2026-04-14T06:17:55Zhttps://recercat.cat/oai/requestoai:recercat.cat:10230/557112026-02-13T11:08:10Zcom_2072_6col_2072_452952
RECERCAT
author
Arias-Guillén, Marta
author
Collado, Silvia
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Coll, Elisabeth
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Carreras, Jordi
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Betancourt, Loreley
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Romano, Bárbara
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Fernández, Marisol
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Duarte, Verónica
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Garro, Julia
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Soler-Majoral, Jordi
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González, Juan Carlos
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Calabia, Jordi
2023-02-10T07:30:44Z2023-02-10T07:30:44Z2022
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.
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). https://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess
Dialysis
Malnutrition inflammation score
Nutritional assessment
Online tool
Protein-energy wasting
Subjective global assessment
Prevalence of protein-energy wasting in dialysis patients using a practical online tool to compare with other nutritional scores: Results of the nutrendial study
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion