The Global Leadership Initiative on Malnutrition criteria for the assessment of elderly inpatients with stroke and their correlation with clinical outcomes
10.3760/cma.j.issn.0254-9026.2022.03.006
- VernacularTitle:老年脑卒中患者应用全球营养领导人发起的营养不良标准评价营养状态的研究
- Author:
Shanshan REN
1
;
Ziyan YANG
;
Guanzhen LI
;
Mingwei ZHU
Author Information
1. 北京医院营养科 国家老年医学中心 中国医学科学院老年医学研究院 100730
- Keywords:
Malnutrition;
Stroke;
Inpatients
- From:
Chinese Journal of Geriatrics
2022;41(3):271-275
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To use the Global Leadership Initiative on Malnutrition(GLIM)criteria to assess the incidence of malnutrition in hospitalized elderly stroke patients, and to investigate the correlation between the criteria and clinical outcomes.Methods:A cross-sectional study was conducted from March 2012 to August 2021 to evaluate malnutrition in 658 elderly stroke inpatients aged 65-92 years, the GLIM criteria were used, and the correlation between the criteria and clinical outcomes was explored.Results:Of the 658 patients, men showed higher values in height, weight, Bady mass index, upper arm circumference, calf circumference and creatinine(all P<0.05), but lower total cholesterol( P<0.05). The incidence of malnutrition diagnosed with the GLIM criteria was 9.12%(60 cases). Based on the GLIM criteria, those with malnutrition had lower weight, Bady mass index, upper arm circumference, calf circumference, albumin and total cholesterol(all P<0.05), while age, duration of hospitalization, infectious complications and mortality was higher than those without malnutrition( P<0.05). Using the mini nutritional assessment-short form(MNA-SF), 14.74%(97 cases)of the patients had malnutrition.Results from the GLIM criteria and the MNA-SF were moderately consistent(sensitivity: 59.4%, specificity: 100.0%, positive predictive value: 100.0%, negative predictive value: 93.1%, Kappa=0.712). Malnutrition diagnosed with the GLIM criteria was associated with a longer duration of hospitalization( OR=1.022, 95% CI: 1.005-1.039, P<0.01), increased infectious complications( OR=16.614, 95% CI: 8.130-33.952, P<0.01), and increased risk of death( OR=2.810, 95% CI: 1.393-3.548, P<0.05). Conclusions:The incidence of malnutrition in hospitalized elderly stroke patients based on the GLIM criteria is lower than that based on the MNA-SF, and malnutrition is associated with adverse clinical outcomes.
