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Nutrition assessment in patients undergoing liver transplant.

Bakshi N, Singh K - Indian J Crit Care Med (2014)

Bottom Line: Liver transplantation (LT) is a major surgery performed on patients with end stage liver disease.Nutrition status has been associated with various factors which are related to the success of liver transplant such as morbidity, mortality, and length of hospital stay.To assess the nutritional status of preliver transplant patients, combinations of nutrition assessment methods should be used like subjective global assessment, Anthropometry mid arm-muscle circumference, Bioelectrical impedance analysis (BIA) and handgrip strength.

View Article: PubMed Central - PubMed

Affiliation: Lady Irwin College, Department of Foods and Nutrition, University of Delhi, New Delhi, India.

ABSTRACT
Liver transplantation (LT) is a major surgery performed on patients with end stage liver disease. Nutrition is an integral part of patient care, and protein-energy malnutrition is almost universally present in patients suffering from liver disease undergoing LT. Nutrition assessment of preliver transplant phase helps to make a good nutrition care plan for the patients. Nutrition status has been associated with various factors which are related to the success of liver transplant such as morbidity, mortality, and length of hospital stay. To assess the nutritional status of preliver transplant patients, combinations of nutrition assessment methods should be used like subjective global assessment, Anthropometry mid arm-muscle circumference, Bioelectrical impedance analysis (BIA) and handgrip strength.

No MeSH data available.


Related in: MedlinePlus

Components of subjective global assessment for liver transplant patients [1343444546]
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Figure 1: Components of subjective global assessment for liver transplant patients [1343444546]

Mentions: No gold-standard evaluation exists to determine the extent of malnutrition in patients with ESLD. Traditional nutritional parameters such as weight loss, serum protein concentrations, TLC, delayed hypersensitivity testing, urinary 3-methylhistidine excretion, and creatinine-height index may be affected by liver disease or its symptoms. Five features of the history are elicited by subjective global assessment [Figure 1]. The first is weight loss in the previous 6-month, expressed as both kilograms and proportionate loss. Weight less that 5% considered as a “small” loss, between 5% and 10% as a “potentially significant” loss, and >10% as a “definitely significant” loss. Also the rate of weight loss and its pattern are considered. The second feature of the history is dietary intake in relation to a patient's usual pattern. Patients are classified first as having normal or abnormal intake. The duration and degree of abnormal intake are also noted (starvation, hypo caloric liquids, full liquid diet, suboptimal solid diet). The third feature of the history is the presence of significant gastrointestinal symptoms (anorexia, nausea, vomiting, and diarrhea). These symptoms have persisted on virtually a daily basis for a period longer than 2 weeks. Short-duration diarrhea or intermittent vomiting is not considered significant. Daily or twice daily vomiting secondary to obstruction is considered significant. The fourth feature of the history is the patient's functional capacity or energy level (bedridden to full capacity). The last feature of the history concerns the metabolic demands of the patient's underlying disease state. There are four features of the physical examination which are noted as either normal (0), mild (1+), moderate (2+), or severe (3+)


Nutrition assessment in patients undergoing liver transplant.

Bakshi N, Singh K - Indian J Crit Care Med (2014)

Components of subjective global assessment for liver transplant patients [1343444546]
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4195198&req=5

Figure 1: Components of subjective global assessment for liver transplant patients [1343444546]
Mentions: No gold-standard evaluation exists to determine the extent of malnutrition in patients with ESLD. Traditional nutritional parameters such as weight loss, serum protein concentrations, TLC, delayed hypersensitivity testing, urinary 3-methylhistidine excretion, and creatinine-height index may be affected by liver disease or its symptoms. Five features of the history are elicited by subjective global assessment [Figure 1]. The first is weight loss in the previous 6-month, expressed as both kilograms and proportionate loss. Weight less that 5% considered as a “small” loss, between 5% and 10% as a “potentially significant” loss, and >10% as a “definitely significant” loss. Also the rate of weight loss and its pattern are considered. The second feature of the history is dietary intake in relation to a patient's usual pattern. Patients are classified first as having normal or abnormal intake. The duration and degree of abnormal intake are also noted (starvation, hypo caloric liquids, full liquid diet, suboptimal solid diet). The third feature of the history is the presence of significant gastrointestinal symptoms (anorexia, nausea, vomiting, and diarrhea). These symptoms have persisted on virtually a daily basis for a period longer than 2 weeks. Short-duration diarrhea or intermittent vomiting is not considered significant. Daily or twice daily vomiting secondary to obstruction is considered significant. The fourth feature of the history is the patient's functional capacity or energy level (bedridden to full capacity). The last feature of the history concerns the metabolic demands of the patient's underlying disease state. There are four features of the physical examination which are noted as either normal (0), mild (1+), moderate (2+), or severe (3+)

Bottom Line: Liver transplantation (LT) is a major surgery performed on patients with end stage liver disease.Nutrition status has been associated with various factors which are related to the success of liver transplant such as morbidity, mortality, and length of hospital stay.To assess the nutritional status of preliver transplant patients, combinations of nutrition assessment methods should be used like subjective global assessment, Anthropometry mid arm-muscle circumference, Bioelectrical impedance analysis (BIA) and handgrip strength.

View Article: PubMed Central - PubMed

Affiliation: Lady Irwin College, Department of Foods and Nutrition, University of Delhi, New Delhi, India.

ABSTRACT
Liver transplantation (LT) is a major surgery performed on patients with end stage liver disease. Nutrition is an integral part of patient care, and protein-energy malnutrition is almost universally present in patients suffering from liver disease undergoing LT. Nutrition assessment of preliver transplant phase helps to make a good nutrition care plan for the patients. Nutrition status has been associated with various factors which are related to the success of liver transplant such as morbidity, mortality, and length of hospital stay. To assess the nutritional status of preliver transplant patients, combinations of nutrition assessment methods should be used like subjective global assessment, Anthropometry mid arm-muscle circumference, Bioelectrical impedance analysis (BIA) and handgrip strength.

No MeSH data available.


Related in: MedlinePlus