56a94204346d83f40278ab877841a6df Validity_and_Applicability.pdf 3ad7db92bab959683f897478f84ea3c21aedbe21 Validity_and_Applicability.pdf abc088b936c43632b23d95da8f544bb785c3f1db765d88c1e82b9de3764a0d30 Validity_and_Applicability.pdf Title: Validity and Applicability of the Global Leadership Initiative on Malnutrition (GLIM) Criteria in Patients Hospitalized for Acute Medical Conditions Subject: (1) Background: The objectives of this study were to evaluate the concurrent and predictive validity and the applicability of the global leadership initiative on malnutrition (GLIM) criteria in patients hospitalized for acute medical conditions. (2) Methods: prospective cohort study with patients hospitalized for acute medical conditions. For validation, the methodology proposed by the GLIM group of experts was used. Sensitivity and specificity values greater than 80% with respect to those for the subjective global assessment (SGA) were necessary for concurrent validation. The time necessary to complete each nutritional assessment test was determined. (3) Results: A total of 119 patients were evaluated. The SGA was applied to the entire cohort, but the GLIM criteria could not be applied to 3.4% of the patients. The sensitivity and specificity of the GLIM criteria with respect to those for the SGA to detect malnutrition were 78.0 and 86.2%, respectively. The GLIM predictive validity criterion was fulfilled because patients with malnutrition more frequently had a hospital stay >10 days (odds ratio of 2.98 (1.21–7.60)). The GLIM criteria required significantly more time for completion than did the SGA (p = 0.006). (4) Conclusion: The results of this study do not support the use of the GLIM criteria over the SGA for the diagnosis of malnutrition in patients hospitalized for acute medical conditions. Keywords: global leadership initiative on malnutrition; nutrition assessment; malnutrition; hospitalized patients; length of stay; applicability Author: Laia Fontane, Maria Helena Reig, Sonika Garcia-Ribera, Miriam Herranz, Mar Miracle, Juan Jose Chillaron, Araceli Estepa, Silvia Toro, Silvia Ballesta, Humberto Navarro, Gemma Llaurado, Juan Pedro-Botet and David Benaiges Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Sat Sep 16 11:40:34 2023 CEST ModDate: Sat Sep 16 11:43:47 2023 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 11 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 295445 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- OHKNFJ+VnURWPalladioL Type 1 Custom yes yes no 10 0 KCQPNT+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 WHTRPI+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 NUHANA+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 HGMNRX+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 42 0 ZZRKRD+CMSY10 Type 1 Builtin yes yes no 67 0 QLBIEB+URWPalladioL-BoldItal Type 1 Custom yes yes no 77 0 NUUXUW+VnURWPalladioL-Italic Type 1 Custom yes yes no 99 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-03-20 02:40:42 CET RepresentationInformation: Validity_and_Applicability.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-03-19 14:11:47 CET Size: 295445 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 233 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Study Design and Study Population Destination: subsection.2.1 Item: Title: Statistical Analysis Destination: subsection.2.2 Item: Title: Results Destination: section.3 Children: Item: Title: General Characteristics of the Sample Destination: subsection.3.1 Item: Title: Concurrent Validity Destination: subsection.3.2 Item: Title: Predictive Validity Destination: subsection.3.3 Item: Title: GLIM Applicability Destination: