1
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Nutritional status and screening tools to detect nutritional risk in hospitalized patients with hepatic echinococcosis Translated title: État nutritionnel et outils de dépistage pour détecter le risque nutritionnel chez les patients hospitalisés atteints d’échinococcose hépatique

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background: Echinococcosis is a chronic consumptive liver disease. Little research has been carried out on the nutritional status of infected patients, though liver diseases are often associated with malnutrition. Our study investigated four different nutrition screening tools, to assess nutritional risks of hospitalized patients with echinococcosis. Methods: Nutritional Risk Screening 2002 (NRS 2002), Short Form of Mini Nutritional Assessment (MNA-SF), Malnutrition Universal Screening Tool (MUST), and the Nutrition Risk Index (NRI) were used to assess 164 patients with alveolar echinococcosis (AE) and 232 with cystic echinococcosis (CE). Results were then compared with European Society for Clinical Nutrition and Metabolism (ESPEN) criteria for malnutrition diagnosis. Results: According to ESPEN standards for malnutrition diagnosis, 29.2% of CE patients and 31.1% of AE patients were malnourished. The malnutrition risk rates for CE and AE patients were as follows: NRS 2002 – 40.3% and 30.7%; MUST – 51.5% and 50.9%; MNA-SF – 46.8% and 44.1%; and NRI – 51.1% and 67.4%. In patients with CE, MNA-SF and NRS 2002 results correlated well with ESPEN results ( k = 0.515, 0.496). Area-under-the-curve (AUC) values of MNA-SF and NRS 2002 were 0.803 and 0.776, respectively. For patients with AE, NRS 2002 and MNA-SF results correlated well with ESPEN ( k = 0.555, 0.493). AUC values of NRS 2002 and MNA-SF were 0.776 and 0.792, respectively. Conclusion: This study is the first to analyze hospitalized echinococcosis patients based on these nutritional screening tools. Our results suggest that NRS 2002 and MNA-SF are suitable tools for nutritional screening of inpatients with echinococcosis.

          Translated abstract

          Contexte : L’échinococcose est une maladie hépatique consommatrice chronique. Il existe peu de recherches sur l’état nutritionnel des patients infectés, bien que les maladies du foie soient souvent associées à la malnutrition. Notre étude a examiné quatre différents outils de dépistage nutritionnel, pour évaluer les risques nutritionnels des patients hospitalisés atteints d’échinococcose. Méthodes : Les méthodes Nutritional Risk Screening 2002 (NRS 2002), Short Form of Mini Nutritional Assessment (MNA-SF), Malnutrition Universal Screening Tool (MUST) et Nutrition Risk Index (NRI) ont été utilisées pour évaluer 164 patients atteints d’échinococcose alvéolaire (EA) et 232 avec échinococcose kystique (EK). Les résultats ont ensuite été comparés aux critères de la Société européenne pour la nutrition clinique et le métabolisme (ESPEN) pour le diagnostic de la malnutrition. Résultats : Selon les normes ESPEN pour le diagnostic de la malnutrition, 29,2 % des patients avec EK et 31,1 % des patients avec EA étaient malnutris. Les taux de risque de malnutrition pour les patients EK et EA étaient, respectivement : NRS 2002 - 40,3 % et 30,7 % ; MUST - 51,5 % et 50,9 % ; MNA-SF - 46,8 % et 44,1 % ; NRI - 51,1 % et 67,4 %. Chez les patients atteints d’EK, les résultats de MNA-SF et NRS 2002 étaient bien corrélés aux résultats ESPEN ( k = 0,515, 0,496), et les valeurs de l’aire sous la courbe (ASC) du MNA-SF et du NRS 2002 étaient respectivement de 0,803 et 0,776. Pour les patients atteints d’EA, les résultats NRS 2002 et MNA-SF étaient bien corrélés avec ESPEN ( k = 0,555, 0,493), et les valeurs de l’ASC du NRS 2002 et du MNA-SF étaient respectivement de 0,776 et 0,792. Conclusion : Cette étude est la première à analyser les patients hospitalisés atteints d’échinococcose à partir de ces outils de dépistage nutritionnel. Nos résultats suggèrent que les méthodes NRS 2002 et MNA-SF sont des outils appropriés pour le dépistage nutritionnel des patients hospitalisés atteints d’échinococcose.

