Correspondence
Letter to the editor about the article “How to detect non-institutionalized older patients at risk of malnutrition during their hospitalization? Comparison of 8 screening tools for malnutrition or nutritional risk”
Carta al editor sobre el artículo «¿Cómo detectar a los pacientes mayores no institucionalizados en riesgo de malnutrición durante su hospitalización? Comparación de 8 herramientas de cribado de malnutrición o de riesgo nutricional»
F.J. Teigell Muñoz
Corresponding author
Medicina Interna, Hospital Universitario Infanta Cristina, Parla, Madrid, Spain
Read
Not available
Timeswas read the article
Total PDF
Total HTML
Share statistics
array:24 [ "pii" => "S2254887424000687" "issn" => "22548874" "doi" => "10.1016/j.rceng.2024.05.001" "estado" => "S300" "fechaPublicacion" => "2024-06-01" "aid" => "2204" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "copyrightAnyo" => "2024" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2024;224:417" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0014256524000912" "issn" => "00142565" "doi" => "10.1016/j.rce.2024.04.012" "estado" => "S300" "fechaPublicacion" => "2024-06-01" "aid" => "2204" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2024;224:417" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Correspondencia</span>" "titulo" => "Carta al editor sobre el artículo «¿Cómo detectar a los pacientes mayores no institucionalizados en riesgo de malnutrición durante su hospitalización? Comparación de 8 herramientas de cribado de malnutrición o de riesgo nutricional»" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "417" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Letter to the editor about the article «How to detect non-institutionalized older patients at risk of malnutrition during their hospitalization? Comparison of 8 screening tools for malnutrition or nutritional risk»" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F.J. Teigell Muñoz" "autores" => array:1 [ 0 => array:2 [ "nombre" => "F.J." "apellidos" => "Teigell Muñoz" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2254887424000687" "doi" => "10.1016/j.rceng.2024.05.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887424000687?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256524000912?idApp=WRCEE" "url" => "/00142565/0000022400000006/v1_202406100411/S0014256524000912/v1_202406100411/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2254887424000699" "issn" => "22548874" "doi" => "10.1016/j.rceng.2024.05.002" "estado" => "S300" "fechaPublicacion" => "2024-06-01" "aid" => "2203" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2024;224:418" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Correspondence</span>" "titulo" => "Letter to the editor about the article “Executive summary of the consensus document on the management of perioperative anemia in Spain”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "418" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Carta al editor «Resumen ejecutivo del documento de consenso sobre el manejo de la anemia perioperatoria en España»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F.J. Teigell Muñoz, M. Mateos-González" "autores" => array:2 [ 0 => array:2 [ "nombre" => "F.J." "apellidos" => "Teigell Muñoz" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Mateos-González" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256524000900" "doi" => "10.1016/j.rce.2024.04.011" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256524000900?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887424000699?idApp=WRCEE" "url" => "/22548874/0000022400000006/v1_202406100423/S2254887424000699/v1_202406100423/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S225488742400078X" "issn" => "22548874" "doi" => "10.1016/j.rceng.2024.05.006" "estado" => "S300" "fechaPublicacion" => "2024-06-01" "aid" => "2202" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "article" "crossmark" => 1 "subdocumento" => "rev" "cita" => "Rev Clin Esp. 2024;224:400-16" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Review</span>" "titulo" => "Diagnostic accuracy of procalcitonin for bacterial infection in the Emergency Department: a systematic review" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "400" "paginaFinal" => "416" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Precisión diagnóstica de la procalcitonina para la infección bacteriana en el servicio de Urgencias: una revisión sistemática" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2372 "Ancho" => 2508 "Tamanyo" => 414959 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Flow chart of the study selection process (according to PRISMA).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Julián-Jiménez, L. García de Guadiana-Romualdo, G. Merinos-Sánchez, D.E. García" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Julián-Jiménez" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "García de Guadiana-Romualdo" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Merinos-Sánchez" ] 3 => array:2 [ "nombre" => "D.E." "apellidos" => "García" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256524000894" "doi" => "10.1016/j.rce.2024.04.010" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256524000894?