Validation of malnutrition screening tools in liver cirrhosis

Julia Traub; Ina Bergheim; Angela Horvath; Vanessa Stadlbauer

doi:10.3390/nu12051306

Validation of malnutrition screening tools in liver cirrhosis

Julia Traub, Ina Bergheim, Angela Horvath, Vanessa Stadlbauer (Corresponding author)

Department of Nutritional Sciences

Publications: Contribution to journal › Short communication › Peer Reviewed

Abstract

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.

Original language	English
Article number	1306
Number of pages	6
Journal	Nutrients
Volume	12
Issue number	5
DOIs	https://doi.org/10.3390/nu12051306
Publication status	Published - May 2020

Austrian Fields of Science 2012

303009 Nutritional sciences

Keywords

assessment
liver cirrhosis
malnutrition
screening
Screening
Assessment
Malnutrition
Liver cirrhosis

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3390/nu12051306Licence: CC BY 4.0

Cite this

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title = "Validation of malnutrition screening tools in liver cirrhosis",

abstract = "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.",

keywords = "assessment, liver cirrhosis, malnutrition, screening, Screening, Assessment, Malnutrition, Liver cirrhosis",

author = "Julia Traub and Ina Bergheim and Angela Horvath and Vanessa Stadlbauer",

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year = "2020",

month = may,

doi = "10.3390/nu12051306",

language = "English",

volume = "12",

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TY - JOUR

T1 - Validation of malnutrition screening tools in liver cirrhosis

AU - Traub, Julia

AU - Bergheim, Ina

AU - Horvath, Angela

AU - Stadlbauer, Vanessa

PY - 2020/5

Y1 - 2020/5

N2 - 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.

AB - 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.

KW - assessment

KW - liver cirrhosis

KW - malnutrition

KW - screening

KW - Screening

KW - Assessment

KW - Malnutrition

KW - Liver cirrhosis

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U2 - 10.3390/nu12051306

DO - 10.3390/nu12051306

M3 - Short communication

SN - 2072-6643

VL - 12

JO - Nutrients

JF - Nutrients

IS - 5

M1 - 1306

ER -

Validation of malnutrition screening tools in liver cirrhosis

Abstract

Austrian Fields of Science 2012

Keywords

UN SDGs

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