Agreement and Classification Performance of Malnutrition Tools in Patients with Chronic Heart Failure

Current Developments in Nutrition
Shirley SzeAndrew L Clark

Abstract

Malnutrition is common in patients with chronic heart failure (CHF) and is associated with adverse outcome, but few data exist. The objective of this study was to compare the agreement and classification performance of 6 malnutrition tools in patients with CHF. We evaluated the performance of 6 malnutrition tools: COntrolling NUTritional Status Index (CONUT), Geriatric Nutritional Risk Index (GNRI), Prognostic Nutritional Index (PNI), Malnutrition Universal Screening Tool (MUST), Mini Nutritional Assessment-Short Form (MNA-SF), and Subjective Global Assessment (SGA), in 467 consecutive patients with CHF who attended our clinic for follow-up. We used Venn diagrams and Kappa statistics to study the agreement of different tools. Because there is no "gold standard" for malnutrition evaluation, for each of the malnutrition tools, we used the results of the other 5 tools to produce a standard combined index for evaluating at least moderate malnutrition. Subjects were considered as having at least moderate malnutrition if so identified by ≥3/5 tools. We evaluated the sensitivity, specificity, and predictive values of different tools in identifying significant malnutrition as defined by the combined index. Men comprised 67% of patients...Continue Reading

References

Jan 1, 1987·JPEN. Journal of Parenteral and Enteral Nutrition·A S DetskyK N Jeejeebhoy
Jan 1, 1980·American Journal of Surgery·G P BuzbyE F Rosato
May 31, 2001·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·L Z RubensteinB Vellas
May 16, 2003·JAMA : the Journal of the American Medical Association·Aram V ChobanianUNKNOWN National High Blood Pressure Education Program Coordinating Committee
Jun 25, 2003·European Journal of Clinical Nutrition·A M Rocandio PabloL Ansotegui Alday
Jul 29, 2004·Journal of the American Dietetic Association·M Patricia FuhrmanCharles M Mueller
Oct 8, 2005·The American Journal of Clinical Nutrition·Olivier BouillanneChristian Aussel
Aug 7, 2008·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Sapna Makhija, Jeffrey Baker
Dec 6, 2008·Current Opinion in Clinical Nutrition and Metabolic Care·Emanuele Cereda, Carlo Pedrolli
Oct 9, 2009·The Journal of Nutrition, Health & Aging·M J KaiserUNKNOWN MNA-International Group
Jan 13, 2011·JPEN. Journal of Parenteral and Enteral Nutrition·Charles MuellerUNKNOWN American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors
Nov 28, 2012·Circulation Journal : Official Journal of the Japanese Circulation Society·Yoshiharu KinugasaKazuhiro Yamamoto
Jun 13, 2013·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Marian A E van Bokhorst-de van der SchuerenMajon Muller
Dec 22, 2014·International Journal of Cardiology·Hidehiro KanekoTakeshi Yamashita
Jan 18, 2015·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Jaqueline da Silva FinkElza Daniel de Mello
May 18, 2016·Advances in Nutrition·Nádia Cristina Fávaro-MoreiraJoke Duyck
Feb 17, 2017·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·S SzeA L Clark
Oct 30, 2018·Journal of the American Heart Association·Thomas M Cascino, Scott L Hummel
Dec 20, 2019·Lancet·Barry M PopkinLaurence M Grummer-Strawn

❮ Previous
Next ❯

Methods Mentioned

BETA
SGA

Software Mentioned

MUST
GNRI
SF
CONUT
MNA
Stata
SGA
SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.