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Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery

Background: 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 co...

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Autores principales: Fiorindi, Camilla, Dragoni, Gabriele, Scaringi, Stefano, Staderini, Fabio, Nannoni, Anita, Ficari, Ferdinando, Giudici, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623109/
https://www.ncbi.nlm.nih.gov/pubmed/34836154
http://dx.doi.org/10.3390/nu13113899
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author Fiorindi, Camilla
Dragoni, Gabriele
Scaringi, Stefano
Staderini, Fabio
Nannoni, Anita
Ficari, Ferdinando
Giudici, Francesco
author_facet Fiorindi, Camilla
Dragoni, Gabriele
Scaringi, Stefano
Staderini, Fabio
Nannoni, Anita
Ficari, Ferdinando
Giudici, Francesco
author_sort Fiorindi, Camilla
collection PubMed
description Background: 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. Methods: 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. Results: according to GLIM criteria, 25 (40%) IBD patients were malnourished (15 CD and 10 UC, 33% vs. 63%, p = 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. Conclusions: 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.
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spelling pubmed-86231092021-11-27 Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery Fiorindi, Camilla Dragoni, Gabriele Scaringi, Stefano Staderini, Fabio Nannoni, Anita Ficari, Ferdinando Giudici, Francesco Nutrients Article Background: 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. Methods: 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. Results: according to GLIM criteria, 25 (40%) IBD patients were malnourished (15 CD and 10 UC, 33% vs. 63%, p = 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. Conclusions: 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. MDPI 2021-10-30 /pmc/articles/PMC8623109/ /pubmed/34836154 http://dx.doi.org/10.3390/nu13113899 Text en © 2021 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
Fiorindi, Camilla
Dragoni, Gabriele
Scaringi, Stefano
Staderini, Fabio
Nannoni, Anita
Ficari, Ferdinando
Giudici, Francesco
Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery
title Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery
title_full Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery
title_fullStr Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery
title_full_unstemmed Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery
title_short Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery
title_sort relationship between nutritional screening tools and glim in complicated ibd requiring surgery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623109/
https://www.ncbi.nlm.nih.gov/pubmed/34836154
http://dx.doi.org/10.3390/nu13113899
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