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首页> 外文期刊>Journal of Clinical and Diagnostic Research >The Effect of Nutritional Status on Outcome of Hospitalization in Paediatric Liver Disease Patients
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The Effect of Nutritional Status on Outcome of Hospitalization in Paediatric Liver Disease Patients

机译：营养状况对小儿肝病患者住院结局的影响

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Introduction: Liver is an important organ for metabolism. It has a major role in integrating the various biochemical pathways of metabolism. Thus, children with chronic liver disease are at high risk for developing undernutrition, with important prognostic implications.Aim: To evaluate the nutritional status of hospitalized paediatric liver disease patients and its effect on outcome.Materials and Methods: We prospectively analysed the nutritional status of 59 consecutive patients during their first 24 hours of admission, at the Hepatology Unit, using the following indices: weight/age, height/age, weight/height, Body Mass Index (BMI), arm circumference and triceps skinfold, subcapular skinfold, and mid upper arm circumference.Results: According to the measurements: 35.6% were underweight, 49% were stunted, 10% were wasted by weight for length/height percentile and 5% were wasted by body mass index, 49% had percentage of ideal body weight below normal, 27% had head circumference below 3rd percentile, 59.4% had triceps skinfold thickness below 5th percentile, 66% had subscapular skinfold thickness below 5th percentile; 56% had arm circumference below 5th percentile. There was no correlation between these growth parameters and mortality. However, we found a positive correlation between decreased triceps skinfold thickness and prolonged hospital stay. Malnourished patients, according to triceps skinfold thickness, were significantly younger and they were the ones who suffered from cholestatic disorders of infancy.Conclusion: Only triceps skinfold thickness was found to be a useful predictor for a prolonged hospital stay. Serial measurements may be more effective.
机译：简介：肝脏是新陈代谢的重要器官。它在整合代谢的各种生化途径中起着重要作用。因此，患有慢性肝病的儿童营养不良的风险很高，具有重要的预后意义。目的：评估住院小儿肝病患者的营养状况及其对结局的影响。材料与方法：我们前瞻性地分析了儿童的营养状况。在入院的头24小时内，在肝病科连续59例患者，使用以下指标：体重/年龄，身高/年龄，体重/身高，体重指数（BMI），臂围和肱三头肌皮褶、,下皮褶皱和结果：根据测量结果：体重不足35.6％，发育不良49％，体重/身高百分比的体重浪费了10％，体重指数浪费了5％，理想体重百分比占49％体重低于正常; 27％的头围低于第3个百分点; 59.4％的肱三头肌皮褶厚度低于第5个百分点; 66％的肩sub下皮褶厚度低于5个百分点; 56％的臂围低于5个百分点。这些生长参数与死亡率之间没有相关性。但是，我们发现肱三头肌皮肤褶皱厚度减少与住院时间延长之间存在正相关。营养不良的患者，根据三头肌的皮褶厚度，明显年轻，他们是患胆汁淤积性婴儿期疾病的患者。结论：只有三头肌的皮褶厚度是延长住院时间的有用预测指标。串行测量可能更有效。

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