Guidance for assessment of the inflammation etiologic criterion for the GLIM diagnosis of malnutrition: A modified Delphi approach

Cederholm, Tommy; Jensen, Gordon L.; Ballesteros-Pomar, Maria D.; Blaauw, Renee; Correia, M. Isabel T.D.; Cuerda, Cristina; Evans, David C.; Fukushima, Ryoji; Ochoa Gautier, Juan Bernardo; Gonzalez, M. Cristina; van Gossum, Andre; Gramlich, Leah; Hartono, Joseph; Heymsfield, Steven B.; Jager-Wittenaar, Harriët; Jayatissa, Renuka; Keller, Heather; Malone, Ainsley; Manzanares, William; McMahon, M. Molly; Mendez, Yolanda; Mogensen, Kris M.; Mori, Naoharu; Muscaritoli, Maurizio; Nogales, Guillermo Contreras; Nyulasi, Ibolya; Phillips, Wendy; Pirlich, Matthias; Pisprasert, Veeradej; Rothenberg, Elisabet; de van der Schueren, Marian; Shi, Han Ping; Steiber, Alison; Winkler, Marion F.; Barazzoni, Rocco; Compher, Charlene

doi:10.1016/j.clnu.2023.11.026

Cited by 19 publications

(4 citation statements)

References 61 publications

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“…The dynamic change of albumin during the perioperative period have not been elucidated. In the present study, combined with the changes of CRP, it was highly likely that in ammatory activity was manifest [7]. In the setting of in ammatory conditions, the effectiveness of albumin for the diagnosis of malnutrition is relatively poor [15].…”

Section: Discussionmentioning

confidence: 62%

“…Albumin, a widely used nutritional biomarker [5], is a negative acute phase protein that declines precipitously in surgical stress [6]. There has been growing interest in the use of albumin as an indicator of in ammatory activity [7]. However, the changes of these biomarkers during perioperative period of hip arthroplasty have not been fully clari ed in the elderly with FNF.…”

Section: Introductionmentioning

confidence: 99%

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Perioperative albumin drop is a marker for surgical stress and correlate with clinical outcomes in the elderly patients undergoing hip arthroplasty for femoral neck fractures

Wang,

Liu,

et al. 2024

Preprint

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Background This single-center retrospective study investigated the correlation between the drop of perioperative albumin and clinical outcomes in the elderly patients undergoing hip arthroplasty for femoral neck fractures (FNF). Methods We investigated 278 patients 65 years of age or older who had undergone hip arthroplasty with FNF between January 2021 and March 2023. Albumin, C-reactive protein (CRP) and hemoglobin were monitored on preoperation, postoperative day-0, day-1 and day-7. The decrease of perioperative albumin (ΔAlb) was calculated by subtracting the value on day-0 from preoperation. Then patients were divided into two groups based on the ΔAlb values, with ΔAlb < 0.5 g/dL and ΔAlb ≥ 0.5 g/dL in group 1 and group 2, respectively. Results The albumin declined 0.8 g/dL from preoperation to day-1 and slowly increased by 0.3 g/dL from day-1 to day-7. The patients in group 2 had longer duration of surgery (75 minutes vs 65 minutes, P = 0.028), more intraoperative blood loss (246.7 ± 78.4 mL vs 201.5 ± 59.8 mL, P = 0.031) and changes of CRP (75.2 ± 48.1 mg/L vs 54.9 ± 44.9 mg/L, P = 0.003) comparing with the patients in group 1. Patients in group 2 had higher prevalences of postoperative complications (hypoalbuminemia: 94% vs 15%, moderate-severe anaemia: 60% vs 40%, P < 0.05) and longer postoperative length of stay (14 days vs 13 days, P = 0.045). The ΔAlb value was correlated with the duration of surgery (r= 0.3, P < 0.001), intraoperative blood loss (r = 0.2, P< 0.001), ΔCRP (r = 0.4, P < 0.001) and postoperative LOS (r= 0.2, P = 0.003). Conclusions The levels of albumin decreased significantly after surgery, while the CRP increased. Further, the perioperative albumin drop was a marker for surgical stress and correlated with adverse clinical outcomes.

