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Communication

Validation of Malnutrition Screening Tools in Liver Cirrhosis

1
Department of Clinical Medical Nutrition, University Hospital Graz, 8036 Graz, Austria
2
Department of Nutritional Sciences, RF Molecular Nutritional Science, University Vienna, 1090 Vienna, Austria
3
Department of Gastroenterology and Hepatology, Medical University of Graz, 8036 Graz, Austria
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(5), 1306; https://doi.org/10.3390/nu12051306
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. https://doi.org/10.3390/nu12051306

AMA Style

Traub J, Bergheim I, Horvath A, Stadlbauer V. Validation of Malnutrition Screening Tools in Liver Cirrhosis. Nutrients. 2020; 12(5):1306. https://doi.org/10.3390/nu12051306

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. https://doi.org/10.3390/nu12051306

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