Malnutrition and its association with the mortality in liver cirrhosis; a prospective nutritional assessment in two referral centers in Iran

医学 肝硬化 内科学 营养不良 前瞻性队列研究 重症监护医学 介绍 环境卫生 老年学 家庭医学
作者
Fereshteh Pashayee-Khamene,Melika Hajimohammadebrahim-Ketabforoush,Mohammad Amin Shahrbaf,Saeede Saadati,Sara Karimi,Behzad Hatami,Bahram Rashidkhani,Saleheh Ahmadzadeh,Hamed Kord‐Varkaneh,Azita Hekmatdoost
出处
期刊:Clinical nutrition ESPEN [Elsevier BV]
卷期号:54: 453-458 被引量:4
标识
DOI:10.1016/j.clnesp.2023.02.021
摘要

Introduction Liver cirrhosis is a chronic condition caused by different conditions including viral infection, alcoholism, and autoimmune disorders. Malnutrition is one of the complications of liver cirrhosis that is associated with poor outcomes. This study aimed to determine the association of malnutrition with mortality in liver cirrhosis patients. Methods This prospective cross-sectional study was conducted on liver cirrhosis patients who were referred to two referral centers for liver disease in Tehran, Iran. Patients’ information including demographics (age, gender, etiology of cirrhosis, alcohol and smoking history) in addition to triceps skinfold (TSF), mid-arm circumference (MAC), Child-Pugh score and Model for End-Stage Liver Disease (MELD) score were recorded in all patients. Patients were classified into A, B, and C categories based on the Subjective Global Assessment (SGA) questionnaire. Results Among 121 participants (68.6%) were males and the mean age was 54.78. Viral infections were the most common etiology and 65 patients (56.2%) were in the classification A of Child-Pugh Score. TSF (P = 0.001) and MAC (P = 0.003) were significantly lower in SGA class C. The survival rate in SGA class C was significantly lower than other groups (P < 0.001; log-rank test). The risk of mortality in patients with SGA class A and B was 85% (HR value: 0.15; 95% CI: 0.02–0.87; P = 0.03) and 76% (HR value: 0.24; 95% CI: 0.06–0.83; P = 0.02) lower than those with SGA class C. Conclusion Anthropometric and SGA measure are two easy and accessible methods for assessing malnutrition and mortality in liver cirrhosis patients.
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