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Traub, J; Bergheim, I; Horvath, A; Stadlbauer, V.
Validation of Malnutrition Screening Tools in Liver Cirrhosis.
Nutrients. 2020; 12(5):
Doi: 10.3390/nu12051306
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- Führende Autor*innen der Med Uni Graz
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Stadlbauer-Köllner Vanessa
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Traub Julia
- Co-Autor*innen der Med Uni Graz
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Horvath Angela
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- Abstract:
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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.
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malnutrition
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liver cirrhosis
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screening
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assessment