2026-04-14T08:30:25Zhttps://recercat.cat/oai/request

oai:recercat.cat:10230/557112026-02-13T11:08:10Zcom_2072_6col_2072_452952

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, Marta Collado, Silvia Coll, Elisabeth Carreras, Jordi Betancourt, Loreley Romano, Bárbara Fernández, Marisol Duarte, Verónica Garro, Julia Soler-Majoral, Jordi González, Juan Carlos Calabia, Jordi Dialysis Malnutrition inflammation score Nutritional assessment Online tool Protein-energy wasting Subjective global assessment 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. 2023-02-10T07:30:44Z 2023-02-10T07:30:44Z 2022 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Arias-Guillén M, Collado S, Coll E, Carreras J, Betancourt L, Romano B, Fernández M, Duarte V, Garro J, Soler J, González JC, Calabia J. Prevalence of protein-energy wasting in dialysis patients using a practical online tool to compare with other nutritional scores: Results of the nutrendial study. Nutrients. 2022 Aug 17;14(16):3375. DOI: 10.3390/nu14163375 2072-6643 http://hdl.handle.net/10230/55711 http://dx.doi.org/10.3390/nu14163375 eng Nutrients. 2022 Aug 17;14(16):3375 © 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 application/pdf application/pdf MDPI