Nutritional Assessment in Inpatients With Cirrhosis Can Be Improved After Training and Is Associated With Lower Readmissions

Reuter Bradley; Shaw Jawaid; Hanson Jennifer; Tate Victoria; Acharya Chathur; Bajaj Jasmohan S.

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Nutritional Assessment in Inpatients With Cirrhosis Can Be Improved After Training and Is Associated With Lower Readmissions

机译：在培训后可以改善肝硬化的住院患者的营养评估，并与降低入伍有关

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> Malnutrition is widely prevalent in cirrhosis patients, which can worsen sarcopenia, hepatic encephalopathy (HE), and overall prognosis. We aimed to define the frequency of nutritional assessments of patients with cirrhosis in retrospective and prospective (after educational training) cohorts and to evaluate prospective changes along with their effects on 90‐day readmissions. This study was conducted in 2 phases. Retrospectively, records of hospitalized patients with cirrhosis from the university and Veterans Affairs Medical Center (VAMC) settings were reviewed to assess nutritional status, if a nutrition consultation occurred, the number of days patients were nil per os (npo) and received inadequate nutrition, and if nutritional management was guideline directed. In the prospective phase, after dedicated educational efforts directed at the stakeholders regarding nutritional guidelines for patients with cirrhosis, subsequently hospitalized cirrhosis patients had nutritional and 90‐day readmission data collected for comparison between groups. In total, 279 patients were included in the retrospective phase (150 university/129 VAMC), and 102 VAMC patients were in the prospective phase. Cirrhosis severity, reason for admission, and hospital course were similar between groups regardless of cohort, ie, prospective versus retrospective or VAMC versus university. The prospective group had significantly more nutritional consultations and assessments (74.5% versus 40.1%; P ?

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《Liver transplantation: official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society》 |2019年第12期|共10页
作者
Reuter Bradley; Shaw Jawaid; Hanson Jennifer; Tate Victoria; Acharya Chathur; Bajaj Jasmohan S.;
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作者单位

Department of Medicine Hepatology and NutritionVirginia Commonwealth University and McGuire Veterans Affairs Medical CenterRichmond VA;

Department of Medicine Hepatology and NutritionVirginia Commonwealth University and McGuire Veterans Affairs Medical CenterRichmond VA;

Department of Nutrition Hepatology and NutritionVirginia Commonwealth University and McGuire Veterans Affairs Medical CenterRichmond VA;

Department of Nutrition Hepatology and NutritionVirginia Commonwealth University and McGuire Veterans Affairs Medical CenterRichmond VA;

Division of Gastroenterology Hepatology and NutritionVirginia Commonwealth University and McGuire Veterans Affairs Medical CenterRichmond VA;

Division of Gastroenterology Hepatology and NutritionVirginia Commonwealth University and McGuire Veterans Affairs Medical CenterRichmond VA;

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正文语种 eng
中图分类肝及肝管;腹部外科学;
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5. Predictors Of 30-Day Readmission In Patients Hospitalized With Decompensated Cirrhosis in a Large State Based Inpatient Sample [J] . Ghazala Sehem, Knapp Shannon, Calhoun Elizabeth A., Hepatology: Official Journal of the American Association for the Study of Liver Diseases . 2016,第S1期

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Nutritional Assessment in Inpatients With Cirrhosis Can Be Improved After Training and Is Associated With Lower Readmissions

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