subsection.3.4 Item: Title: GLIM Time Destination: subsection.3.5 Item: Title: Discussion Destination: section.4 Item: Title: Conclusions Destination: section.5 Item: Title: References Destination: section.A. Info: Title: Validity and Applicability of the Global Leadership Initiative on Malnutrition (GLIM) Criteria in Patients Hospitalized for Acute Medical Conditions Author: Laia Fontane, Maria Helena Reig, Sonika Garcia-Ribera, Miriam Herranz, Mar Miracle, Juan Jose Chillaron, Araceli Estepa, Silvia Toro, Silvia Ballesta, Humberto Navarro, Gemma Llaurado, Juan Pedro-Botet and David Benaiges Subject: (1) Background: The objectives of this study were to evaluate the concurrent and predictive validity and the applicability of the global leadership initiative on malnutrition (GLIM) criteria in patients hospitalized for acute medical conditions. (2) Methods: prospective cohort study with patients hospitalized for acute medical conditions. For validation, the methodology proposed by the GLIM group of experts was used. Sensitivity and specificity values greater than 80% with respect to those for the subjective global assessment (SGA) were necessary for concurrent validation. The time necessary to complete each nutritional assessment test was determined. (3) Results: A total of 119 patients were evaluated. The SGA was applied to the entire cohort, but the GLIM criteria could not be applied to 3.4% of the patients. The sensitivity and specificity of the GLIM criteria with respect to those for the SGA to detect malnutrition were 78.0 and 86.2%, respectively. The GLIM predictive validity criterion was fulfilled because patients with malnutrition more frequently had a hospital stay >10 days (odds ratio of 2.98 (1.21 7.60)). The GLIM criteria required significantly more time for completion than did the SGA (p = 0.006). (4) Conclusion: The results of this study do not support the use of the GLIM criteria over the SGA for the diagnosis of malnutrition in patients hospitalized for acute medical conditions. Keywords: global leadership initiative on malnutrition; nutrition assessment; malnutrition; hospitalized patients; length of stay; applicability Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Sat Sep 16 11:40:34 CEST 2023 ModDate: Sat Sep 16 11:43:47 CEST 2023 ID: 0x2c3f399aacaa1f0d59f78ff67602df7d, 0x2c3f399aacaa1f0d59f78ff67602df7d Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: ZZRKRD+CMSY10 FontSubset: true FirstChar: 6 LastChar: 48 FontDescriptor: FontName: ZZRKRD+CMSY10 Flags: Symbolic FontBBox: -29, -960, 1116, 775 FontFile: true Font: BaseFont: NUUXUW+VnURWPalladioL-Italic FontSubset: true FirstChar: 178 LastChar: 178 FontDescriptor: FontName: NUUXUW+VnURWPalladioL-Italic Flags: Symbolic FontBBox: -170, -305, 1010, 941 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: WHTRPI+URWPalladioL-Roma FontSubset: true FirstChar: 2 LastChar: 252 FontDescriptor: FontName: WHTRPI+URWPalladioL-Roma Flags: Symbolic FontBBox: -166, -283, 1021, 943 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: NUHANA+URWPalladioL-Ital FontSubset: true FirstChar: 46 LastChar: 150 FontDescriptor: FontName: NUHANA+URWPalladioL-Ital Flags: Symbolic FontBBox: -170, -305, 1010, 941 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: OHKNFJ+VnURWPalladioL FontSubset: true FirstChar: 129 LastChar: 226 FontDescriptor: FontName: OHKNFJ+VnURWPalladioL Flags: Symbolic FontBBox: -166, -283, 1021, 943 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: QLBIEB+URWPalladioL-BoldItal FontSubset: true FirstChar: 110 LastChar: 112 FontDescriptor: FontName: QLBIEB+URWPalladioL-BoldItal Flags: Symbolic FontBBox: -170, -300, 1073, 935 