Nutritional risk and anthropometric evaluation in pediatric liver transplantation
Clinics
; 67(12): 1387-1392, Dec. 2012. ilus, tab
Article
em En
| LILACS
| ID: lil-660465
Biblioteca responsável:
BR1.1
ABSTRACT
OBJECTIVE:
To analyze the nutritional status of pediatric patients after orthotopic liver transplantation and the relationship with short-term clinical outcome.METHOD:
Anthropometric evaluations of 60 children and adolescents after orthotopic liver transplantation, during the first 24 hours in a tertiary pediatric intensive care unit. Nutritional status was determined from the Z score for the following indices weight/age height/age or length/age, weight/height or weight/length, body mass index/age, arm circumference/age and triceps skinfold/age. The severity of liver disease was evaluated using one of the two models which was adequated to the patients' age 1. Pediatric End-stage Liver Disease, 2. Model for End-Stage Liver Disease.RESULTS:
We found 50.0% undernutrition by height/age; 27.3% by weight/age; 11.1% by weight/height or weight/ length; 10.0% by body mass index/age; 61.6% by arm circumference/age and 51.0% by triceps skinfold/age. There was no correlation between nutritional status and Pediatric End-stage Liver Disease or mortality. We found a negative correlation between arm circumference/age and length of hospitalization.CONCLUSION:
Children with chronic liver diseases experience a significant degree of undernutrition, which makes nutritional support an important aspect of therapy. Despite the difficulties in assessment, anthropometric evaluation of the upper limbs is useful to evaluate nutritional status of children before or after liver transplantation.Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Índice de Massa Corporal
/
Estado Nutricional
/
Transplante de Fígado
/
Desnutrição
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Clinics
Assunto da revista:
MEDICINA
Ano de publicação:
2012
Tipo de documento:
Article