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IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

European Geriatric Medicine Pub Date : 2025-03-27 DOI:10.1007/s41999-025-01187-y

Kevser Tarı Selcuk, Sedat Arslan, Ayça Aydın, Duygu Durmaz

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引用次数: 0

摘要

目的：本研究旨在比较六种不同筛查工具与 GLIM 标准在识别患有心血管疾病的老年人营养不良风险方面的性能：在这项诊断准确性研究中，对 669 名 65 岁及以上、在 Bandırma 培训与研究医院住院并被诊断患有心血管疾病的患者的数据进行了评估。数据是通过问卷调查获得的，其中包括人口信息表、全球营养不良领导倡议（GLIM）标准、营养不良筛查工具（MST）、营养不良通用筛查工具（MUST）、营养评估简表（SNAQ）、迷你营养评估简表（MNA-SF）、营养风险筛查-2002（NRS-2002）和格拉茨营养不良筛查（GMS）工具。GLIM 标准作为金标准，六种筛查工具作为指标测试。进行受试者操作特征曲线（ROC）分析以计算曲线下面积（AUC），并评估指标测试的敏感性、特异性、准确性和科恩卡帕（κ）系数：患者平均年龄为（75.5 ± 7.7）岁，55.2%为女性。根据 GLIM 标准，营养不良发生率为 22.0%。通过 ROC 计算得出的 AUC 显示，MST（AUC：0.905）具有极好的预测价值，而 MUST（AUC：0.874）、SNAQ（AUC：0.851）、MNA-SF（AUC：0.842）和 GMS（AUC：0.820）则表现出良好的预测价值。在所有筛查工具中，GMS 的灵敏度最高（92.5%），而 MNA-SF 的特异性最高（91.6%）。MNA-SF 与 GLIM 标准的一致性也最高（Cohen's κ：66.8），准确性也最高（88.3%）：本研究发现，在根据 GLIM 标准评估营养不良风险时，MNA-SF 工具优于其他综合筛查工具。

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Which screening tool performs best in identifying malnutrition risk among hospitalized older adults with cardiovascular disease? A diagnostic accuracy study comparing six different screening tools with GLIM criteria.

Purpose: This study aimed to compare the performance of six different screening tools with the GLIM criteria in identifying malnutrition risk among older adults with cardiovascular diseases.

Methods: In this diagnostic accuracy study, data from 669 patients aged 65 and older, hospitalized at Bandırma Training and Research Hospital diagnosed with cardiovascular disease, were evaluated. The data were obtained using a questionnaire that included a Demographic Information Form, Global Leadership Initiative on Malnutrition (GLIM) Criteria, Malnutrition Screening Tool (MST), Malnutrition Universal Screening Tool (MUST), Short Nutritional Assessment Questionnaire (SNAQ), Mini Nutritional Assessment-Short Form (MNA-SF), Nutritional Risk Screening-2002 (NRS-2002), and Graz Malnutrition Screening (GMS) tool. GLIM criteria were used as gold standard and six screening tools were used as index tests. Receiver Operating Characteristic (ROC) curve analysis was conducted to calculate the Area Under the Curve (AUC), and the sensitivity, specificity, accuracy, and Cohen's Kappa (κ) coefficient of the index tests were assessed.

Results: The mean age of the patients was 75.5 ± 7.7 years, 55.2% were female. According to the GLIM criteria, the prevalence of malnutrition was calculated as 22.0%. The AUC calculated by ROC indicated that MST (AUC: 0.905) had excellent predictive value, while MUST (AUC: 0.874), SNAQ (AUC: 0.851), MNA-SF (AUC: 0.842), and GMS (AUC: 0.820) demonstrated good predictive value. Among the screening tools, GMS had the highest sensitivity (92.5%), whereas MNA-SF exhibited the highest specificity (91.6%). MNA-SF also demonstrated the highest agreement with the GLIM criteria (Cohen's κ: 66.8) and the highest accuracy (88.3%).

Conclusion: This study found that the MNA-SF tool outperformed other comprehensive screening tools when evaluating malnutrition risk in light of the GLIM criteria.

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来源期刊

European Geriatric Medicine GERIATRICS & GERONTOLOGY-

CiteScore

6.70

自引率

2.60%

发文量

114

审稿时长

6-12 weeks

期刊介绍： European Geriatric Medicine is the official journal of the European Geriatric Medicine Society (EUGMS). Launched in 2010, this journal aims to publish the highest quality material, both scientific and clinical, on all aspects of Geriatric Medicine. The EUGMS is interested in the promotion of Geriatric Medicine in any setting (acute or subacute care, rehabilitation, nursing homes, primary care, fall clinics, ambulatory assessment, dementia clinics..), and also in functionality in old age, comprehensive geriatric assessment, geriatric syndromes, geriatric education, old age psychiatry, models of geriatric care in health services, and quality assurance.