@article{2987612,
    title = "Evaluation of the effectiveness of eight screening tools in detecting risk of malnutrition in cirrhotic patients: the KIRRHOS study",
    author = "Georgiou, A. and Papatheodoridis, G.V. and Alexopoulou, A. and Deutsch, M. and Vlachogiannakos, I. and Ioannidou, P. and Papageorgiou, M.-V. and Papadopoulos, N. and Tsibouris, P. and Prapa, A. and Yannakoulia, M. and Kontogianni, M.D.",
    journal = "British Journal of Nutrition",
    year = "2019",
    volume = "122",
    number = "12",
    pages = "1368-1376",
    publisher = "Cambridge University Press",
    issn = "0007-1145, 1475-2662",
    doi = "10.1017/S0007114519002277",
    keywords = "adult;  aging;  Article;  Birmingham Nutritional Risk Score;  clinical effectiveness;  cross-sectional study;  diagnostic procedure;  female;  human;  liver cirrhosis;  Liver Disease Undernutrition Screening Tool;  major clinical study;  male;  malnutrition;  Malnutrition Screening Tool;  Malnutrition Universal Screening Tool;  middle aged;  Model For End Stage Liver Disease Score;  mortality rate;  Nutritional Risk Index;  Nutritional Risk Screening;  prevalence;  prognosis;  questionnaire;  risk factor;  Royal Free Hospital Nutritional Prioritizing Tool;  scoring system;  sensitivity and specificity;  sex ratio;  Short Nutritional Assessment Questionnaire;  survival factor;  aged;  anthropometry;  area under the curve;  complication;  liver cirrhosis;  malnutrition;  nutritional assessment;  nutritional status;  predictive value;  prospective study;  receiver operating characteristic;  risk assessment, Adult;  Aged;  Anthropometry;  Area Under Curve;  Cross-Sectional Studies;  Female;  Humans;  Liver Cirrhosis;  Male;  Malnutrition;  Middle Aged;  Nutrition Assessment;  Nutritional Status;  Predictive Value of Tests;  Prevalence;  Prospective Studies;  Risk Assessment;  ROC Curve;  Surveys and Questionnaires",
    abstract = "Malnutrition risk screening in cirrhotic patients is crucial, as poor nutritional status negatively affects disease prognosis and survival. Given that a variety of malnutrition screening tools is usually used in routine clinical practice, the effectiveness of eight screening tools in detecting malnutrition risk in cirrhotic patients was sought. A total of 170 patients (57·1 % male, 59·4 (sd 10·5) years, 50·6 % decompensated ones) with cirrhosis of various aetiologies were enrolled. Nutritional screening was performed using the Malnutrition Universal Screening Tool, Nutritional Risk Index, Malnutrition Screening Tool, Nutritional Risk Screening (NRS-2002), Birmingham Nutritional Risk Score, Short Nutritional Assessment Questionnaire, Royal Free Hospital Nutritional Prioritizing Tool (RFH-NPT) and Liver Disease Undernutrition Screening Tool (LDUST). Malnutrition diagnosis was defined using the Subjective Global Assessment (SGA). Data on 1-year survival were available for 145 patients. The prevalence of malnutrition risk varied according to the screening tools used, with a range of 13·5-54·1 %. RFH-NPT and LDUST were the most accurate in detecting malnutrition (AUC = 0·885 and 0·892, respectively) with a high sensitivity (97·4 and 94·9 %, respectively) and fair specificity (73·3 and 58 %, respectively). Malnutrition according to SGA was an independent prognostic factor of within 1-year mortality (relative risk was 2·17 (95 % CI 1·0, 4·7), P = 0·049) after adjustment for sex, age, disease aetiology and Model for End-stage Liver Disease score, whereas nutrition risk according to RFH-NPT, LDUST and NRS-2002 showed no association. RFH-NPT and LDUST were the only screening tools that proved to be accurate in detecting malnutrition in cirrhotic patients. © The Authors 2019."
}