Observational study of GLIM standard and SGA in the diagnosis of severe malnutrition in neurosurgery patients
10.16151/j.1007-810x.2023.05.009
- VernacularTitle:GLIM标准与SGA在神经外科重症病人营养不良诊断中应用的观察性研究
- Author:
Su-Juan LIANG
1
;
Xiao-Yan LIN
;
Fen-Xia PEI
;
Yao YAO
Author Information
1. 南方医科大学珠江医院,神经外科中心/国家临床重点专科/教育部工程技术研究中心/广东神经外科研究所/广东省脑功能修复与再生重点实验室/神经创伤重症科,广东广州 510282
- Keywords:
Neurosurgical;
ICU;
GLIM;
SGA;
Nutrition assessment
- From:
Parenteral & Enteral Nutrition
2023;30(5):304-308
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the application of GLIM and SGA in diagnosing malnutrition among severe neurosurgery patients.Methods:According to random sampling,42 patients admitted to the intensive care unit of Department of Neurotrauma in a Grade-A hospital in Guangzhou from January 2023 to April 2023 were screened.The nutritional status was assessed using GLIM standard and SGA scale,respectively.GLIM criteria and SGA scale were compared in the diagnosis of malnutrition.Results:The patients'NRS 2002 score was(3.90±1.10),and the positive rate of nutritional screening risk was 100％(42/42).13 patients were diagnosed as malnutrition by GLIM criteria,with a positive rate of 30.95％.29 cases were diagnosed as malnutrition by SGA,and the positive rate was 69.05％.The Kappa value of GLIM standard and SGA scale for malnutrition was 0.372,and the difference between the two nutritional status assessment tools was statistically significant(P＜0.05).Conclusion:Patients receiving neurocritical surgery had high nutritional risk and had a low incidence of malnutrition under GLIM criteria,while a high incidence of malnutrition under SGA criteria.Moreover,the results of GLIM criteria and SGA were not consistent in the assessment of malnutrition.
