Nutritional status according to the mini nutritional assessment (MNA)® as potential prognostic factor for health and treatment outcomes in patients with cancer – a systematic review

Torbahn, Gabriel; Strauß, T.; Sieber, Cornel; Kiesswetter, Eva; Volkert, Dorothee

doi:10.1186/s12885-020-07052-4

Cited by 42 publications

(36 citation statements)

References 123 publications

(209 reference statements)

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“… 45 Obviously, GNRI is a simple and objective tool for clinicians to screen patients readily based only on height, weight, and serum albumin levels. Its advantages would be more prominent than some questionnaires, such as subjective global assessment (SGA) 49 or Mini Nutritional Assessment (MNA), 50 which would be difficult to complete for elderly patients who had difficulties in communicating such as those with conscious disturbance or those who had been intubated.…”

Section: Discussionmentioning

confidence: 99%

Geriatric Nutritional Risk Index as a Prognostic Factor for Mortality in Elderly Patients with Moderate to Severe Traumatic Brain Injuries

Su¹,

Tsai²,

Huang³

et al. 2021

RMHP

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Background The Geriatric Nutritional Risk Index (GNRI) is a simple and objective screening tool for clinicians to screen patients’ nutritional status based on serum albumin level and their weight and height. The original study had divided patients based on GNRI into quartiles of nutritional risk for death: a no-risk group (GNRI >98), a low-risk group (GNRI 92–98), a moderate-risk group (GNRI 82 to <92), and a major-risk group (GNRI <82). Given that the patients generally sustained traumatic brain injury (TBI) in an acute condition, the study aimed to explore whether GNRI presents a prognostic value for the mortality outcome of these patients. Methods From January 1, 2009, to December 31, 2019, 581 elderly patients with moderate to severe TBI, which was defined as sustaining a head Abbreviated Injury Scale ≥3, was included in the study population. The collected data included age, sex, body mass index, serum albumin levels at admission, preexisting comorbidities, Glasgow Coma Scale, and Injury Severity Score. The primary outcome in the comparison was in-hospital mortality. Results Multivariate logistic regression analysis revealed that GNRI, ESRD, and ISS were significant independent risk factors for mortality in patients with moderate to severe TBI. When subgrouping the study population into four nutritional risk categories according to the quartile deviation as Q1 (GNRI <85, n = 145), Q2 (GNRI 85 to <93.8 n = 145), Q3 (GNRI 93.8 to 103, n = 145), and Q4 (GNRI >103, n = 146), Q1 patients had a significantly longer LOS in hospital (25.2 days vs 18.6 days, respectively; p = 0.004) and higher mortality rate (28.3% vs 11.7%, respectively; p < 0.001) than Q4 patients. The mortality rate was significantly higher in Q1 patients than in Q4 patients (OR, 2.8; 95% CI, 1.14–6.78; p = 0.021). Conclusion This study revealed that the GNRI is a significant independent risk factor and a promising simple assessment tool for mortality in elderly patients with moderate to severe TBI.

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Section: Discussionmentioning

confidence: 99%

Geriatric Nutritional Risk Index as a Prognostic Factor for Mortality in Elderly Patients with Moderate to Severe Traumatic Brain Injuries

Su¹,

Tsai²,

Huang³

et al. 2021

RMHP

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“…In addition, in elderly individuals, malnutrition is associated with time of re-admission to the hospital, infections, gait disturbances, falls, fractures, and delayed healing of wounds 10 . In a systematic review, it was stated that individuals with low MNA scores had longer hospital stays than those with high MNA scores 11 . Unlike these studies, some studies reported that no relationship was found between malnutrition and length of hospital stay 12,13 .…”

Section: Discussionmentioning

confidence: 99%

Accuracy and Reliability Study of the Simplified Nutritional Assessment Questionnaire (SNAQ) in Turkish Patients in Nutritional Evaluation

