Abstract
Background and aim: We conducted the present study to investigate the nutritional status of critically ill COVID-19 patients and validate the GLIM criteria with respect to the SGA.
Methods: In this prospective cohort study, 109 ICU patients were assessed for malnutrition based on GLIM and SGA criteria. The relation between nutrition assessment tools and duration of hospitalization and mortality were also evaluated. The sensitivity and specificity of GLIM criteria concerning the detection of malnutrition was assessed based on the area under the curve.
Results: Malnutrition, according to the SGA and GLIM criteria, was found in 68 (62.4%) and 66 (61.5%) of our subjects. There was an optimal agreement between the GLIM criteria and the SGA criteria regarding malnutrition diagnosis (K = 0.85, P < 0.001). The area under curve for the GLIM was stratified based on the SGA results and was 0.927 (95% CI: 0.868-0.985) with a sensitivity and specificity of 92% and 93%, respectively.
Conclusion: Malnutrition is frequently observed in critically ill COVID-19 patients. GLIM criteria is a valid tool and has a strong association with mortality and longer duration of ICU stay.
Keywords: GLIM; Mortality; Nutrition screening; Nutritional status; ROC curve.
【저자키워드】 Mortality, nutritional status, GLIM, Nutrition screening, ROC curve., 【초록키워드】 nutrition, Diagnosis, prospective cohort study, ICU, Critically ill, Sensitivity and specificity, Malnutrition, COVID-19 patients, association, COVID-19 patient, ROC Curve, nutritional status, critically ill COVID-19 patients, criteria, duration of hospitalization, ICU patient, Nutrition Assessment, evaluated, conducted, subjects, concerning, stratified, were assessed, 【제목키워드】 prospective cohort study, Validity, criteria, Critically ill patient, diagnosing,