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| 1 | Nutritional care in hospitalized patients with chronic liver disease显示文摘AIM: To evaluate the practice of nutritional assessment and management of hospitalised patients with cirrhosis and the impact of malnutrition on their clinical outcome.METHODS: This was a retrospective cohort study on patients with liver cirrhosis consecutively admitted to the Department of Gastroenterology and Hepatology at the Royal Adelaide Hospital over 24 mo. Details were gathered related to the patients' demographics, disease severity, nutritional status and assessment, biochemistry and clinical outcomes. Nutritional status was assessed by a dietician and determined by subjective global assessment. Estimated energy and protein requirements were calculated by Simple Ratio Method. Intake was estimated from dietary history and/or food charts, and represented as a percentage of estimated daily requirements. Median duration of follow up was 14.9(0-41.4) mo. RESULTS: Of the 231 cirrhotic patients(167 male, age: 56.3 ± 0.9 years, 9% Child-Pugh A, 42% ChildPugh B and 49% Child-Pugh C), 131(57%) had formal nutritional assessment during their admission and 74(56%) were judged to have malnutrition. In-hospitalcaloric(15.6 ± 1.2 kcal/kg vs 23.7 ± 2.3 kcal/kg, P = 0.0003) and protein intake(0.65 ± 0.06 g/kg vs 1.01 ± 0.07 g/kg, P = 0.0003) was significantly reduced in patients with malnutrition. Of the malnourished cohort, 12(16%) received enteral nutrition during hospitalisation and only 6(8%) received ongoing dietetic review and assessment following discharge from hospital. The overall mortality was 51%, and was higher in patients with malnutrition compared to those without(HR = 5.29, 95%CI: 2.31-12.1; P < 0.001). CONCLUSION: Malnutrition is common in hospitalised patients with cirrhosis and is associated with higher mortality. Formal nutritional assessment, however, is inadequate. This highlights the need for meticulous nutritional evaluation and management in these patients. | Dep K Huynh Shane P Selvanderan Hugh AJ Harley Richard H Holloway Nam Q Nguyen | 2015 | World Journal of Gastroenterology2015,21,45: | 6 |
| 2 | Hepatitis B surface antigen levels during the natural history of chronic hepatitis B:A perspective on Asia显示文摘 | Nguyen T Thompson AJ Bowden S | | 0,,04: | 1 |
| 3 | Hepatitis B surface antigen levels during the natural history of chronic hepatitis B: a perspective on Asia显示文摘 | Nguyen T Thompson AJ Bowden S | 2010 | J Hepatol2010,,52: | 1 |
| 4 | The changing face of candidemia:emergence of non-candida albicans species and antifungal resistance显示文摘 | Nguyen MH Peacock JE Jr Morris AJ | 1996 | Am J Med1996,100,6: | 1 |
| 5 | Early adoption of transoral robotic surgical program: preliminary outcomes 显示文摘 | Cognetti DM Luginbuhl AJ Nguyen AL | 2012 | Otolaryngol Head Neck Surg2012,147,3: | 1 |
| 6 | Loss of RegI in conjunction with gastrin deficiency in mice facilitates efficient gastric ulcer healing but is dispensable for hyperplasia and tumourigenesis显示文摘 | Peterson AJ Nguyen N Okamoto H | | 0,,1: | 1 |
| 7 | Clinical and immunohistochemical features of 34 solid pseudopapil- lary tumors of the pancreas显示文摘 | Nguyen NQ Johns AL Gill AJ | 2011 | J Gastroenterol Hepa- tol2011,26,2: | 1 |
| 8 | KGF-induced motility of breast cancer cells is dependent on Grb2 and Erk1,2 显示文摘 | Zang XP Siwak DR Nguyen TX et aJ | 2004 | Clin Exp Metastasis2004,21,: | 1 |
| 9 | Serum hepatitis B surface antigen and hepatits B e angtigen titers:disease phase influences correlation with viral load and intrahepatic hepatitis B vierus markers显示文摘 | Thompson AJ Nguyen T Iser D | 2010 | Hepatology2010,51,: | 1 |
| 10 | The relative survival of COPD patients on long-term oxygen therapy in Australia: A comparative study显示文摘 | Cranston JM Nguyen AM Crockett AJ | 2004 | Respirology2004,,2: | 1 |
| 11 | Pathophysiology guided treatment of nonalcoholic steatohepatitis显示文摘 | Nguyen TA Sanyal AJ | 2012 | J Gastroenterol Hepatol2012,27,: | 1 |
| 12 | Serum hepatitis B surface antigen and hepatitis B e antigen titers:dis ease phase influences correlation with viral load and intrahepatic hepatitis B virus mark-ers显示文摘 | Thompson AJ Nguyen T Iser D | | 0,,6: | 1 |
| 13 | Are retinal micro- vascular caliber changes associated with severity of coronary artery disease in symptomatic cardiac patients 显示文摘 | Kreis AJ Nguyen TT Wang JJ | 2009 | Micro- circulation2009,16,: | 1 |
| 14 | Dihydrotestesterone induction of EphB2 expression in the female genital tubercle mimics male pattern of expression during embryogenesis显示文摘 | Lorenzo AJ Nguyen MT Sozubir S | 2003 | J Urol2003,170,4: | 1 |
| 15 | Hepatitis B surface antigen levels during the natural history of chronic hepatitis B : a perspective on Asia 显示文摘 | Nguyen T Thompson AJ Bowden S | 2010 | J Hepatol2010,52,4: | 1 |
| 16 | Optimizing the patient positioning for PICC line tip determination显示文摘 | HaraRo ME Nguyen TH Cohen AJ | 2004 | Emerg Radiol2004,10,4: | 1 |
| 17 | Hepatitis B suiface antigen levels ckirii^ the natural Kistoty of chronic hep- atitis B:a perspective on Asia显示文摘 | NGUYEN T THOMPSON AJ BOWDEN S | 2010 | J Hepatol2010,52,4: | 1 |
| 18 | Microstructural abnor- malities in MEWDS demonstrated by ultrahigh resolution opti- cal coherence tomography显示文摘 | Nguyen MH Witkin AJ Reichel E | 2007 | Retina2007,27,4: | 1 |
| 19 | Opyimizing the Patient Positioning for PICC Line Tip Determination显示文摘 | Harako ME Nguyen TH Cohen AJ | | 0,,04: | 1 |
| 20 | The changing face of candidemia:Emergence of non-candida albicans species and amtifungal resistance显示文摘 | Nguyen MH Peacock JE Morris AJ | 1996 | Am J Med1996,100,6: | 1 |