Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery
Accurate identification of malnutrition and preoperative nutritional care in Inflammatory Bowel Disease (IBD) surgery is mandatory. There is no validated nutritional screening tool for IBD patients. We developed a novel nutritional screening tool for IBD patients requiring surgery and compared it wi...
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| Veröffentlicht in: | Nutrients 2021-10, Vol.13 (11), p.3899 |
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| creator | Fiorindi, Camilla Dragoni, Gabriele Scaringi, Stefano Staderini, Fabio Nannoni, Anita Ficari, Ferdinando Giudici, Francesco |
| description | Accurate identification of malnutrition and preoperative nutritional care in Inflammatory Bowel Disease (IBD) surgery is mandatory. There is no validated nutritional screening tool for IBD patients. We developed a novel nutritional screening tool for IBD patients requiring surgery and compared it with other tools.
we included 62 consecutive patients scheduled for elective surgery. The IBD Nutritional Screening tool (NS-IBD) was developed to screen patients for further comprehensive assessment. NRS-2002, MUST, MST, MIRT, SaskIBD-NR are compared with the new test. All screening tests were subsequently related to new GLIM criteria.
according to GLIM criteria, 25 (40%) IBD patients were malnourished (15 CD and 10 UC, 33% vs. 63%,
= 0.036). Stage 1 malnutrition was reported in ten patients, while stage 2 was detected in 15 patients. The comparison of each nutritional risk tool with GLIM criteria showed sensitivity of 0.52, 0.6, 0.6, 0.84, 0.84 and 0.92 for SASKIBD-NR, MUST, MST, NRS-2002, MIRT, and the new NS-IBD, respectively.
in IBD, currently adopted nutritional screening tools are characterized by a low sensitivity when malnutrition diagnosis is performed with recent GLIM criteria. Our proposed tool to detect malnutrition performed the best in detecting patients that may require nutritional assessment and preoperative intervention. |
| doi_str_mv | 10.3390/nu13113899 |
| format | Article |
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we included 62 consecutive patients scheduled for elective surgery. The IBD Nutritional Screening tool (NS-IBD) was developed to screen patients for further comprehensive assessment. NRS-2002, MUST, MST, MIRT, SaskIBD-NR are compared with the new test. All screening tests were subsequently related to new GLIM criteria.
according to GLIM criteria, 25 (40%) IBD patients were malnourished (15 CD and 10 UC, 33% vs. 63%,
= 0.036). Stage 1 malnutrition was reported in ten patients, while stage 2 was detected in 15 patients. The comparison of each nutritional risk tool with GLIM criteria showed sensitivity of 0.52, 0.6, 0.6, 0.84, 0.84 and 0.92 for SASKIBD-NR, MUST, MST, NRS-2002, MIRT, and the new NS-IBD, respectively.
in IBD, currently adopted nutritional screening tools are characterized by a low sensitivity when malnutrition diagnosis is performed with recent GLIM criteria. Our proposed tool to detect malnutrition performed the best in detecting patients that may require nutritional assessment and preoperative intervention.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu13113899</identifier><identifier>PMID: 34836154</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Abdomen ; Adult ; Aged ; Body mass index ; Colitis, Ulcerative - complications ; Colitis, Ulcerative - surgery ; Criteria ; Crohn Disease - complications ; Crohn Disease - surgery ; Diarrhea ; Disease ; Female ; Humans ; Inflammation ; Inflammatory bowel disease ; Inflammatory bowel diseases ; Length of Stay ; Localization ; Male ; Malnutrition ; Malnutrition - complications ; Malnutrition - diagnosis ; Middle Aged ; Mortality ; Nutrition ; Nutrition Assessment ; Nutritional Status ; Ostomy ; Patients ; Postoperative Period ; Preoperative Care ; Reproducibility of Results ; Risk Factors ; Sensitivity ; Statistical analysis ; Surgery ; Young Adult</subject><ispartof>Nutrients, 2021-10, Vol.13 (11), p.3899</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-404e903bd5392bba030eee7262a369014f3238ec442b7e699397a6f3ee3c58403</citedby><cites>FETCH-LOGICAL-c406t-404e903bd5392bba030eee7262a369014f3238ec442b7e699397a6f3ee3c58403</cites><orcidid>0000-0003-1387-0446 ; 0000-0001-5752-5113 ; 0000-0002-2438-2563 ; 0000-0002-6838-8318 ; 0000-0002-6879-5685</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623109/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623109/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34836154$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fiorindi, Camilla</creatorcontrib><creatorcontrib>Dragoni, Gabriele</creatorcontrib><creatorcontrib>Scaringi, Stefano</creatorcontrib><creatorcontrib>Staderini, Fabio</creatorcontrib><creatorcontrib>Nannoni, Anita</creatorcontrib><creatorcontrib>Ficari, Ferdinando</creatorcontrib><creatorcontrib>Giudici, Francesco</creatorcontrib><title>Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description>Accurate identification of malnutrition and preoperative nutritional care in Inflammatory Bowel Disease (IBD) surgery is mandatory. There is no validated nutritional screening tool for IBD patients. We developed a novel nutritional screening tool for IBD patients requiring surgery and compared it with other tools.