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Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Perioperative albumin drop is a marker for surgical stress and correlate with clinical outcomes in the elderly patients undergoing hip arthroplasty for femoral neck fractures

Wang,

Liu,

et al. 2024

Preprint

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“…Furthermore, patients presented symptoms of muscular weakness suggestive of sarcopenia. Inflammation is a relevant issue for the correct diagnosis of malnutrition as its presence detracts significance to albumin levels [10]. Some bariatric surgery studies have evaluated this clinical condition using the Controlling Nutritional Status (CONUT) score, where malnutrition parameters (serum albumin and cholesterol) are combined with immunologic parameters (total lymphocyte count), to provide additional information on malnutrition related to disease [11].…”

Section: Discussionmentioning

confidence: 99%

“…support, including total parenteral nutrition in 7 cases, until an adequate nutritional status was achieved before surgery. The mean number of daily bowel movements was 5,6[2][3][4][5][6][7][8][9][10].…”

mentioning

confidence: 98%

Revisional surgery for malnutrition after SADI-S: prevalence, indications, techniques and outcomes

Sánchez-Pernaute,

Lasses,

Antoñanzas

et al. 2024

Updates Surg

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Key points SADIS with short common limb (< 250 cm) is a malabsorptive operation. Reoperation is advised in patients requiring admission for severe malnutrition. Elongation of the common channel is the preferred revisional technique Introduction: Single-Anastomosis Duodeno-Ileal bypass with Sleeve gastrectomy (SADI-S) is a modification of the duodenal switch. Initial common channel’s length was 200, and after malnutrition was detected in some patients, it was elongated to 250 or 300 cm. The present study analyzes presentation and treatment of malnutrition after SADI-S. Materials: Three hundred and thirty-three consecutive patients undergoing SADI-S between May 2007 and February 2019 were included. The common limb length was 200 cm in 50 cases, 250 cm in 211, 300 in 71 and 350 in 1. Thirty-one patients were admitted for severe hypoalbuminemia and 17 patients were submitted to revisional surgery, and constitute the series of our study. Mean weight before reoperation was 57 kg and mean body mass index (BMI) was 21 kg/m2. Mean number of daily bowel movements was 5,6. Results: Mean time to reoperation was 56 months. The limb was found shorter than expected in 6 cases. Revisional surgery was conversion into a Roux en Y duodenal switch in 3 cases, elongation of the common limb in 11 patients, duodeno-duodenostomy in 1 and duodeno-jejunostomy to the first jejunal loop in 2. Mean weight regain was 14 kg, and mean final BMI 26 kg/m2. Daily bowel movements were reduced to 1,3. Factors related to hypoalbuminemia were hypertension, poor-controlled diabetes, shorter common limb and liver-test alterations. Conclusion: SADI-S is expected to be less malabsorptive than previous biliopancreatic diversions. However, caution must be taken with certain patients to avoid postoperative malnutrition. Adequate follow up with long-term supplementation is required.

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2024 Peggi Guenter excellence in clinical practice lectureship: From curiosity and eagerness to passion: Moving the malnutrition needle

Malone

2024

Nut in Clin Prac

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Most every new clinician practicing in nutrition support enters their practice environment with wide open eyes and a sense of curiosity as they encounter new patient and clinical experiences. As clinicians expand their expertise, they often identify challenges they are eager to address. Eagerness turns to passion as the desire to affect change grows. Malnutrition has sparked curiosity and interest in many, and, in some, it has become a passion. As a result, many major achievements have occurred both in the United States and globally that have the capability of moving the needle favorably to achieve better outcomes for our patients. This lecture will highlight how curiosity, eagerness, and passion have led to successes in addressing aspects of malnutrition. These successes offer the structure to continue our efforts to move the needle forward. Our patients deserve nothing more.

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Guidance for assessment of the inflammation etiologic criterion for the GLIM diagnosis of malnutrition: A modified Delphi approach

Cited by 19 publications

References 61 publications

Perioperative albumin drop is a marker for surgical stress and correlate with clinical outcomes in the elderly patients undergoing hip arthroplasty for femoral neck fractures

Perioperative albumin drop is a marker for surgical stress and correlate with clinical outcomes in the elderly patients undergoing hip arthroplasty for femoral neck fractures

Revisional surgery for malnutrition after SADI-S: prevalence, indications, techniques and outcomes

2024 Peggi Guenter excellence in clinical practice lectureship: From curiosity and eagerness to passion: Moving the malnutrition needle

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