Publication: Comparison of the performance of existing nutritional screening tools against subjective global assessment in cirrhotic patients
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Issued Date
2021
Resource Type
Language
eng
File Type
application/pdf
ISSN
1252208
Other identifier(s)
2-s2.0-85113327338
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol 104, No.8 (2021), p.1301-1308
Suggested Citation
Chonmaitree P., Sudcharoen A., Poonyam P., Roongsangmanoon W., Khuancharee K., Laoarphasuwong N. Comparison of the performance of existing nutritional screening tools against subjective global assessment in cirrhotic patients. Journal of the Medical Association of Thailand. Vol 104, No.8 (2021), p.1301-1308. doi:10.35755/jmedassocthai.2021.08.12854 Retrieved from: https://hdl.handle.net/20.500.14740/7992
Abstract
Background: Malnutrition in cirrhosis has a significant negative impact on morbidity and mortality. There is no agreed gold standard of the screening tool. Study comparing the diagnostic properties of nutritional assessment tools in cirrhotic patients is limited. The Subjective Global Assessment (SGA) is one of the global assessment tools. It is used to assess nutritional status in different patient populations. Objective: To evaluate the diagnostic properties of different nutritional screening tools compared with SGA in cirrhotic patients. Materials and Methods: A cross-sectional study was conducted at the HRH Princess Maha Chakri Sirindhorn Medical Center. All cirrhotic patients were enrolled. The nutritional status was evaluated by the SGA, the Royal Free Hospital Subjective Global Assessment (RFH-SGA), the Royal Free Hospital-Nutritional Prioritizing tool (RFH-NPT), the Liver Disease Undernutrition Screening Tool (LDUST), the Malnutrition Universal Screening Tool (MUST), the Prognostic Nutritional Index (PNI-O), the Nutritional Risk Index (NRI), the Spanish Society of Parenteral, the Enteral Nutrition (SENPE), and the Controlling Nutritional Status (CONUT). Sensitivity, specificity, positive predictive value, and negative predictive value were calculated to evaluate RFH-SGA, RFH-NPT, LDUST, MUST, PNI-O, NRI, SENPE, and CONUT compared with SGA. Results: Ninety-four cirrhotic patients were included. The mean age was 60.82 (SD 10.11) years. Patients with cirrhosis Child Turcotte Pugh (CTP) A, B, and C were 62, 21, and 11, respectively. Twenty-five patients (28.7%) were malnourished according to SGA, five with CTP A cirrhosis, twelve with CTP B cirrhosis, and ten with CTP C cirrhosis. The present study also showed that NRI had the highest sensitivity (100%) and LDUST had the highest specificity (94%). Conclusion: NRI is an effective tool with high sensitivity for identifying malnutrition in early stage of cirrhosis. © JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND.
Subject(s)
Alanine aminotransferase
Albumin
Aspartate aminotransferase
Bilirubin
Cholesterol
Creatinine
Hemoglobin
Adult
Area under the curve
Body mass
Body weight loss
Child Pugh score
Controlled study
Controlling Nutritional Status
Cross-sectional study
Diagnostic test accuracy study
Dietary intake
Female
Human
Liver cirrhosis
Liver Disease Undernutrition Screening Tool
Lymphocyte count
Major clinical study
Male
Malnutrition
Malnutrition assessment
Malnutrition Universal Screening Tool
Middle aged
Model For End Stage Liver Disease Score
Muscle mass
Nutritional assessment
Nutritional Risk Index
Nutritional status
Predictive value
Prognostic nutritional index
Questionnaire
Receiver operating characteristic
Review
Royal Free Hospital Nutritional Prioritizing tool
Royal Free Hospital Subjective Global Assessment
Scoring system
Sensitivity and specificity
Spanish Society of Parenteral and Enteral Nutrition
Subjective Global Assessment
Albumin
Aspartate aminotransferase
Bilirubin
Cholesterol
Creatinine
Hemoglobin
Adult
Area under the curve
Body mass
Body weight loss
Child Pugh score
Controlled study
Controlling Nutritional Status
Cross-sectional study
Diagnostic test accuracy study
Dietary intake
Female
Human
Liver cirrhosis
Liver Disease Undernutrition Screening Tool
Lymphocyte count
Major clinical study
Male
Malnutrition
Malnutrition assessment
Malnutrition Universal Screening Tool
Middle aged
Model For End Stage Liver Disease Score
Muscle mass
Nutritional assessment
Nutritional Risk Index
Nutritional status
Predictive value
Prognostic nutritional index
Questionnaire
Receiver operating characteristic
Review
Royal Free Hospital Nutritional Prioritizing tool
Royal Free Hospital Subjective Global Assessment
Scoring system
Sensitivity and specificity
Spanish Society of Parenteral and Enteral Nutrition
Subjective Global Assessment