Evidence map›Paper›PMID 34024543›Full record

ArticleClinical nutrition ESPEN2021

The validity of the global leadership initiative on malnutrition criteria for diagnosing malnutrition in critically ill patients with COVID-19: A prospective cohort study.

Shaahin Shahbazi, Melika Hajimohammadebrahim-Ketabforoush, Maryam Vahdat Shariatpanahi, Erfan Shahbazi, Zahra Vahdat Shariatpanahi

Abstract readValidation Study
In one paragraph

Article in Clinical nutrition ESPEN, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  17. Impact of malnutrition on clinical outcomes in patients diagnosed with COVID-19.JPEN. Journal of parenteral and enteral nutrition · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Shaahin ShahbaziDepartment of Gastroenterology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran. Electronic address: mdkabe@gmail.com.
Melika Hajimohammadebrahim-KetabforoushDepartment of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: ketabforoshm@gmail.com.
Maryam Vahdat ShariatpanahiDepartment of Psychiatry, Faculty of Medicine, Islamic Azad University of Medical Sciences, Tehran, Iran. Electronic address: drmvahdat@yahoo.com.
Erfan ShahbaziDepartment of Food science, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: ershfst@gmail.com.
Zahra Vahdat ShariatpanahiDepartment of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: nutritiondata@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimWe 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.

methodsIn 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.

resultsMalnutrition, 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.

conclusionMalnutrition 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.

Indexed as

COVID-19Critical IllnessNutritional StatusNutrition AssessmentAdultAgedAnthropometryArea Under CurveBody Mass IndexFemaleGlobal HealthHumansLeadershipMaleMalnutritionMiddle AgedGLIMMortalityNutritional statusNutrition screeningROC curve

Identifiers

PMID34024543
PMCPMC8015411

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.