Comparison between handgrip strength subjective global assessment and prognostic nutritional index in assessing malnutrition and predicting clinical outcome in cirrhotic outpatients.
作者： M.ário Reis Álvares-da-Silva , Themis Reverbel da Silveira
DOI: 10.1016/J.NUT.2004.02.002
关键词: Surgery 、 Malnutrition 、 Severity of illness 、 Protein–energy malnutrition 、 Transplantation 、 Cirrhosis 、 Incidence (epidemiology) 、 Prospective cohort study 、 Cross-sectional study 、 Medicine 、 Internal medicine
摘要: Abstract Objective This study compared three methods of assessing malnutrition in cirrhotics and correlated nutritional status with clinical outcome. Methods cross-sectional evaluated by subjective global assessment (SGA), prognostic index (PNI), handgrip strength (HG) outpatients cirrhosis (n = 50) two control groups hypertension 46) functional gastrointestinal disorders 49). Patients were followed for 1 y to verify the incidence major complications, need transplantation, death. Results Among patients cirrhosis, 88% Child-Pugh A only 12% B. these, prevalences 28% SGA, 18.7% PNI, 63% HG (P Conclusions There was a high prevalence cirrhotic outpatients, especially when assessed HG, which superior SGA PNI this study. technique that predicted significant complications undernourished patients.
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