目的:本范围综述旨在确定和绘制使用GLIM标准在住院患者中进行营养不良诊断的文献。
方法:范围审查使用JoannaBriggs研究所的方法进行。我们搜索了PubMed,Embase,Scopus,和WebofScience(至2022年4月16日)确定基于“人口”(成人或老年患者)的研究,“概念”(根据GLIM标准进行营养不良诊断),和\'context\'(医院设置)框架。标题/摘要进行了筛选,两名独立审核员从符合条件的研究中提取数据.
结果:96项研究符合资格(35.4%来自中国,30.2%涉及肿瘤患者,和30.5%的前瞻性数据收集),32遵循两步GLIM方法,和50应用所有的标准。所有研究都评估了体重指数(BMI),而92.7%的人评估了体重减轻;77.1%,肌肉质量;93.8%,炎症;和70.8%,能量摄入。在5项(肌肉质量评估)至40项研究(能量摄入评估)中,观察到缺乏用于标准评估的方法的详细信息。使用GLIM标准的频率范围为22.2%(低BMI的频率)至84.7%(炎症的频率),营养不良患病率从0.96%到87.9%不等。不到30%的研究旨在评估GLIM标准的有效性,八项研究引用了GLIM标准验证指南,少数人实施了它。
结论:这张关于医院环境中GLIM标准的研究图表明,它们以不同的方式应用,广泛的营养不良患病率。几乎50%的研究应用了所有的标准,而三分之一的人遵循简单的两步法。准则验证指南的建议几乎没有得到遵守。强调了未来研究中需要探索的差距。
This scoping
review aimed to identify and map the literature on malnutrition diagnosis made using the
GLIM criteria in hospitalized patients.
The scoping
review was conducted using the Joanna Briggs Institute\'s methodology. We searched PubMed, Embase, Scopus, and Web of Science (until 16 April 2022) to identify studies based on the \'population\' (adults or elderly patients), \'concept\' (malnutrition diagnosis by the
GLIM criteria), and \'context\' (hospital settings) framework. Titles/abstracts were screened, and two independent reviewers extracted data from eligible studies.
Ninety-six studies were eligible (35.4% from China, 30.2% involving oncological patients, and 30.5% with prospective data collection), 32 followed the two-step GLIM approach, and 50 applied all the criteria. All the studies evaluated body mass index (BMI), while 92.7% evaluated weight loss; 77.1%, muscle mass; 93.8%, inflammation; and 70.8%, energy intake. A lack of details on the methods adopted for criterion evaluation was observed in five (muscle mass evaluation) to 40 studies (energy intake evaluation). The frequency of the use of the GLIM criteria ranged from 22.2% (frequency of low BMI) to 84.7% (frequency of inflammation), and the malnutrition prevalence ranged from 0.96% to 87.9%. Less than 30% of studies aimed to assess the GLIM criterion validity, eight studies cited the guidance on validation of the
GLIM criteria, and a minority implemented it.
This map of studies on the GLIM criteria in hospital settings demonstrated that they are applied in a heterogeneous manner, with a wide range of malnutrition prevalence. Almost 50% of the studies applied all the criteria, while one-third followed the straightforward two-step approach. The recommendations of the guidance on validation of the criteria were scarcely adhered to. The gaps that need to be explored in future studies have been highlighted.