학술지
| 발행연도 | 2025/11/30 | ||
|---|---|---|---|
| 권 | 13 | 호 | 3 |
| 페이지 | 111-21(-89) | ||
| 제목 | Usefulness of the Geriatric Nutritional Risk Index for Sarcopenia Screening in Older Inpatients with Community-Acquired Pneumonia: A Cross-Sectional Study | ||
| 저자 | ■ Hyun-Jae WOO1*, Kazuhide TOMITA2 | ||
| 교신저자 | Hyun-Jae Woo | ||
| 소속 | ■1* Wakayama Professional University of Rehabilitation, 2 Ibaraki Prefectural University of Health Sciences | ||
| Abstract | The present study aimed to evaluate the usefulness of the Geriatric Nutritional Risk Index (GNRI), a malnutrition screening tool, for screening sarcopenia in older inpatients with community-acquired pneumonia (CAP). Methods: A secondary cross-sectional analysis was performed using data from 95 patients aged ≥65 years who were hospitalized for CAP b etween April 2017 and March 2019. The GNRI was u sed to a ssess nutritional status, and sarcopenia was diagnosed on the basis of the 2019 Asian Working Group for Sarcopenia criteria. Receiver operating characteristic curve analysis w as u sed to d etermine t he diagnostic p erformance o f GNRI. Results: Among participants, 27%, 28%, and 17% had mild, moderate, and severe malnutrition risk, respectively. The prevalence rate of sarcopenia was 59%. The GNRI showed good discriminatory ability for sarcopenia (area under the curve = 0.845; 95% confidence interval: 0.763–0.926). The optimal GNRI cutoff was 91.9, with a sensitivity and specificity of 85.5% and 75.6%, respectively. Conclusion: The GNRI may be a simple and effective tool for screening sarcopenia in older patients with CAP. Early identification may support timely intervention and improve outcomes in geriatric care. | ||
| 키워드 | geriatric nutritional risk index; sarcopenia; community-acquired pneumonia; hospitalized older adults; nutritional assessment; screening tools | ||