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Validation of Malnutrition Screening Tools in Liver Cirrhosis

Department of Clinical Medical Nutrition, University Hospital Graz, 8036 Graz, Austria
Department of Nutritional Sciences, RF Molecular Nutritional Science, University Vienna, 1090 Vienna, Austria
Department of Gastroenterology and Hepatology, Medical University of Graz, 8036 Graz, Austria
Author to whom correspondence should be addressed.
Nutrients 2020, 12(5), 1306;
Received: 26 March 2020 / Revised: 27 April 2020 / Accepted: 1 May 2020 / Published: 3 May 2020
(This article belongs to the Special Issue Nutrition and Body Composition Assessment in Cirrhosis)
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. View Full-Text
Keywords: malnutrition; liver cirrhosis; screening; assessment malnutrition; liver cirrhosis; screening; assessment
MDPI and ACS Style

Traub, J.; Bergheim, I.; Horvath, A.; Stadlbauer, V. Validation of Malnutrition Screening Tools in Liver Cirrhosis. Nutrients 2020, 12, 1306.

AMA Style

Traub J, Bergheim I, Horvath A, Stadlbauer V. Validation of Malnutrition Screening Tools in Liver Cirrhosis. Nutrients. 2020; 12(5):1306.

Chicago/Turabian Style

Traub, Julia, Ina Bergheim, Angela Horvath, and Vanessa Stadlbauer. 2020. "Validation of Malnutrition Screening Tools in Liver Cirrhosis" Nutrients 12, no. 5: 1306.

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