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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 |
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| container_end_page | 1374 |
| container_issue | 6 |
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| container_title | Nutrition in clinical practice |
| container_volume | 39 |
| creator | Ma, Wei Cai, Bin Li, Hua‐xin Tan, Xin Deng, Meng‐jie Jiang, Li Sun, Ming‐wei Jiang, Hua |
| description | 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 |
| doi_str_mv | 10.1002/ncp.11202 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3097494631</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3097494631</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2502-194cb14f6e820cd223821e667bc449ee0a391ee8ee9b31bc28a8cdb2284d03293</originalsourceid><addsrcrecordid>eNp1kc9OGzEQh62qVRNoD7wA8pEeFvwvGy-3KKIBKRQO7XnltWfBaNdebK9QbjxCxSPyJDgJ5dbTHObzNzP-IXREySklhJ05PZxSygj7hKa0ErRgYsY-oymRUhQzzssJOojxgRAq-Vx-RRNeUVlJwqfoZbW-un59_mugtQ4M7lXnxhRsst5h6_CgkgWXIn6y6R4rPSbAqjG-B4dVjF5blfKzXXfwPuAh-Dvno41YOZMNOoCKmQDtne-txs0YDLhzvMA6-Bjz7Ah6O051OKbRbL6hL63qInx_r4foz8-L38vLYn2zulou1oVmM8KKfKhuqGhLkIxowxiXjEJZzhstRAVAVL4SQAJUDaeNZlJJbRrGpDCEs4ofopO9N6_8OEJMdW-jhq5TDvwYa06quahEyWlGf-zR3coB2noItldhU1NSbyOocwT1LoLMHr9rx6YH80H--_MMnO2BJ9vB5v-m-tfydq98A0KGlNo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3097494631</pqid></control><display><type>article</type><title>GLIM‐defined malnutrition in patients with acute abdomen associated with poor prognosis and increased economic burden: A cross‐sectional study</title><source>Wiley</source><creator>Ma, Wei ; Cai, Bin ; Li, Hua‐xin ; Tan, Xin ; Deng, Meng‐jie ; Jiang, Li ; Sun, Ming‐wei ; Jiang, Hua</creator><creatorcontrib>Ma, Wei ; Cai, Bin ; Li, Hua‐xin ; Tan, Xin ; Deng, Meng‐jie ; Jiang, Li ; Sun, Ming‐wei ; Jiang, Hua</creatorcontrib><description>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 < 0.001), and longer length of hospital stay (LOS) (median: 8 [IQR: 5–13] vs 6 [IQR: 4–8] days; P < 0.001) compared with patients without malnutrition. Multivariate analysis indicated that GLIM‐defined malnutrition was an independent predictor of hospitalization costs, and severe malnutrition was an independent predictor of ICU admission.
Conclusion
GLIM criteria are applicable for diagnosing malnutrition in patients with acute abdomen. The prevalence of malnutrition was high in patients with acute abdomen. Malnutrition was associated with increased ICU admission and LOS, along with higher economic burden.</description><identifier>ISSN: 0884-5336</identifier><identifier>ISSN: 1941-2452</identifier><identifier>EISSN: 1941-2452</identifier><identifier>DOI: 10.1002/ncp.11202</identifier><identifier>PMID: 39189803</identifier><language>eng</language><publisher>United States</publisher><subject>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</subject><ispartof>Nutrition in clinical practice, 2024-12, Vol.39 (6), p.1364-1374</ispartof><rights>2024 The Author(s). published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition.</rights><rights>2024 The Author(s). Nutrition in Clinical Practice published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2502-194cb14f6e820cd223821e667bc449ee0a391ee8ee9b31bc28a8cdb2284d03293</cites><orcidid>0009-0005-3760-3715</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39189803$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ma, Wei</creatorcontrib><creatorcontrib>Cai, Bin</creatorcontrib><creatorcontrib>Li, Hua‐xin</creatorcontrib><creatorcontrib>Tan, Xin</creatorcontrib><creatorcontrib>Deng, Meng‐jie</creatorcontrib><creatorcontrib>Jiang, Li</creatorcontrib><creatorcontrib>Sun, Ming‐wei</creatorcontrib><creatorcontrib>Jiang, Hua</creatorcontrib><title>GLIM‐defined malnutrition in patients with acute abdomen associated with poor prognosis and increased economic burden: A cross‐sectional study</title><title>Nutrition in clinical practice</title><addtitle>Nutr Clin Pract</addtitle><description>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 < 0.001), and longer length of hospital stay (LOS) (median: 8 [IQR: 5–13] vs 6 [IQR: 4–8] days; P < 0.001) compared with patients without malnutrition. Multivariate analysis indicated that GLIM‐defined malnutrition was an independent predictor of hospitalization costs, and severe malnutrition was an independent predictor of ICU admission.
