Nutrition therapy: Integral part of liver transplant care

Table 2 Subjective Global Assessment for patients on waiting list for transplantation[31] performance

Subjective Global Assessment

I. History

A. Weight

Height_______ Current weight______

Pre-illness weight _____

Weight in past 6 months: High_____ Low______

Overall change in past 6 months:_________

B. Appetite

Dietary intake change relative to normal

Appetite in past two weeks: ____good ____fair ____poor

Early satiety: _____none _____1-2 weeks _____ > 2 weeks

Taste changes: _____none _____1-2 weeks _____ > 2 weeks

C. Current intake per recall

Calories____ Protein______

Calories needs _____ Protein needs______

D. Persistent gastrointestinal symptoms

Nausea: _____none _____1-2 weeks _____ > 2 weeks

Vomiting: _____none _____1-2 weeks _____ > 2 weeks

Diarrhea (loose stools, > 3/day)

Number of stools per day_____/Consistency______

_____none _____1 weeks _____ > 1 weeks

Constipation: _____none _____1-2 weeks _____ > 2 weeks

Difficulty chewing: _____none _____1-2 weeks _____ > 2 weeks

Difficulty swallowing: _____none _____1-2 weeks _____ > 2 weeks

E. Functional capacity

_____ No dysfunction ____Dysfunction

_____ weeks

_____ working suboptimally

_____ ambulatory

_____ bedridden

II. Physical exam

A. Status of subcutaneous fat (triceps, chest)

_____ good stores _____ fair stores _____poor stores

B. Muscle wasting (quadriceps, deltoids, shoulders)

_____none _____mild to moderate _____ severe

C. Edema and ascites

_____none _____ mild to moderate _____ severe

III. Existing conditions

A.Encephalopathy

_____ none _____ stage I-II _____stage III _____ stage IV

B.Chronic or recurrent infection

_____ none _____ 1 week _____> 1 week

C.Kidney function

_____good/_____decreased (no dialysis)/_____decreased (with dialysis)

D.Varices

_____none/_____ varices (no bleeds)/_____ varices (with bleeds)

IV. Subjective Global Assessment Rating (based on sections I, II, III)

A._____ Well nourished

B._____ Moderately malnourished (or suspected of being malnourished)

C.______ Severely malnourished