IS THERE AGREEMENT BETWEEN THE GLIM AND THE NRS CRITERIA IN THE NUTRITIONAL DIAGNOSIS OF HOSPITALIZED SURGICAL PATIENTS? PILOT STUDY

ABSTRACT Background: There is no consensus on which nutritional diagnosis methods are most relevant in the hospital clinical practice. Objective: This study investigated the agreement between the global leadership initiative on malnutrition (GLIM) criterion and the nutritional risk screening (NRS)...

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Main Authors: Larissa Silveira STOPIGLIA, Vânia Aparecida LEANDRO-MERHI
Format: Article
Language:English
Published: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE) 2024-11-01
Series:Arquivos de Gastroenterologia
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032024000101203&lng=en&tlng=en
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author Larissa Silveira STOPIGLIA
Vânia Aparecida LEANDRO-MERHI
author_facet Larissa Silveira STOPIGLIA
Vânia Aparecida LEANDRO-MERHI
author_sort Larissa Silveira STOPIGLIA
collection DOAJ
description ABSTRACT Background: There is no consensus on which nutritional diagnosis methods are most relevant in the hospital clinical practice. Objective: This study investigated the agreement between the global leadership initiative on malnutrition (GLIM) criterion and the nutritional risk screening (NRS) instrument for the nutritional diagnosis of in-patients. Methods: Cross-sectional study with 95 hospitalized surgical patients. Clinical data, nutritional risk using the NRS and malnutrition using the GLIM criteria were evaluated. The data were analyzed using the chi-square, Mann-Whitney, McNemar and Kappa coefficient tests. Results: There was good agreement between the two methods (Kappa=0.6067). Patients who were malnourished according to the GLIM or at nutritional risk by NRS were older (P=0.0461 by GLIM and P=0.0200 by NRS) and had a higher diagnosis rate of neoplasms (38.5%, P=0.0006 by GLIM and 32.7%, P=0.0030 by NRS). The GLIM criterion identified a lower percentage of patients with malnutrition (41.05%) in relation to the NRS regarding patients with nutritional risk (54.7%). Conclusion: The GLIM criteria and the NRS instrument are concordant methods for diagnosing malnutrition and nutritional risk in hospitalized surgical patients respectively.
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publisher Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)
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spelling doaj-art-53f1ecb7af29466a90027ec34d5de69d2024-11-26T07:45:28ZengInstituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)Arquivos de Gastroenterologia1678-42192024-11-016110.1590/s0004-2803.24612024-072IS THERE AGREEMENT BETWEEN THE GLIM AND THE NRS CRITERIA IN THE NUTRITIONAL DIAGNOSIS OF HOSPITALIZED SURGICAL PATIENTS? PILOT STUDYLarissa Silveira STOPIGLIAhttps://orcid.org/0009-0001-1630-2762Vânia Aparecida LEANDRO-MERHIhttps://orcid.org/0000-0002-2623-6471ABSTRACT Background: There is no consensus on which nutritional diagnosis methods are most relevant in the hospital clinical practice. Objective: This study investigated the agreement between the global leadership initiative on malnutrition (GLIM) criterion and the nutritional risk screening (NRS) instrument for the nutritional diagnosis of in-patients. Methods: Cross-sectional study with 95 hospitalized surgical patients. Clinical data, nutritional risk using the NRS and malnutrition using the GLIM criteria were evaluated. The data were analyzed using the chi-square, Mann-Whitney, McNemar and Kappa coefficient tests. Results: There was good agreement between the two methods (Kappa=0.6067). Patients who were malnourished according to the GLIM or at nutritional risk by NRS were older (P=0.0461 by GLIM and P=0.0200 by NRS) and had a higher diagnosis rate of neoplasms (38.5%, P=0.0006 by GLIM and 32.7%, P=0.0030 by NRS). The GLIM criterion identified a lower percentage of patients with malnutrition (41.05%) in relation to the NRS regarding patients with nutritional risk (54.7%). Conclusion: The GLIM criteria and the NRS instrument are concordant methods for diagnosing malnutrition and nutritional risk in hospitalized surgical patients respectively.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032024000101203&lng=en&tlng=enHospitalized surgical patientsglobal leadership initiative on malnutritionnutritional risk screeningcriteria
spellingShingle Larissa Silveira STOPIGLIA
Vânia Aparecida LEANDRO-MERHI
IS THERE AGREEMENT BETWEEN THE GLIM AND THE NRS CRITERIA IN THE NUTRITIONAL DIAGNOSIS OF HOSPITALIZED SURGICAL PATIENTS? PILOT STUDY
Arquivos de Gastroenterologia
Hospitalized surgical patients
global leadership initiative on malnutrition
nutritional risk screening
criteria
title IS THERE AGREEMENT BETWEEN THE GLIM AND THE NRS CRITERIA IN THE NUTRITIONAL DIAGNOSIS OF HOSPITALIZED SURGICAL PATIENTS? PILOT STUDY
title_full IS THERE AGREEMENT BETWEEN THE GLIM AND THE NRS CRITERIA IN THE NUTRITIONAL DIAGNOSIS OF HOSPITALIZED SURGICAL PATIENTS? PILOT STUDY
title_fullStr IS THERE AGREEMENT BETWEEN THE GLIM AND THE NRS CRITERIA IN THE NUTRITIONAL DIAGNOSIS OF HOSPITALIZED SURGICAL PATIENTS? PILOT STUDY
title_full_unstemmed IS THERE AGREEMENT BETWEEN THE GLIM AND THE NRS CRITERIA IN THE NUTRITIONAL DIAGNOSIS OF HOSPITALIZED SURGICAL PATIENTS? PILOT STUDY
title_short IS THERE AGREEMENT BETWEEN THE GLIM AND THE NRS CRITERIA IN THE NUTRITIONAL DIAGNOSIS OF HOSPITALIZED SURGICAL PATIENTS? PILOT STUDY
title_sort is there agreement between the glim and the nrs criteria in the nutritional diagnosis of hospitalized surgical patients pilot study
topic Hospitalized surgical patients
global leadership initiative on malnutrition
nutritional risk screening
criteria
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032024000101203&lng=en&tlng=en
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