The GLIM criteria for adult malnutrition and its relation with adverse outcomes, a prospective observational study.

Clinical Nutrition ESPEN
Carlos Alfredo Galindo MartínJosé David Montoya Vilchis

Abstract

Malnutrition is considered a risk factor for many complications and mortality among hospitalized patients. Until 2016 there was a wide variety of clinical definitions for malnutrition, until the GLIM criteria proposed a consensual definition. The main goal of this study is to assess the performance of the GLIM criteria at acute care admission to detect those patients with adverse clinical outcomes such as mortality and the need to be transferred to critical care areas (CCA). This was a prospective observational study including every adult patient admitted to the regular ward of the Hospital San Ángel Inn Universidad. Every nutrition and demographic variable evaluated by the nutrition team at hospital admission was captured. The malnutrition definition according to the GLIM and separate criteria were tested for their performance to detect patients at high risk for adverse outcomes (mortality and the need to be transferred to CCA), using odd ratios (OR), their confidence interval of 95% (CI95%) and binary logistic regression accordingly. A total of 1015 patients were included in the final analysis, with a prevalence of 18.9% of malnutrition (according to the GLIM definition) at hospital admission. Malnutrition was associated with...Continue Reading

Citations

Dec 17, 2020·Current Opinion in Clinical Nutrition and Metabolic Care·Tommy Cederholm, Rocco Barazzoni
Jan 26, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Júlia Epping BritoFlávia Moraes Silva
May 28, 2021·European Journal of Clinical Nutrition·Paula Luiza Menezes CruzRenata Reis de Lima E Silva

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