GLIM‐defined malnutrition in patients with acute abdomen associated with poor prognosis and increased economic burden: A cross‐sectional study

Background The Global Leadership Initiative on Malnutrition (GLIM) criteria have rapidly developed into a principal methodological framework for nutrition diagnosis. However, the applicability of the GLIM criteria in patients with acute abdomen has not been validated. Methods This is a cross‐section...

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Published in:Nutrition in clinical practice 2024-12, Vol.39 (6), p.1364-1374
Main Authors: Ma, Wei, Cai, Bin, Li, Hua‐xin, Tan, Xin, Deng, Meng‐jie, Jiang, Li, Sun, Ming‐wei, Jiang, Hua
Format: Article
Language:English
Subjects:
Abdomen, Acute - epidemiology
Abdomen, Acute - etiology
acute abdomen
Adult
Aged
China - epidemiology
Cost of Illness
Cross-Sectional Studies
emergency department
Female
GLIM
Hospitalization
Humans
Intensive Care Units - statistics & numerical data
Intestinal Obstruction - economics
Intestinal Obstruction - epidemiology
Intestinal Obstruction - etiology
Length of Stay - statistics & numerical data
Male
malnutrition
Malnutrition - diagnosis
Malnutrition - economics
Malnutrition - epidemiology
Middle Aged
Nutrition Assessment
nutritional risk
Nutritional Status
Prevalence
Prognosis
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Summary:Background The Global Leadership Initiative on Malnutrition (GLIM) criteria have rapidly developed into a principal methodological framework for nutrition diagnosis. However, the applicability of the GLIM criteria in patients with acute abdomen has not been validated. Methods This is a cross‐sectional study conducted on patients diagnosed with acute abdomen and admitted to a tertiary hospital in southwest China. Nutrition risk screening was conducted using the Nutrition Risk Screening 2002, and patients identified with nutrition risk were assessed for malnutrition based on the GLIM criteria. Results We enrolled a total of 440 patients with acute abdomen. The top three diagnoses of acute abdomen were intestinal obstruction (47.2%), acute appendicitis (23.1%), and digestive system perforation (8.8%). The prevalence of nutrition risk was 46.5%, with a malnutrition rate of 32.5% based on the GLIM. Patients with malnutrition according to the GLIM showed significantly higher rates of intensive care unit (ICU) admission (13.28% vs 7.07%; P = 0.003), increased hospitalization costs (median: 3315USD [interquartile range (IQR): 978–7852] vs 1641 [IQR: 816–3523] USD; P 
ISSN:0884-5336
1941-2452
1941-2452
DOI:10.1002/ncp.11202