Prevalence of Protein-Energy Wasting in Dialysis Patients Using a Practical Online Tool to Compare with Other Nutritional Scores : Results of the Nutrendial Study
Arias-Guillén, M. (Hospital Clínic i Provincial de Barcelona)
Collado, S. (Parc de Salut MAR de Barcelona)
Coll, Elisabet (Institut d'Investigació Biomèdica Sant Pau)
Carreras, J. (Centre Diaverum Baix Llobregat. Diaverum)
Betancourt, L. (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Romano, B. (Hospital Clínic i Provincial de Barcelona)
Fernández, M. (Parc de Salut MAR de Barcelona)
Duarte Gallego, Verónica (Hospital Universitari MútuaTerrassa (Terrassa, Catalunya))
Garro, J. (Hospital Universitari Joan XXIII de Tarragona)
Soler, J. (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
González, J.C. (Hospital de Mollet)
Calabia, Jordi (Hospital Universitari de Girona Doctor Josep Trueta)

Date:	2022
Abstract:	This cross-sectional study aims to explore the prevalence of protein-energy wasting (PEW) in dialysis patients in Catalonia, Spain, using a new and practical online tool which enables rapid calculation and comparison with other nutritional scores. Methods: A web tool (Nutrendial) was created to introduce different variables and automatically calculate PEW, Malnutrition inflammation Score (MIS) and Subjective Global Assessment (SGA) in 1389 patients (88% in haemodialysis (HD)), 12% in peritoneal dialysis (PD) from different regions of Catalonia. Results: A prevalence of 23. 3% (26% HD, 10. 2% PD) of PEW was found, with a mean MIS score of 6 and SGA score of C in 7% of the patients. ROC analysis showed MIS as the best nutritional score to diagnose PEW (AUC 0. 85). Albumin delivered lower diagnostic precision (AUC 0. 77) and sensitivity (66%). A cut off point of 7 (86% sensitivity and 75% specificity) for MIS and 3. 7 mg/dL for albumin were found to predict the appearance of PEW in this population. SGA B or C showed an 87% sensitivity and 55% specificity to diagnose PEW. Very low nutritional intervention (14%) was recorded with this tool in patients with PEW. Conclusions: This new online tool facilitated the calculation of PEW, enabling different professionals-including nephrologists, dieticians and nurses-to efficiently obtain insights into the nutritional status of the Catalonian dialysis population and implement the required nutritional interventions. MIS is the score with more sensitivity to diagnose PEW.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Protein-energy wasting ; Online tool ; Dialysis ; Nutritional assessment ; Malnutrition inflammation score ; Subjective global assessment
Published in:	Nutrients, Vol. 14 Núm. 16 (august 2022) , p. 3375, ISSN 2072-6643

DOI: 10.3390/nu14163375
PMID: 36014879

11 p, 1.7 MB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Parc Taulí Research and Innovation Institute (I3PT
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles