Malnutrition via GLIM Criteria in General Surgery Patients

Authors : Reci Meseri, Ceren Akanalçi, Teslime Çakal, Şeyma Aytekin, Özlem Koşar, Tuğba Sıla Sağlam, Halit Batuhan Demir, Sinan Ersin

Pages : 455-463

Doi:10.30621/jbachs.1175851

View : 31 | Download : 8

Publication Date : 2023-01-31

Article Type : Research

Abstract :Purpose: The purposes are to determine malnutrition in elective general surgery patients via GLIM criteria, compare GLIM criteria with NRS2002 and to determine the effect of malnutrition on Length of Stay (LoS). Materials and Methods: Malnutrition was detected with NRS2002 and GLIM. GLIM was evaluated in two different ways as 1-NRS2002 (first four questions) was used as a preliminary malnutrition screening tool for GLIM and 2-All patients were evaluated with GLIM without a preliminary assessment. Reduced muscle mass in GLIM, was assessed using different anthropometric measurements and cut-off points. In total, 10 different GLIM models were constituted. Data were collected within 48 hours of admission. Agreement between malnutrition tools was determined via Kappa. Logistic regression models were established to present the effect of malnutrition on long LoS. p<0.05 was deemed significant. Results: Among participants(n=224) prevalence of malnutrition was 45.5% via NRS2002, 62.9-64.3% via GLIMpre-assess 81.7-88% via GLIMonly. NRS2002 and GLIMpre-assess had a very high agreement. After controlling for confounding variables, malnutrition increases the long LoS 3.6-fold via NRS2002 whereas, for GLIMpre-assessed, ORs were 3.9-4.2(p<0.001 for all). Conclusions: Malnutrition increased LoS. NRS2002 and GLIMpre-assess give similar results. MUAC or CC can be preferred to define reduced muscle mass. Broader studies should be conducted to determine which anthropometric measurement would better define reduced muscle mass for GLIM.
Keywords : Malnutrition, NRS2002, GLIM criteria, Length of Stay