The New European Society for Clinical Nutrition and Metabolism Definition of Malnutrition: Application for Nutrition Assessment and Prediction of Morbimortality in an Emergency Service

Fink, Jaqueline da Silva; Marcadenti, Aline; Rabito, Estela Iraci; Silva, Flávia Moraes

doi:10.1177/0148607117695248

Cited by 19 publications

(4 citation statements)

References 28 publications

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“…These criteria are used to classify patients for their nutritional status, but also to declare this status to medical insurance in order to obtain refund for care given during hospital stay. ESPEN (European Society for Clinical Nutrition and Metabolism) criteria are not used in current care in France until now [6]; [7]. In order to conform to the hospital reality, we used the same assessment criteria as those used in the hospital in which the study was conducted (HAS/ANAES criteria): BMI (kg/m²), percentage of weight loss before hospitalization, albumin (g/L), prealbumin (mg/L), and C-reactive protein (CRP) (mg/L), and MNA for patients older than 70.…”

Section: Moderate Malnutritionmentioning

confidence: 99%

Delivery of oral nutrition supplement in hospital: Evaluation of professional practices in evaluation of nutritional status and representations of ONS by the caregivers and patients

Brindisi

Noacco

Hansal

et al. 2020

Clinical Nutrition ESPEN

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Section: Moderate Malnutritionmentioning

confidence: 99%

Delivery of oral nutrition supplement in hospital: Evaluation of professional practices in evaluation of nutritional status and representations of ONS by the caregivers and patients

Brindisi

Noacco

Hansal

et al. 2020

Clinical Nutrition ESPEN

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“…The Dutch definition of malnutrition involves weight loss and/or low BMI [34], while the Canadian Nutrition Screening Tool solely encompasses recent weight loss [35]. Moreover, recent research suggests the ESPEN criteria might bear a low prognostic value [36]. Second, caution is needed when assessing malnutrition in overweight or obese patients based only on BMI or weight loss.…”

Section: Discussionmentioning

confidence: 99%

Malnutrition Prevalence in Newly Diagnosed Patients with Inflammatory Bowel Disease – Data from the National Romanian Database

Ciocîrlan

Iacob

et al. 2019

JGLD

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Background & Aims: Prevalence of malnutrition in inflammatory bowel diseases (IBD) varies between 16% and 75%. Data on the nutritional status at initial diagnosis of ulcerative colitis (UC) or Crohn’s Disease (CD) are scarce. It is believed that more than 50% of IBD patients suffer significant weight loss prior to diagnosis. The aims of our study were to assess malnutrition in patients recently diagnosed with IBD and to determine its predictive factors. Methods: We retrospectively included 625 IBD patients registered in the Romanian “IBD Prospect” database between January 2006 and July 2017. All patients were diagnosed within 6 months prior to registration. We defined malnutrition as weight loss of more than 5% of the initial weight during the 3 months prior to registration. Results: There were 361 new cases of UC, 241 CD and 23 cases of unclassified IBD. There was a slight male predominance (M/F=1.2). Prevalence of overall malnutrition was 36.3%. It was significantly more frequent in CD than in UC patients (41.1% vs. 32.4%, p=0.031). In multivariate analysis, malnutrition in UC patients was associated with male gender (p=0.001), more severe disease (p<0.0001) and more extensive disease (p=0.027), while in CD it was associated with younger age (p=0.013) and more severe disease (p<0.0001). Conclusions: About 1 in 3 newly diagnosed IBD patients presents with malnutrition at the time of diagnosis.

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“…A score equal to or above three indicates a high nutritional risk, while a score below three places the patient in the low nutritional risk group. An NRS-2002 calculator is available (https://www.mdcalc.com/calc/4012/nutrition-risk-screening-2002-nrs-2002, accessed on 30 September 2023) [19][20][21].…”

Section: Variablesmentioning

confidence: 99%

Nutritional Risk Assessment and Adverse Events in Patients Undergoing Left Ventricular Assist Device Implantation—A Retrospective Cohort Study Using Hospital Information System

Milaniak,

Tomaszek,

Wiśniowska-Śmiałek

et al. 2023

JCM

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Clinical or subclinical malnutrition occurs in 30% to 70% of patients with advanced heart failure and increases the risk of postoperative adverse events. The main objective of this study was to assess the nutritional status of patients prior to left ventricular assist device (LVAD) implantation using different methods of malnutrition assessment and to evaluate the relationship between nutritional status and postoperative adverse events. A retrospective cohort study included 120 patients aged 26–74 years referred for LVAD surgery. Preoperative nutritional status (NRS-2002—Nutritional Risk Score 2002, NRI—Nutritional Risk Index, PNI—Prognostic Nutritional Index; TLC—total lymphocyte count) and postoperative adverse events were assessed. Moderate to severe malnutrition was found in 55.8%, 43.3%, 40.0%, and 20% of all patients, respectively, according to the PNI, NRI, TLC, and NRS-2002 scores. Patients with a TLC < 1200 cells/m3 had a higher risk of postoperative acute renal failure [hazard ratio (HR): 2.5; 95% confidence interval (95% CI): 1.01–6.3] and death during the observation period [HR = 2.1; 95% CI: 1.2–3.5]. Moderate to severe malnutrition was also associated with a significantly increased risk of in-hospital death [for the NRI score, HR = 4.9 (95% CI: 1.1–22.0); for the PNI score, HR = 5.0 (95% CI: 1.1–22.3)]. In conclusion, moderate to severe malnutrition prior to LVAD implantation has been identified as a risk factor for postoperative acute renal failure and mortality. Assessment of nutritional risk may improve patient selection and early initiation of nutritional support.

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The New European Society for Clinical Nutrition and Metabolism Definition of Malnutrition: Application for Nutrition Assessment and Prediction of Morbimortality in an Emergency Service

Abstract: Although the new ESPEN criteria had a poor diagnostic value, it seems to be a prognostic tool among hospitalized patients, especially when used in combination with the NRS-2002.

Cited by 19 publications

References 28 publications

Delivery of oral nutrition supplement in hospital: Evaluation of professional practices in evaluation of nutritional status and representations of ONS by the caregivers and patients

Delivery of oral nutrition supplement in hospital: Evaluation of professional practices in evaluation of nutritional status and representations of ONS by the caregivers and patients

Malnutrition Prevalence in Newly Diagnosed Patients with Inflammatory Bowel Disease – Data from the National Romanian Database

Nutritional Risk Assessment and Adverse Events in Patients Undergoing Left Ventricular Assist Device Implantation—A Retrospective Cohort Study Using Hospital Information System

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