Conclusion
GLIM criteria are applicable for diagnosing malnutrition in patients with acute abdomen. The prevalence of malnutrition was high in patients with acute abdomen. Malnutrition was associated with increased ICU admission and LOS, along with higher economic burden.</description><subject>Abdomen, Acute - epidemiology</subject><subject>Abdomen, Acute - etiology</subject><subject>acute abdomen</subject><subject>Adult</subject><subject>Aged</subject><subject>China - epidemiology</subject><subject>Cost of Illness</subject><subject>Cross-Sectional Studies</subject><subject>emergency department</subject><subject>Female</subject><subject>GLIM</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Intensive Care Units - statistics & numerical data</subject><subject>Intestinal Obstruction - economics</subject><subject>Intestinal Obstruction - epidemiology</subject><subject>Intestinal Obstruction - etiology</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>malnutrition</subject><subject>Malnutrition - diagnosis</subject><subject>Malnutrition - economics</subject><subject>Malnutrition - epidemiology</subject><subject>Middle Aged</subject><subject>Nutrition Assessment</subject><subject>nutritional risk</subject><subject>Nutritional Status</subject><subject>Prevalence</subject><subject>Prognosis</subject><issn>0884-5336</issn><issn>1941-2452</issn><issn>1941-2452</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp1kc9OGzEQh62qVRNoD7wA8pEeFvwvGy-3KKIBKRQO7XnltWfBaNdebK9QbjxCxSPyJDgJ5dbTHObzNzP-IXREySklhJ05PZxSygj7hKa0ErRgYsY-oymRUhQzzssJOojxgRAq-Vx-RRNeUVlJwqfoZbW-un59_mugtQ4M7lXnxhRsst5h6_CgkgWXIn6y6R4rPSbAqjG-B4dVjF5blfKzXXfwPuAh-Dvno41YOZMNOoCKmQDtne-txs0YDLhzvMA6-Bjz7Ah6O051OKbRbL6hL63qInx_r4foz8-L38vLYn2zulou1oVmM8KKfKhuqGhLkIxowxiXjEJZzhstRAVAVL4SQAJUDaeNZlJJbRrGpDCEs4ofopO9N6_8OEJMdW-jhq5TDvwYa06quahEyWlGf-zR3coB2noItldhU1NSbyOocwT1LoLMHr9rx6YH80H--_MMnO2BJ9vB5v-m-tfydq98A0KGlNo</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Ma, Wei</creator><creator>Cai, Bin</creator><creator>Li, Hua‐xin</creator><creator>Tan, Xin</creator><creator>Deng, Meng‐jie</creator><creator>Jiang, Li</creator><creator>Sun, Ming‐wei</creator><creator>Jiang, Hua</creator><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0005-3760-3715</orcidid></search><sort><creationdate>202412</creationdate><title>GLIM‐defined malnutrition in patients with acute abdomen associated with poor prognosis and increased economic burden: A cross‐sectional study</title><author>Ma, Wei ; Cai, Bin ; Li, Hua‐xin ; Tan, Xin ; Deng, Meng‐jie ; Jiang, Li ; Sun, Ming‐wei ; Jiang, Hua</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2502-194cb14f6e820cd223821e667bc449ee0a391ee8ee9b31bc28a8cdb2284d03293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdomen, Acute - epidemiology</topic><topic>Abdomen, Acute - etiology</topic><topic>acute abdomen</topic><topic>Adult</topic><topic>Aged</topic><topic>China - epidemiology</topic><topic>Cost of Illness</topic><topic>Cross-Sectional Studies</topic><topic>emergency department</topic><topic>Female</topic><topic>GLIM</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Intensive Care Units - statistics & numerical data</topic><topic>Intestinal Obstruction - economics</topic><topic>Intestinal Obstruction - epidemiology</topic><topic>Intestinal Obstruction - etiology</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>malnutrition</topic><topic>Malnutrition - diagnosis</topic><topic>Malnutrition - economics</topic><topic>Malnutrition - epidemiology</topic><topic>Middle Aged</topic><topic>Nutrition Assessment</topic><topic>nutritional risk</topic><topic>Nutritional Status</topic><topic>Prevalence</topic><topic>Prognosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ma, Wei</creatorcontrib><creatorcontrib>Cai, Bin</creatorcontrib><creatorcontrib>Li, Hua‐xin</creatorcontrib><creatorcontrib>Tan, Xin</creatorcontrib><creatorcontrib>Deng, Meng‐jie</creatorcontrib><creatorcontrib>Jiang, Li</creatorcontrib><creatorcontrib>Sun, Ming‐wei</creatorcontrib><creatorcontrib>Jiang, Hua</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nutrition in clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ma, Wei</au><au>Cai, Bin</au><au>Li, Hua‐xin</au><au>Tan, Xin</au><au>Deng, Meng‐jie</au><au>Jiang, Li</au><au>Sun, Ming‐wei</au><au>Jiang, Hua</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>GLIM‐defined malnutrition in patients with acute abdomen associated with poor prognosis and increased economic burden: A cross‐sectional study</atitle><jtitle>Nutrition in clinical practice</jtitle><addtitle>Nutr Clin Pract</addtitle><date>2024-12</date><risdate>2024</risdate><volume>39</volume><issue>6</issue><spage>1364</spage><epage>1374</epage><pages>1364-1374</pages><issn>0884-5336</issn><issn>1941-2452</issn><eissn>1941-2452</eissn><abstract>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 < 0.001), and longer length of hospital stay (LOS) (median: 8 [IQR: 5–13] vs 6 [IQR: 4–8] days; P < 0.001) compared with patients without malnutrition. Multivariate analysis indicated that GLIM‐defined malnutrition was an independent predictor of hospitalization costs, and severe malnutrition was an independent predictor of ICU admission.
Conclusion
GLIM criteria are applicable for diagnosing malnutrition in patients with acute abdomen. The prevalence of malnutrition was high in patients with acute abdomen. Malnutrition was associated with increased ICU admission and LOS, along with higher economic burden.</abstract><cop>United States</cop><pmid>39189803</pmid><doi>10.1002/ncp.11202</doi><tpages>11</tpages><orcidid>https://orcid.org/0009-0005-3760-3715</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0884-5336 |
| ispartof | Nutrition in clinical practice, 2024-12, Vol.39 (6), p.1364-1374 |
| issn | 0884-5336 1941-2452 1941-2452 |
| language | eng |
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| source | Wiley |
| 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 |
| title | GLIM‐defined malnutrition in patients with acute abdomen associated with poor prognosis and increased economic burden: A cross‐sectional study |
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