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Pilot study GLIM criteria for categorization of a malnutrition diagnosis of patients undergoing elective gastrointestinal operations: A pilot study of applicability and validation

Henrique, Jessimara Ribeiro ; Pereira, Ramon Gonçalves ; Ferreira, Rosaria Silva ; Keller, Heather ; de Van der Schueren, Marian ; Gonzalez, Maria Cristina ; Meira, Wagner ; Correia, Maria Isabel Toulson Davisson

Nutrition (Burbank, Los Angeles County, Calif.), 2020-11, Vol.79-80, p.110961-110961, Article 110961 [Periódico revisado por pares]

Kidlington: Elsevier Inc

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Título:
Pilot study GLIM criteria for categorization of a malnutrition diagnosis of patients undergoing elective gastrointestinal operations: A pilot study of applicability and validation
Autor: Henrique, Jessimara Ribeiro ; Pereira, Ramon Gonçalves ; Ferreira, Rosaria Silva ; Keller, Heather ; de Van der Schueren, Marian ; Gonzalez, Maria Cristina ; Meira, Wagner ; Correia, Maria Isabel Toulson Davisson
Assuntos: Age ; Body mass index ; Body weight ; Complications ; Criteria ; Diagnostic systems ; Evaluation ; Food ; Gastrointestinal surgery ; Global Leadership Initiative on Malnutrition ; Hospitals ; Inflammation ; Leadership ; Learning algorithms ; Machine learning ; Malnutrition ; Meals ; Medical diagnosis ; Methods ; Muscles ; Nutrition ; Nutritional assessment ; Overweight ; Patients ; Postoperative complications ; Statistical analysis ; Subjective Global Assessment ; Surgery
É parte de: Nutrition (Burbank, Los Angeles County, Calif.), 2020-11, Vol.79-80, p.110961-110961, Article 110961
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: The Global Leadership Initiative on Malnutrition (GLIM) was proposed to provide a common malnutrition diagnostic framework. The aims of this study were to evaluate the applicability and validity of the GLIM and use machine-learning techniques to help provide the best malnutrition-related variables/combinations to predict complications in patients undergoing gastrointestinal (GI) surgeries. This was a prospective cohort study enrolling surgical patients with GI diseases. Malnutrition prevalence was classified by the GLIM, subjective global assessment (SGA), and various anthropometric parameters. The various combination of the phenotypic criteria generated 10 different models. Sensibility (SE) and specificity (SP) were calculated using SGA as the reference criterion. Machine-learning approaches were used to predict complications. P < 0.05 was set as statistically significant. We evaluated 206 patients. Half of the patients were malnourished according SGA, and 16.5% had postoperative complications. The prevalence of malnutrition using GLIM varied from 10.7% to 41.3% among the whole population, 11.7% and 43.6% in the elderly, from 0 to 24% in overweight non-obese and from 0 to 19.6% in obese patients. SE and SP values varied between 61.2% and 100% and 55.3% and 98.1%, respectively, for the general population. Machine-learning models indicated that midarm circumference, one of the GLIM models, and midarm muscle area were the most relevant criteria to predict complications. The various GLIM combinations provided different rates of malnutrition according to the population. Machine-learning techniques supported the use of common single variables and one GLIM model to predict postoperative complications.
Editor: Kidlington: Elsevier Inc
Idioma: Inglês

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Pilot study GLIM criteria for categorization of a malnutrition diagnosis of patients undergoing elective gastrointestinal operations: A pilot study of applicability and validation

Henrique, Jessimara Ribeiro ; Pereira, Ramon Gonçalves ; Ferreira, Rosaria Silva ; Keller, Heather ; de Van der Schueren, Marian ; Gonzalez, Maria Cristina ; Meira, Wagner ; Correia, Maria Isabel Toulson Davisson

Kidlington: Elsevier Inc

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