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Validity and Applicability of the Global Leadership Initiative on Malnutrition (GLIM) Criteria in Patients Hospitalized for Acute Medical Conditions

(1) Background: The objectives of this study were to evaluate the concurrent and predictive validity and the applicability of the global leadership initiative on malnutrition (GLIM) criteria in patients hospitalized for acute medical conditions. (2) Methods: prospective cohort study with patients ho...

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Autores principales: Fontane, Laia, Reig, Maria Helena, Garcia-Ribera, Sonika, Herranz, Miriam, Miracle, Mar, Chillaron, Juan Jose, Estepa, Araceli, Toro, Silvia, Ballesta, Silvia, Navarro, Humberto, Llaurado, Gemma, Pedro-Botet, Juan, Benaiges, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10535463/
https://www.ncbi.nlm.nih.gov/pubmed/37764796
http://dx.doi.org/10.3390/nu15184012
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author Fontane, Laia
Reig, Maria Helena
Garcia-Ribera, Sonika
Herranz, Miriam
Miracle, Mar
Chillaron, Juan Jose
Estepa, Araceli
Toro, Silvia
Ballesta, Silvia
Navarro, Humberto
Llaurado, Gemma
Pedro-Botet, Juan
Benaiges, David
author_facet Fontane, Laia
Reig, Maria Helena
Garcia-Ribera, Sonika
Herranz, Miriam
Miracle, Mar
Chillaron, Juan Jose
Estepa, Araceli
Toro, Silvia
Ballesta, Silvia
Navarro, Humberto
Llaurado, Gemma
Pedro-Botet, Juan
Benaiges, David
author_sort Fontane, Laia
collection PubMed
description (1) Background: The objectives of this study were to evaluate the concurrent and predictive validity and the applicability of the global leadership initiative on malnutrition (GLIM) criteria in patients hospitalized for acute medical conditions. (2) Methods: prospective cohort study with patients hospitalized for acute medical conditions. For validation, the methodology proposed by the GLIM group of experts was used. Sensitivity and specificity values greater than 80% with respect to those for the subjective global assessment (SGA) were necessary for concurrent validation. The time necessary to complete each nutritional assessment test was determined. (3) Results: A total of 119 patients were evaluated. The SGA was applied to the entire cohort, but the GLIM criteria could not be applied to 3.4% of the patients. The sensitivity and specificity of the GLIM criteria with respect to those for the SGA to detect malnutrition were 78.0 and 86.2%, respectively. The GLIM predictive validity criterion was fulfilled because patients with malnutrition more frequently had a hospital stay >10 days (odds ratio of 2.98 (1.21–7.60)). The GLIM criteria required significantly more time for completion than did the SGA (p = 0.006). (4) Conclusion: The results of this study do not support the use of the GLIM criteria over the SGA for the diagnosis of malnutrition in patients hospitalized for acute medical conditions.
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spelling pubmed-105354632023-09-29 Validity and Applicability of the Global Leadership Initiative on Malnutrition (GLIM) Criteria in Patients Hospitalized for Acute Medical Conditions Fontane, Laia Reig, Maria Helena Garcia-Ribera, Sonika Herranz, Miriam Miracle, Mar Chillaron, Juan Jose Estepa, Araceli Toro, Silvia Ballesta, Silvia Navarro, Humberto Llaurado, Gemma Pedro-Botet, Juan Benaiges, David Nutrients Article (1) Background: The objectives of this study were to evaluate the concurrent and predictive validity and the applicability of the global leadership initiative on malnutrition (GLIM) criteria in patients hospitalized for acute medical conditions. (2) Methods: prospective cohort study with patients hospitalized for acute medical conditions. For validation, the methodology proposed by the GLIM group of experts was used. Sensitivity and specificity values greater than 80% with respect to those for the subjective global assessment (SGA) were necessary for concurrent validation. The time necessary to complete each nutritional assessment test was determined. (3) Results: A total of 119 patients were evaluated. The SGA was applied to the entire cohort, but the GLIM criteria could not be applied to 3.4% of the patients. The sensitivity and specificity of the GLIM criteria with respect to those for the SGA to detect malnutrition were 78.0 and 86.2%, respectively. The GLIM predictive validity criterion was fulfilled because patients with malnutrition more frequently had a hospital stay >10 days (odds ratio of 2.98 (1.21–7.60)). The GLIM criteria required significantly more time for completion than did the SGA (p = 0.006). (4) Conclusion: The results of this study do not support the use of the GLIM criteria over the SGA for the diagnosis of malnutrition in patients hospitalized for acute medical conditions. MDPI 2023-09-16 /pmc/articles/PMC10535463/ /pubmed/37764796 http://dx.doi.org/10.3390/nu15184012 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/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/).
spellingShingle Article
Fontane, Laia
Reig, Maria Helena
Garcia-Ribera, Sonika
Herranz, Miriam
Miracle, Mar
Chillaron, Juan Jose
Estepa, Araceli
Toro, Silvia
Ballesta, Silvia
Navarro, Humberto
Llaurado, Gemma
Pedro-Botet, Juan
Benaiges, David
Validity and Applicability of the Global Leadership Initiative on Malnutrition (GLIM) Criteria in Patients Hospitalized for Acute Medical Conditions
title Validity and Applicability of the Global Leadership Initiative on Malnutrition (GLIM) Criteria in Patients Hospitalized for Acute Medical Conditions
title_full Validity and Applicability of the Global Leadership Initiative on Malnutrition (GLIM) Criteria in Patients Hospitalized for Acute Medical Conditions
title_fullStr Validity and Applicability of the Global Leadership Initiative on Malnutrition (GLIM) Criteria in Patients Hospitalized for Acute Medical Conditions
title_full_unstemmed Validity and Applicability of the Global Leadership Initiative on Malnutrition (GLIM) Criteria in Patients Hospitalized for Acute Medical Conditions
title_short Validity and Applicability of the Global Leadership Initiative on Malnutrition (GLIM) Criteria in Patients Hospitalized for Acute Medical Conditions
title_sort validity and applicability of the global leadership initiative on malnutrition (glim) criteria in patients hospitalized for acute medical conditions
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10535463/
https://www.ncbi.nlm.nih.gov/pubmed/37764796
http://dx.doi.org/10.3390/nu15184012
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