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oai:recercat.cat:11351/94502025-10-24T08:28:46Zcom_2072_451660com_2072_378040col_2072_451662

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 Guillen, Marta Coll, Elisabeth COLLADO NIETO, SILVIA Carreras, Jordi Betancourt , loreley Romano, Barbara DUARTE, VERONICA [Arias-Guillén M] Renal Transplantation and Nephrology Department, Hospital Clinic de Barcelona, Barcelona, Spain. [Collado S] Nephrology Department, Hospital del Mar-Parc de Salut Mar, Barcelona, Spain. [Coll E] Nephrology Department, Fundació Puigvert, Barcelona, Spain. [Carreras J] Centre Diaverum Baix Llobregat, L'Hospitalet del Llobregat, Spain. [Betancourt L] Nephrology Department, Corporació Sanitaria Parc Taulí, Sabadell, Spain. [Romano B] Nutrition and Dietetic Unit, Hospital Clinic de Barcelona, Barcelona, Spain. [Duarte V] Departament de Nefrologia, Hospital de Terrassa, Consorci Sanitari de Terrassa, Terrassa, Spain Consorci Sanitari de Terrassa Diàlisi Desnutrició Inflamació ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Chemistry Techniques, Analytical::Dialysis DISEASES::Nutritional and Metabolic Diseases::Nutrition Disorders::Malnutrition DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Inflammation TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::técnicas de química analítica::diálisis ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::inflamación ENFERMEDADES::enfermedades nutricionales y metabólicas::trastornos nutricionales::desnutrición Diàlisi; Puntuació d'inflamació de desnutrició; Valoració nutricional Diálisis; Puntuación de inflamación de desnutrición; Valoración nutricional Dialysis; Malnutrition inflammation score; Nutritional 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. 2023-05-03T09:46:19Z 2023-05-03T09:46:19Z 2022-08-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Arias-Guillén M, Collado S, Coll E, Carreras J, Betancourt L, Romano B, Duarte V, et al. 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. https://hdl.handle.net/11351/9450 10.3390/nu14163375 36014879 http://hdl.handle.net/11351/9450 eng Nutrients;14(16) https://doi.org/10.3390/nu14163375 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess application/pdf MDPI Scientia