New criteria for diagnosis of malnutrition – what do they say?
Authors:
Mgr. Ing. Tereza Vágnerová
Authors‘ workplace:
Geriatrická klinika 1. LF UK a VFN Praha Lůžka včasné rehabilitace iktového centra 1. LF UK a VFN Praha
Published in:
Geriatrie a Gerontologie 2019, 8, č. 1: 20-26
Category:
Review Article
Overview
Correct diagnostics of malnutrition or insufficient nutrition is currently being given increased attention. Adequate intervention tailored to the patient with professionally diagnosed stage and ethology of malnutrition has an undeniable effect on the patient’s successful treatment and overall prognosis. The malnutrition diagnosis, however, is becoming difficult to assess in the current chaos of different criteria and approaches even for experts in the field. The concept of nutrition disorders itself according to the International Classification of Diseases (ICD-10) does not always correspond with modern concept and terminology of malnutrition commonly used in clinical practice and research. It is therefore appropriate to ask - can we correctly identify the patient’s diagnosis? Do we understand what “nutritional” diagnosis we actually determine and why are we deciding for it? The new Global Leadership Initiative on Malnutrition (GLIM) seeks to be the answer to these questions. GLIM brings a strong global consensus of malnutrition classification in clinical practice through a two-step model for malnutrition risk assessment and diagnosis. This is described according to the recommendation below.
Keywords:
malnutrition – nutritional screening – diagnostic criteria – nutrition assessment
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