          Related collections

          Most cited references 28

          • Record: found
          • Abstract: found
          • Article: not found

          Echinococcosis: Advances in the 21st Century

          SUMMARY Echinococcosis is a zoonosis caused by cestodes of the genus Echinococcus (family Taeniidae). This serious and near-cosmopolitan disease continues to be a significant public health issue, with western China being the area of highest endemicity for both the cystic (CE) and alveolar (AE) forms of echinococcosis. Considerable advances have been made in the 21st century on the genetics, genomics, and molecular epidemiology of the causative parasites, on diagnostic tools, and on treatment techniques and control strategies, including the development and deployment of vaccines. In terms of surgery, new procedures have superseded traditional techniques, and total cystectomy in CE, ex vivo resection with autotransplantation in AE, and percutaneous and perendoscopic procedures in both diseases have improved treatment efficacy and the quality of life of patients. In this review, we summarize recent progress on the biology, epidemiology, diagnosis, management, control, and prevention of CE and AE. Currently there is no alternative drug to albendazole to treat echinococcosis, and new compounds are required urgently. Recently acquired genomic and proteomic information can provide a platform for improving diagnosis and for finding new drug and vaccine targets, with direct impact in the future on the control of echinococcosis, which continues to be a global challenge.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found
            Is Open Access

            Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans.

            The earlier recommendations of the WHO-Informal Working Group on Echinococcosis (WHO-IWGE) for the treatment of human echinococcosis have had considerable impact in different settings worldwide, but the last major revision was published more than 10 years ago. Advances in classification and treatment of echinococcosis prompted experts from different continents to review the current literature, discuss recent achievements and provide a consensus on diagnosis, treatment and follow-up. Among the recognized species, two are of medical importance -Echinococcus granulosus and Echinococcus multilocularis - causing cystic echinococcosis (CE) and alveolar echinococcosis (AE), respectively. For CE, consensus has been obtained on an image-based, stage-specific approach, which is helpful for choosing one of the following options: (1) percutaneous treatment, (2) surgery, (3) anti-infective drug treatment or (4) watch and wait. Clinical decision-making depends also on setting-specific aspects. The usage of an imaging-based classification system is highly recommended. For AE, early diagnosis and radical (tumour-like) surgery followed by anti-infective prophylaxis with albendazole remains one of the key elements. However, most patients with AE are diagnosed at a later stage, when radical surgery (distance of larval to liver tissue of >2cm) cannot be achieved. The backbone of AE treatment remains the continuous medical treatment with albendazole, and if necessary, individualized interventional measures. With this approach, the prognosis can be improved for the majority of patients with AE. The consensus of experts under the aegis of the WHO-IWGE will help promote studies that provide missing evidence to be included in the next update. Copyright 2009 Elsevier B.V. All rights reserved.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF).

              The Mini-Nutritional Assessment (MNA) is a validated assessment instrument for nutritional problems, but its length limits its usefulness for screening. We sought to develop a screening version of this instrument, the MNA-SF, that retains good diagnostic accuracy. We reanalyzed data from France that were used to develop the original MNA and combined these with data collected in Spain and New MEXICO: Of the 881 subjects with complete MNA data, 151 were from France, 400 were from Spain, and 330 were from New MEXICO: Independent ratings of clinical nutritional status were available for 142 of the French subjects. Overall, 73.8% were community dwelling, and mean age was 76.4 years. Items were chosen for the MNA-SF on the basis of item correlation with the total MNA score and with clinical nutritional status, internal consistency, reliability, completeness, and ease of administration. After testing multiple versions, we identified an optimal six-item MNA-SF total score ranging from 0 to 14. The cut-point score for MNA-SF was calculated using clinical nutritional status as the gold standard (n = 142) and using the total MNA score (n = 881). The MNA-SF was strongly correlated with the total MNA score (r = .945). Using an MNA-SF score of > or = 11 as normal, sensitivity was 97.9%, specificity was 100%, and diagnostic accuracy was 98.7% for predicting undernutrition. The MNA-SF can identify persons with undernutrition and can be used in a two-step screening process in which persons, identified as "at risk" on the MNA-SF, would receive additional assessment to confirm the diagnosis and plan interventions.
                Bookmark

                Author and article information

                Journal
                Parasite
                Parasite
                parasite
                Parasite
                EDP Sciences
                1252-607X
                1776-1042
                2020
                23 December 2020
                : 27
                : ( publisher-idID: parasite/2020/01 )
                Affiliations
                [1 ] Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University Xining 810001 PR China
                [2 ] Qinghai University Xining 810001 PR China
                [3 ] Department of Otorhinolaryngology, The Affiliated Hospital of Qinghai University Xining 810001 PR China
                [4 ] Qinghai Province Key Laboratory of Hydatid Disease Research Xining 810001 PR China
                [5 ] Department of Emergency Surgery, The Affiliated Hospital of Henan University of Science and Technology Luoyang PR China
                Author notes
                [* ]Corresponding author: fanhaining@ 123456medmail.com.cn
                Article
                parasite200083 10.1051/parasite/2020071
                10.1051/parasite/2020071
                7758020
                © Z. Wang et al., published by EDP Sciences, 2020

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                Page count
                Figures: 0, Tables: 6, Equations: 0, References: 26, Pages: 9
                Categories
                Research Article

                Comments

                Comment on this article