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: KCQPNT+URWPalladioL-Bold FontSubset: true FirstChar: 3 LastChar: 122 FontDescriptor: FontName: KCQPNT+URWPalladioL-Bold Flags: Symbolic FontBBox: -152, -301, 1000, 935 FontFile: true EncodingDictionary: Differences: true Pages: Page: Sequence: 1 Annotations: Annotation: Subtype: Link Rect: 64, 281, 152, 290 Annotation: Subtype: Link Rect: 34, 271, 72, 278 Annotation: Subtype: Link Rect: 34, 164, 96, 186 Annotation: Subtype: Link Rect: 126, 90, 154, 99 Annotation: Subtype: Link Rect: 34, 78, 147, 87 Annotation: Subtype: Link Rect: 34, 756, 169, 792 Annotation: Subtype: Link Rect: 515, 756, 560, 792 Annotation: Subtype: Link Rect: 149, 631, 160, 645 Annotation: Subtype: Link Rect: 377, 618, 388, 632 Annotation: Subtype: Link Rect: 329, 80, 336, 89 ActionDest: 93 Annotation: Subtype: Link Rect: 120, 17, 254, 28 Annotation: Subtype: Link Rect: 404, 17, 560, 28 Annotation: Subtype: Link Rect: 34, 402, 87, 421 Page: Sequence: 2 Annotations: Annotation: Subtype: Link Rect: 549, 736, 556, 744 ActionDest: 93 Annotation: Subtype: Link Rect: 244, 698, 251, 707 ActionDest: 93 Annotation: Subtype: Link Rect: 254, 698, 261, 707 ActionDest: 93 Annotation: Subtype: Link Rect: 443, 597, 450, 606 ActionDest: 93 Annotation: Subtype: Link Rect: 518, 535, 525, 544 ActionDest: 96 Annotation: Subtype: Link Rect: 232, 484, 239, 493 ActionDest: 96 Annotation: Subtype: Link Rect: 515, 472, 521, 481 ActionDest: 96 Annotation: Subtype: Link Rect: 525, 472, 537, 481 ActionDest: 96 Annotation: Subtype: Link Rect: 240, 459, 252, 468 ActionDest: 96 Annotation: Subtype: Link Rect: 255, 459, 267, 468 ActionDest: 96 Annotation: Subtype: Link Rect: 326, 447, 338, 456 ActionDest: 96 Annotation: Subtype: Link Rect: 339, 447, 351, 456 ActionDest: 96 Annotation: Subtype: Link Rect: 351, 447, 363, 456 ActionDest: 96 Annotation: Subtype: Link Rect: 364, 447, 375, 456 ActionDest: 96 Annotation: Subtype: Link Rect: 309, 296, 321, 305 ActionDest: 96 Annotation: Subtype: Link Rect: 321, 296, 333, 305 ActionDest: 96 Annotation: Subtype: Link Rect: 319, 271, 331, 280 ActionDest: 96 Annotation: Subtype: Link Rect: 331, 271, 343, 280 ActionDest: 96 Annotation: Subtype: Link Rect: 344, 271, 355, 280 ActionDest: 96 Page: Sequence: 3 Annotations: Annotation: Subtype: Link Rect: 233, 482, 240, 494 ActionDest: 64 Annotation: Subtype: Link Rect: 341, 472, 348, 481 ActionDest: 96 Annotation: Subtype: Link Rect: 306, 307, 317, 316 ActionDest: 96 Annotation: Subtype: Link Rect: 335, 65, 347, 74 ActionDest: 96 Page: Sequence: 4 Annotations: Annotation: Subtype: Link Rect: 535, 682, 546, 691 ActionDest: 96 Annotation: Subtype: Link Rect: 262, 469, 269, 478 ActionDest: 96 Annotation: Subtype: Link Rect: 406, 331, 418, 340 ActionDest: 96 Annotation: Subtype: Link Rect: 418, 331, 430, 340 ActionDest: 96 Annotation: Subtype: Link Rect: 351, 63, 358, 75 ActionDest: 74 Page: Sequence: 5 Annotations: Annotation: Subtype: Link Rect: 396, 114, 403, 126 ActionDest: 81 Page: Sequence: 6 Annotations: Annotation: Subtype: Link Rect: 260, 230, 267, 242 ActionDest: 84 Page: Sequence: 7 Annotations: Annotation: Subtype: Link Rect: 194, 481, 201, 492 ActionDest: 84 Annotation: Subtype: Link Rect: 459, 110, 466, 122 ActionDest: 81 Annotation: Subtype: Link Rect: 192, 98, 199, 110 ActionDest: 81 Page: Sequence: 8 Annotations: Annotation: Subtype: Link Rect: 383, 556, 390, 565 ActionDest: 96 Annotation: Subtype: Link Rect: 394, 557, 406, 565 ActionDest: 96 Annotation: Subtype: Link Rect: 185, 544, 197, 553 ActionDest: 96 Annotation: Subtype: Link Rect: 200, 544, 212, 553 ActionDest: 96 Annotation: Subtype: Link Rect: 544, 494, 556, 503 ActionDest: 96 Annotation: Subtype: