6807
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.1159/000516994