Applicability of the nutritional screening tool royal free hospital-nutritional prioritizing tool in cirrhotic patients and its association with nutritional status.
DOI:
https://doi.org/10.12873/441cervantesKeywords:
Liver Cirrhosis, Nutritional Status, Nutrition Assessment, Malnutrition, Royal Free Hospital-Nutritional Prioritizing Tool, COVID-19, Malnutrition, Anemia, Body Weight, Intensive Care UnitsAbstract
Introduction: Chronic liver disease is defined as the progressive deterioration of liver functions for more than six months. Furthermore, it is considered a continuous process of inflammation, destruction and regeneration of the liver parenchyma, which can progress to fibrosis and cirrhosis. Malnutrition in cirrhotic patients is considered a serious complication, and is often associated with the progression of liver failure and other complications. Patients with advanced liver disease should undergo rapid nutritional screening, as these individuals have worse prognoses associated with malnutrition. Objective: To evaluate the applicability of RFH-NPT as a nutritional screening tool in patients diagnosed with liver cirrhosis. Method: This is a cross-sectional study, carried out with patients over 18 years of age, of both sexes, diagnosed with chronic liver disease. Data collection was carried out using a pre-structured questionnaire formulated based on socioeconomic and lifestyle information. Nutritional assessment was carried out using anthropometric parameters; the RFH-NPT tool was used to assess nutritional risk. The assessment of food consumption patterns was carried out using a semi-quantitative food frequency questionnaire. Results: 53 patients were evaluated, 64.2% male, predominantly elderly (56.6%), with primary education (56.9%). Regarding anthropometric parameters, it was found that BMI is insensitive to identify low weight in cirrhotic patients (13.2%). Regarding RFH-NPT, it was found that nutritional risk was present in 54.7% of those evaluated. Conclusion: The applicability of the screening tool proved to be appropriate for detecting the risk of malnutrition, considering that this screening detected a higher prevalence of patients at nutritional risk, enabling early nutritional intervention and preventing future complications.
References
Asrani SK, Devarbhavi H, Eaton J. Burden of liver diseases in the world. Journal of Hepatology 2019; 70 (1): 151-171.
Delgado LF, Cândido APC, Ronzani FAT. O consumo alimentar de adultos jovens com obesidade e sua relação com a doença hepática gordurosa não alcóolica. Editora Conhecimento Livre 2021, 1 (9).
Jesus RP, Oliveira LPM, Boulhosa RSS. B. Doenças Hepáticas. Nutrição clínica 2019; 8 (4).
Nusrat S, Khan MS, Fazili J, et al. Cirrhosis and its complications: Evidence based treatment. World Journal Gastroenterol. 2014; 20 (18).
Easl - Clinical Practice Guidelines on nutrition in chronic liver disease. Journal Hepatol. 2019; 70 (1): 172-193.
Nunes FF, Bassani L, Fernandes SA, et al. Food consumption of cirrhotic patients, comparison with the nutritional status and disease staging. Arq Gastroenterol 2016; 53 (4).
Oliveira KS, Oliveira LR, Fernandes SA, et al. Malnutrition in cirrhosis: association with etiology and hepatocellular dysfunction. Arq Gastroenterol. 2020; 57 (4).
Nunes G, Santos CA, Barosa R, et al. Outcome and nutritional assessment of chronic liver disease patients using anthropometry and subjective global assessment. Arq Gastroenterol. 2017; 54 (3).
Arora S, Mattina C, Catherine M, et al. PMO-040 The development and validation of a nutritional prioritising tool for use in patients with chronic liver disease 2012; 6 (1).
Jesus RP, Nunes ALB, Magalhães LP. Terapia nutricional nas doenças hepáticas crônicas e insuficiência hepática. Associação Médica Brasileira e Conselho Federal de Medicina 2019; 25 (12).
Ribeiro SML, Zukeran MS. Avaliação Nutricional de Idosos – Teoria e Prática. GEN 2018; 15 (3).
Traub J, Bergheim I, Horvath A, et al. Validation of Malnutrition Screening Tools in Liver Cirrhosis. Nutrients 2020; 12 (6).
Wu Y, Zhu Y, Feng Y, et al. Royal Free Hospital-Nutritional Prioritizing Tool improves the prediction of malnutrition risk outcomes in liver cirrhosis patients compared with Nutritional Risk Screening 2002. British Journal of Nutrition 2020; 14 (12).
Santos KPC, Souza MFC, Salgado MC, et al. Avaliação nutricional de pacientes com doença hepática crônica: comparação entre diferentes métodos. BRASPEN J 2018; 33 (2): 170-175
Georgiou A, Papatheodoridis GV, Alexopoulou A, et al. Evaluation of the effectiveness of eight screening tools in detecting risk of malnutrition in cirrhotic patients: the KIRRHOS study. British Journal of Nutrition 2019; 122(12): 1368-1376.
Barbosa PS, Santos RP, Mendonça JLS. et al. Circunferência do pescoço e sua associação com parâmetros antropométricos de adiposidade corporal em adultos. BRASPEN J 2017; 32 (4): 315-320
Borhofen SM, Gerner C, Lehmann J, et al. The Royal Free Hospital-Nutritional Prioritizing Tool Is an Independent Predictor of Deterioration of Liver Function and Survival in Cirrhosis. Dig Dis Sci 2016; 61: 1735–1743.
Fernandes AS, Bassani L, Nunes FF, et al. Nutritional assessment in patients with cirrhosis. Arq Gastroenterol 2012; 49 (1).
Braga CMSR, Holanda EGM, Barbosa MBC, et al. Detecção presuntiva de aflatoxinas em amendoins comercializados na cidade do Recife, PE, Brasil. Infarma 2017; 29 (2):141-146.
Sousa FIS, Moreira TMV, Medeiros LT, et al. Risco nutricional e desnutrição em pacientes portadores de doença hepática crônica de um hospital universitário. Nutr. clín. diet. hosp. 2020; 40 (1): 106-113.
Petean-Barros IM, Miyazaki MCOS, Fucuta PS. Impacto da desnutrição na qualidade de vida de pacientes com cirrose hepática. Int J Nutrol 2020; 12: 102–108.
Santos AC, Guedes MCS. Aflatoxinas em alimentos: potencial carcinogênico hepático. Centro Universitário Campo Limpo Paulista 2021; 26 (11).
Saueressig C, Ferreira PK, Glasenapp JH. et al. Risco nutricional em pacientes hospitalizados com cirrose descompensada. Clin Biomed Res. 2019; 15 (2).
Sharma A, Nagalli S. Chronic Liver Disease. StatPearls Publishing 2021; 38 (13).
Sharma P, Rauf A, Matin A, et al. Handgrip Strength as an Important Bed Side Tool to Assess Malnutrition in Patient with Liver Disease. J Clin Exp Hepatol. 2017; 7 (1): 16-22.
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