Link Rect: 505, 406, 517, 415 ActionDest: 96 Annotation: Subtype: Link Rect: 230, 318, 237, 327 ActionDest: 96 Annotation: Subtype: Link Rect: 203, 167, 215, 176 ActionDest: 96 Annotation: Subtype: Link Rect: 216, 167, 228, 176 ActionDest: 96 Annotation: Subtype: Link Rect: 228, 167, 240, 176 ActionDest: 96 Annotation: Subtype: Link Rect: 241, 167, 253, 176 ActionDest: 96 Annotation: Subtype: Link Rect: 256, 167, 268, 176 ActionDest: 96 Annotation: Subtype: Link Rect: 298, 155, 310, 164 ActionDest: 96 Annotation: Subtype: Link Rect: 439, 155, 451, 164 ActionDest: 96 Annotation: Subtype: Link Rect: 211, 92, 223, 101 ActionDest: 96 Annotation: Subtype: Link Rect: 223, 92, 235, 101 ActionDest: 96 Annotation: Subtype: Link Rect: 235, 92, 247, 101 ActionDest: 96 Annotation: Subtype: Link Rect: 248, 92, 260, 101 ActionDest: 96 Annotation: Subtype: Link Rect: 260, 92, 272, 101 ActionDest: 96 Annotation: Subtype: Link Rect: 202, 79, 214, 88 ActionDest: 96 Page: Sequence: 9 Annotations: Annotation: Subtype: Link Rect: 310, 735, 322, 744 ActionDest: 96 Annotation: Subtype: Link Rect: 515, 685, 522, 694 ActionDest: 93 Annotation: Subtype: Link Rect: 322, 660, 334, 669 ActionDest: 96 Annotation: Subtype: Link Rect: 373, 196, 385, 205 ActionDest: 96 Annotation: Subtype: Link Rect: 327, 120, 339, 129 ActionDest: 96 Page: Sequence: 10 Annotations: Annotation: Subtype: Link Rect: 531, 736, 543, 744 ActionDest: 96 Annotation: Subtype: Link Rect: 543, 735, 555, 744 ActionDest: 96 Annotation: Subtype: Link Rect: 332, 660, 339, 669 ActionDest: 96 Annotation: Subtype: Link Rect: 526, 433, 560, 444 Annotation: Subtype: Link Rect: 165, 421, 355, 432 Annotation: Subtype: Link Rect: 59, 185, 96, 195 Annotation: Subtype: Link Rect: 102, 185, 138, 195 Annotation: Subtype: Link Rect: 59, 150, 95, 160 Annotation: Subtype: Link Rect: 144, 127, 181, 137 Annotation: Subtype: Link Rect: 188, 127, 224, 137 Annotation: Subtype: Link Rect: 131, 104, 168, 114 Annotation: Subtype: Link Rect: 490, 92, 528, 103 Annotation: Subtype: Link Rect: 241, 70, 279, 80 Page: Sequence: 11 Annotations: Annotation: Subtype: Link Rect: 207, 710, 244, 721 Annotation: Subtype: Link Rect: 494, 676, 531, 687 Annotation: Subtype: Link Rect: 413, 652, 451, 664 Annotation: Subtype: Link Rect: 59, 619, 96, 629 Annotation: Subtype: Link Rect: 265, 573, 303, 583 Annotation: Subtype: Link Rect: 309, 573, 345, 583 Annotation: Subtype: Link Rect: 430, 549, 467, 560 Annotation: Subtype: Link Rect: 474, 549, 510, 560 Annotation: Subtype: Link Rect: 223, 514, 260, 525 Annotation: Subtype: Link Rect: 266, 514, 302, 525 Annotation: Subtype: Link Rect: 135, 481, 173, 491 Annotation: Subtype: Link Rect: 485, 457, 522, 468 Annotation: Subtype: Link Rect: 427, 434, 464, 445 Annotation: Subtype: Link Rect: 399, 399, 437, 410 Annotation: Subtype: Link Rect: 156, 366, 194, 376 Annotation: Subtype: Link Rect: 316, 342, 353, 353 Annotation: Subtype: Link Rect: 306, 319, 344, 330 Annotation: Subtype: Link Rect: 480, 284, 516, 295 Annotation: Subtype: Link Rect: 522, 284, 557, 295 Annotation: Subtype: Link Rect: 90, 251, 128, 261 Annotation: Subtype: Link Rect: 134, 251, 170, 261 Annotation: Subtype: Link Rect: 59, 216, 96, 226 Annotation: Subtype: Link Rect: 519, 192, 557, 203 Annotation: Subtype: Link Rect: 59, 182, 95, 192 Annotation: Subtype: Link Rect: 59, 147, 96, 157 Annotation: Subtype: Link Rect: 102, 147, 138, 157 Annotation: Subtype: Link Rect: 398, 112, 436, 123 Checksum: 03af5601 Type: CRC32 Checksum: 56a94204346d83f40278ab877841a6df Type: MD5 Checksum: 3ad7db92bab959683f897478f84ea3c21aedbe21 Type: SHA-1 Checksum: abc088b936c43632b23d95da8f544bb785c3f1db765d88c1e82b9de3764a0d30 Type: SHA-256