Copyright
©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 7, 2015; 21(45): 12835-12842
Published online Dec 7, 2015. doi: 10.3748/wjg.v21.i45.12835
Published online Dec 7, 2015. doi: 10.3748/wjg.v21.i45.12835
Nutritional care in hospitalized patients with chronic liver disease
Dep K Huynh, Shane P Selvanderan, Hugh AJ Harley, Richard H Holloway, Nam Q Nguyen, Discipline of Medicine, University of Adelaide, North Terrace, Adelaide 5000, South Australia, Australia
Dep K Huynh, Hugh AJ Harley, Richard H Holloway, Nam Q Nguyen, Department of Gastroenterology and Hepatology, Royal Adelaide Hospital, North Terrace, Adelaide 5000, South Australia, Australia
Author contributions: Huynh DK, Nguyen NQ contributed to study concept and design, acquisition, analysis and interpretation of data; statistical analysis and drafting of the manuscript; Selvanderan SP contributed to data acquisition and revision of the manuscript; Harley HAJ contributed to study concept; analysis and interpretation of data and revision of the manuscript; Holloway RH contributed to study concept, analysis and interpretation of data and critical revision of manuscript for important intellectual content.
Institutional review board statement: This study was reviewed and approved by the Royal Adelaide Hospital Research Ethics Committee.
Informed consent statement: The need to obtain informed consent from subjects was waived by the Royal Adelaide Hospital Research Ethics Committee.
Conflict-of-interest statement: The authors do not have any conflict of interest to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dep K Huynh, MBBS, FRACP, Department of Gastroenterology and Hepatology, Royal Adelaide Hospital, North Terrace, Adelaide 5000, South Australia, Australia. dep.huynh@health.sa.gov.au
Telephone: +61-8-82225214 Fax: +61-8-82225885
Received: April 16, 2015
Peer-review started: April 18, 2015
First decision: May 18, 2015
Revised: June 11, 2015
Accepted: September 2, 2015
Article in press: September 2, 2015
Published online: December 7, 2015
Peer-review started: April 18, 2015
First decision: May 18, 2015
Revised: June 11, 2015
Accepted: September 2, 2015
Article in press: September 2, 2015
Published online: December 7, 2015
Core Tip
Core tip: This is the first study to highlight the lack of nutritional assessment of hospitalised patients with cirrhosis. Despite the well-established prognostic value of nutrition, our study showed that almost half of hospitalized patients with cirrhosis did not have a formal nutritional assessment. The prevalence of malnutrition in this group of patients was high (56%) and in-hospital dietary intake was substantially reduced, even in patients with normal subjective global assessment. We also confirmed that malnutrition was an independent predictor of both short-term and long-term mortality.