Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery

Background: Accurate identification of malnutrition and preoperative nutritional care in Inflammatory Bowel Disease (IBD) surgery is mandatory. There is no validated nutritional screening tool for IBD patients. We developed a novel nutritional screening tool for IBD patients requiring surgery and co...

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Autores principales:	Camilla Fiorindi, Gabriele Dragoni, Stefano Scaringi, Fabio Staderini, Anita Nannoni, Ferdinando Ficari, Francesco Giudici
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	IBD GLIM surgery nutritional screening tool malnutrition Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/e7f6b6fb2b6b42a68b915ea8d3a3eb50
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spelling	oai:doaj.org-article:e7f6b6fb2b6b42a68b915ea8d3a3eb502021-11-25T18:35:05ZRelationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery10.3390/nu131138992072-6643https://doaj.org/article/e7f6b6fb2b6b42a68b915ea8d3a3eb502021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3899https://doaj.org/toc/2072-6643Background: Accurate identification of malnutrition and preoperative nutritional care in Inflammatory Bowel Disease (IBD) surgery is mandatory. There is no validated nutritional screening tool for IBD patients. We developed a novel nutritional screening tool for IBD patients requiring surgery and compared it with other tools. Methods: we included 62 consecutive patients scheduled for elective surgery. The IBD Nutritional Screening tool (NS-IBD) was developed to screen patients for further comprehensive assessment. NRS-2002, MUST, MST, MIRT, SaskIBD-NR are compared with the new test. All screening tests were subsequently related to new GLIM criteria. Results: according to GLIM criteria, 25 (40%) IBD patients were malnourished (15 CD and 10 UC, 33% vs. 63%, <i>p</i> = 0.036). Stage 1 malnutrition was reported in ten patients, while stage 2 was detected in 15 patients. The comparison of each nutritional risk tool with GLIM criteria showed sensitivity of 0.52, 0.6, 0.6, 0.84, 0.84 and 0.92 for SASKIBD-NR, MUST, MST, NRS-2002, MIRT, and the new NS-IBD, respectively. Conclusions: in IBD, currently adopted nutritional screening tools are characterized by a low sensitivity when malnutrition diagnosis is performed with recent GLIM criteria. Our proposed tool to detect malnutrition performed the best in detecting patients that may require nutritional assessment and preoperative intervention.Camilla FiorindiGabriele DragoniStefano ScaringiFabio StaderiniAnita NannoniFerdinando FicariFrancesco GiudiciMDPI AGarticleIBDGLIMsurgerynutritional screening toolmalnutritionNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3899, p 3899 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	IBD GLIM surgery nutritional screening tool malnutrition Nutrition. Foods and food supply TX341-641
spellingShingle	IBD GLIM surgery nutritional screening tool malnutrition Nutrition. Foods and food supply TX341-641 Camilla Fiorindi Gabriele Dragoni Stefano Scaringi Fabio Staderini Anita Nannoni Ferdinando Ficari Francesco Giudici Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery
description	Background: Accurate identification of malnutrition and preoperative nutritional care in Inflammatory Bowel Disease (IBD) surgery is mandatory. There is no validated nutritional screening tool for IBD patients. We developed a novel nutritional screening tool for IBD patients requiring surgery and compared it with other tools. Methods: we included 62 consecutive patients scheduled for elective surgery. The IBD Nutritional Screening tool (NS-IBD) was developed to screen patients for further comprehensive assessment. NRS-2002, MUST, MST, MIRT, SaskIBD-NR are compared with the new test. All screening tests were subsequently related to new GLIM criteria. Results: according to GLIM criteria, 25 (40%) IBD patients were malnourished (15 CD and 10 UC, 33% vs. 63%, <i>p</i> = 0.036). Stage 1 malnutrition was reported in ten patients, while stage 2 was detected in 15 patients. The comparison of each nutritional risk tool with GLIM criteria showed sensitivity of 0.52, 0.6, 0.6, 0.84, 0.84 and 0.92 for SASKIBD-NR, MUST, MST, NRS-2002, MIRT, and the new NS-IBD, respectively. Conclusions: in IBD, currently adopted nutritional screening tools are characterized by a low sensitivity when malnutrition diagnosis is performed with recent GLIM criteria. Our proposed tool to detect malnutrition performed the best in detecting patients that may require nutritional assessment and preoperative intervention.
format	article
author	Camilla Fiorindi Gabriele Dragoni Stefano Scaringi Fabio Staderini Anita Nannoni Ferdinando Ficari Francesco Giudici
author_facet	Camilla Fiorindi Gabriele Dragoni Stefano Scaringi Fabio Staderini Anita Nannoni Ferdinando Ficari Francesco Giudici
author_sort	Camilla Fiorindi
title	Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery
title_short	Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery
title_full	Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery
title_fullStr	Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery
title_full_unstemmed	Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery
title_sort	relationship between nutritional screening tools and glim in complicated ibd requiring surgery
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e7f6b6fb2b6b42a68b915ea8d3a3eb50
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Relationship between Nutritional Screening Tools and GLIM in Complicated IBD Requiring Surgery

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