we included 62 consecutive patients scheduled for elective surgery. The IBD Nutritional Screening tool (NS-IBD) was developed to screen patients for further comprehensive assessment. NRS-2002, MUST, MST, MIRT, SaskIBD-NR are compared with the new test. All screening tests were subsequently related to new GLIM criteria.
according to GLIM criteria, 25 (40%) IBD patients were malnourished (15 CD and 10 UC, 33% vs. 63%,
= 0.036). Stage 1 malnutrition was reported in ten patients, while stage 2 was detected in 15 patients. The comparison of each nutritional risk tool with GLIM criteria showed sensitivity of 0.52, 0.6, 0.6, 0.84, 0.84 and 0.92 for SASKIBD-NR, MUST, MST, NRS-2002, MIRT, and the new NS-IBD, respectively.
in IBD, currently adopted nutritional screening tools are characterized by a low sensitivity when malnutrition diagnosis is performed with recent GLIM criteria. 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There is no validated nutritional screening tool for IBD patients. We developed a novel nutritional screening tool for IBD patients requiring surgery and compared it with other tools.
we included 62 consecutive patients scheduled for elective surgery. The IBD Nutritional Screening tool (NS-IBD) was developed to screen patients for further comprehensive assessment. NRS-2002, MUST, MST, MIRT, SaskIBD-NR are compared with the new test. All screening tests were subsequently related to new GLIM criteria.
according to GLIM criteria, 25 (40%) IBD patients were malnourished (15 CD and 10 UC, 33% vs. 63%,
= 0.036). Stage 1 malnutrition was reported in ten patients, while stage 2 was detected in 15 patients. The comparison of each nutritional risk tool with GLIM criteria showed sensitivity of 0.52, 0.6, 0.6, 0.84, 0.84 and 0.92 for SASKIBD-NR, MUST, MST, NRS-2002, MIRT, and the new NS-IBD, respectively.
in IBD, currently adopted nutritional screening tools are characterized by a low sensitivity when malnutrition diagnosis is performed with recent GLIM criteria. Our proposed tool to detect malnutrition performed the best in detecting patients that may require nutritional assessment and preoperative intervention.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>34836154</pmid><doi>10.3390/nu13113899</doi><orcidid>https://orcid.org/0000-0003-1387-0446</orcidid><orcidid>https://orcid.org/0000-0001-5752-5113</orcidid><orcidid>https://orcid.org/0000-0002-2438-2563</orcidid><orcidid>https://orcid.org/0000-0002-6838-8318</orcidid><orcidid>https://orcid.org/0000-0002-6879-5685</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Adult Aged Body mass index Colitis, Ulcerative - complications Colitis, Ulcerative - surgery Criteria Crohn Disease - complications Crohn Disease - surgery Diarrhea Disease Female Humans Inflammation Inflammatory bowel disease Inflammatory bowel diseases Length of Stay Localization Male Malnutrition Malnutrition - complications Malnutrition - diagnosis Middle Aged Mortality Nutrition Nutrition Assessment Nutritional Status Ostomy Patients Postoperative Period Preoperative Care Reproducibility of Results Risk Factors Sensitivity Statistical analysis Surgery Young Adult |
| title | Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery |
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