Validation of malnutrition screening tools in liver cirrhosis

Autor(en)
Julia Traub, Ina Bergheim, Angela Horvath, Vanessa Stadlbauer
Abstrakt

Malnutrition in liver cirrhosis is frequently underestimated. To determine if a patient is at risk of malnutrition, several screening tools have been established. However, most of them are not validated for patients with liver cirrhosis. Therefore, we compared the RFH-NPT (Royal Free Hospital Nutritional Prioritizing Tool) as the validated gold standard for malnutrition screening in cirrhosis patients with GMS (Graz Malnutrition Screening), NRS-2002 (Nutritional Risk Screening) and MNA-SF (Mini Nutritional Assessment-Short Form). Based on common validity criteria for screening tools, only the MNA-SF showed fair correlation (12/15 points) with the RFH-NPT, whereas NRS-2002 and GMS performed worse (6/15 points). Taken together, our results suggest that NRS-2002 and GMS are not suitable for screening of malnutrition in cirrhosis patients. A cirrhosis-specific screening tool like RFH-NPT should be used to assess malnutrition and to identify those at risk of malnutrition.

Organisation(en)
Department für Ernährungswissenschaften
Externe Organisation(en)
Medizinische Universität Graz, Landeskrankenhaus - Universitätsklinikum Graz
Journal
Nutrients
Band
12
Anzahl der Seiten
6
ISSN
2072-6643
DOI
https://doi.org/10.3390/nu12051306
Publikationsdatum
05-2020
Peer-reviewed
Ja
ÖFOS 2012
303009 Ernährungswissenschaften
Schlagwörter
ASJC Scopus Sachgebiete
Food Science, Nutrition and Dietetics
Sustainable Development Goals
SDG 2 – Kein Hunger
Link zum Portal
https://ucris.univie.ac.at/portal/de/publications/validation-of-malnutrition-screening-tools-in-liver-cirrhosis(686601cd-6bc8-47b0-acc7-43fc69f6d332).html