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225488742400078X?idApp=WRCEE" "url" => "/22548874/0000022400000006/v1_202406100423/S225488742400078X/v1_202406100423/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Correspondence</span>" "titulo" => "Letter to the editor about the article “How to detect non-institutionalized older patients at risk of malnutrition during their hospitalization? Comparison of 8 screening tools for malnutrition or nutritional risk”" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "417" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "F.J. Teigell Muñoz" "autores" => array:1 [ 0 => array:4 [ "nombre" => "F.J." "apellidos" => "Teigell Muñoz" "email" => array:1 [ 0 => "javier.teigell@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Medicina Interna, Hospital Universitario Infanta Cristina, Parla, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Carta al editor sobre el artículo «¿Cómo detectar a los pacientes mayores no institucionalizados en riesgo de malnutrición durante su hospitalización? Comparación de 8 herramientas de cribado de malnutrición o de riesgo nutricional»" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">I have carefully read the work by García-Fuente et al.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> that was recently published in your journal. Disease-related malnutrition (DRM) and sarcopenia are highly prevalent diseases that receive little attention in internal medicine. For this reason, research works in this field should be welcomed. The emergence of the GLIM criteria<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> criteria has facilitated and standardized the diagnosis of DRM. However, there is a great deal of variability in nutritional screening tools, which is why I find the comparison in this work particularly interesting. Nonetheless, I would like to highlight some methodological issues that could modify the interpretation of the results.</p><p id="par0010" class="elsevierStylePara elsevierViewall">In this work, the GLIM criteria<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> are used as a reference that the screening tools studied are compared with. However, these criteria should not be used directly on a population, because as originally described,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> the diagnosis of DRM using the GLIM criteria must be done in two steps: a screening tool must be used and then the GLIM criteria must be used only in patients with a positive screening test. Thus, it would have been more appropriate to use these criteria only in patients with (at least) one positive screening test, not in the entire sample.</p><p id="par0015" class="elsevierStylePara elsevierViewall">In addition, it is striking that arm circumference (AC) was chosen as the only tool for the diagnosis of sarcopenia, especially when the study also collected data on hand grip strength (HGS) and calf circumference (CC), the anthropometric measurement recommended by the EWGSOP2 European consensus on sarcopenia<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> and the Spanish Society of Internal Medicine.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Had patients with reduced CC, diminished HGS, or even those who met an anthropometric criterion (reduced AC or CC) together with low HGS been considered sarcopenic, the prevalence of sarcopenia (and thus DRM) in the population studied could have varied significantly.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "How to detect non-institutionalized older patients at risk of malnutrition during their hospitalization? Comparison of 8 screening tools for malnutrition or nutritional risk" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "I. García-Fuente" 1 => "L. Corral-Gudino" 2 => "M. Gabella-Martín" 3 => "V.E. Olivet-de-la-Fuente" 4 => "J. Pérez-Nieto" 5 => "P. Miramontes-González" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rceng.2024.03.003" "Revista" => array:6 [ "tituloSerie" => "Rev Clin Esp (Barc)" "fecha" => "2024" "volumen" => "224" "paginaInicial" => "217" "paginaFinal" => "224" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/38490479" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "GLIM criteria for the diagnosis of malnutrition: a consensus report from the global clinical nutrition community" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "G.L. Jensen" 1 => "T. Cederholm" 2 => "M.I.T.D. Correia" 3 => "M.C. Gonzalez" 4 => "R. Fukushima" 5 => "T. Higashiguchi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/jpen.1440" "Revista" => array:6 [ "tituloSerie" => "JPEN J Parenter Enteral Nutr" "fecha" => "2019" "volumen" => "43" "numero" => "1" "paginaInicial" => "32" "paginaFinal" => "40" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sarcopenia: revised European consensus on definition and diagnosis" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2" "etal" => true "autores" => array:6 [ 0 => "A.J. Cruz-Jentoft" 1 => "G. Bahat" 2 => "J. Bauer" 3 => "Y. Boirie" 4 => "O. Bruyère" 5 => "T. Cederholm" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/ageing/afy169" "Revista" => array:7 [ "tituloSerie" => "Age Ageing" "fecha" => "2019" "volumen" => "48" "numero" => "1" "paginaInicial" => "16" "paginaFinal" => "31" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30312372" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Infografía sobre Desnutrición Relacionada con la Enfermedad de la Sociedad Española de Medicina Interna. Available from: <a target="_blank" href="https://www.fesemi.org/sites/default/files/documentos/1012.pdf">https://www.fesemi.org/sites/default/files/documentos/1012.pdf</a>." ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022400000006/v1_202406100423/S2254887424000687/v1_202406100423/en/main.assets" "Apartado" => array:4 [ "identificador" => "71813" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Correspondence" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022400000006/v1_202406100423/S2254887424000687/v1_202406100423/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887424000687?idApp=WRCEE" ]