Tatar¹,

Sivritepe²,

Basat³

2021

NKTD

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Bu çalışmada oldukça basit ve kolay uygulanabilir bir nütrisyonel değerlendirme testi olan Basitleştirilmiş Beslenme ve İştah Anketi (SNAQ) testinin Türk popülasyonunda doğruluk ve güvenilirliği araştırıldı.Gereç ve Yöntem: Çalışma tek merkezli prospektif bir çalışma olarak tasarlandı. İç hastalıkları kliniğimize yatan 65 yaş üstü hastalar çalışmaya dahil edildi. SNAQ testinin Türkçe formu bulunmadığından yeminli tercüman tarafından İngilizce'den Türkçe'ye çevrildi ve sağlamasını yapmak üzere Türkçe'den İngilizce'ye çevirisi yapıldı. Çalışmanın örneklem genişliği 200 hasta olarak tespit edildi. Çalışmaya alınan her hastada Mini Beslenme Değerlendirmesi, Nütrisyonel Risk Tarama Aracı-2002 ve SNAQ nütrisyonel değerlendirme testleri uygulandı.Bulgular: Araştırmaya katılanların %51'i kadın, %49'u erkekti. Katılımcıların %55,5'i 65 ile 74, %23,5'i 75 ile 84 yaş aralığında ve %21'i ise 85 yaş ve üzerindeydi. Basitleştirilmiş beslenme ve iştah anketinin güvenilirlik katsayısının 0,86 olduğu görülmektedir. Bu değerin literatürde öngörülen 0,60 alt limit kriterini sağlamakta olduğu görüldü.Sonuç: Türk geriatrik hasta popülasyonunun nütrisyonel açıdan değerlendirilmesinde Türkçe SNAQ doğruluk ve güvenilirliği ispatlanmıştır.

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“…The GNRI can be easily acquired on the basis of the sex, height, weight, and serum albumin levels of patients. For polytrauma patients who have difficulties in communicating, such as those with conscious disturbance or those under intubation, the advantages of using the GNRI is that it would supersede traditional questionnaires, including the subjective global assessment (SGA) [ 50 ] or Mini Nutritional Assessment (MNA) [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Geriatric Nutritional Risk Index as a Tool to Evaluate Impact of Malnutrition Risk on Mortality in Adult Patients with Polytrauma

Yeh

Chou

et al. 2020

IJERPH

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Background: Identification of malnutrition is especially important in severely injured patients, in whom hypermetabolism and protein catabolism following traumatic injury worsen their nutritional condition. The geriatric nutritional risk index (GNRI), based on serum albumin level and the current body weight/ideal body weight ratio, is useful for identifying patients with malnutrition in many clinical conditions. This study aimed to explore the association between admission GNRI and mortality outcomes of adult patients with polytrauma. Methods: From 1 January 2009 to 31 December 2019, a total of 348 adult patients with polytrauma, registered in the trauma database of a level I trauma center, were recognized and categorized into groups of death (n = 71) or survival (n = 277) and into four nutritional risk groups: a high-risk group (GNRI < 82, n = 87), a moderate-risk group (GNRI 82 to <92, n = 144), a low-risk group (GNRI 92–98, n = 59), and a no-risk group (GNRI > 98, n = 58). Univariate and multivariate logistic regression analyses were used to identify the independent risk factors for mortality. The mortality outcomes of patients at various nutritional risks were compared to those of patients in the no-risk group. Results: The comparison between the death group (n = 71) and the survival group (n = 277) revealed that there was no significant difference in gender predominance, age, pre-existing comorbidities, injury mechanism, systolic blood pressure, and respiratory rate upon arrival at the emergency room. A significantly lower GNRI and Glasgow Coma Scale score but higher injury severity score (ISS) was observed in the death group than in the survival group. Multivariate logistic regression analysis revealed that Glasgow Coma Scale (GCS), odds ratio (OR), 0.88; 95% confidence interval (CI), 0.83–0.95; p < 0.001), ISS (OR, 1.07; 95% CI, 1.04–1.11; p < 0.001), and GNRI (OR, 0.94; 95% CI, 0.91–0.97; p < 0.001) were significant independent risk factors for mortality in these patients. The mortality rates for the high-risk, moderate-risk, low-risk, and no-risk groups were 34.5%, 20.1%, 8.5%, and 12.1%, respectively. Unlike patients in the moderate-risk and low-risk groups, patients in the high-risk group had a significantly higher death rate than that of those in the no-risk group. Conclusions: This study revealed that the GNRI may serve as a simple, promising screening tool to identify the high risk of malnutrition for mortality in adult patients with polytrauma.

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Nutritional status according to the mini nutritional assessment (MNA)® as potential prognostic factor for health and treatment outcomes in patients with cancer – a systematic review

Cited by 42 publications

References 123 publications

Geriatric Nutritional Risk Index as a Prognostic Factor for Mortality in Elderly Patients with Moderate to Severe Traumatic Brain Injuries

Geriatric Nutritional Risk Index as a Prognostic Factor for Mortality in Elderly Patients with Moderate to Severe Traumatic Brain Injuries

Accuracy and Reliability Study of the Simplified Nutritional Assessment Questionnaire (SNAQ) in Turkish Patients in Nutritional Evaluation

Geriatric Nutritional Risk Index as a Tool to Evaluate Impact of Malnutrition Risk on Mortality in Adult Patients with Polytrauma

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