Royal Free Hospital-Nutritional Prioritizing Tool improves the prediction of malnutrition risk outcomes in liver cirrhosis patients compared with Nutritional Risk Screening 2002

• DOI: 10.1017/s0007114520002366
• Publication Date: 2020-06-30T06:42:23Z
• Authors: Yuchao Wu; Yage Zhu; Yali Feng; Ruojing Wang; Naijuan Yao; Mengmeng Zhang; Xiaohui Liu; Huan Liu; Lei Shi; Li Zhu; Nan Yang; Hongmei Chen; Jinfeng Liu; Yingren Zhao; Yuan Yang
• Keywords: Adult; Liver Cirrhosis; Male; 2. Zero hunger; China; Malnutrition; Nutritional Status; Reproducibility of Results; Full Papers; Middle Aged; Risk Assessment; Severity of Illness Index; 3. Good health; Hospitalization; 03 medical and health sciences; Nutrition Assessment; 0302 clinical medicine; Predictive Value of Tests; Prevalence; Humans; Mass Screening; Female; Prospective Studies

The European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines recommend the Royal Free Hospital-Nutritional Prioritizing Tool (RFH-NPT) to identify malnutrition risk in patients with liver disease. However, little is known about application of RFH-NPT screen China, where primarily suffer from hepatitis virus-related cirrhosis. A total 155 cirrhosis without cancer or uncontrolled co-morbid illness were enrolled this prospective study. We administered Nutritional Risk Screening 2002 (NRS-2002), RFH-NPT, Malnutrition Universal (MUST) Liver Disease Undernutrition (LDUST) within 24 h after admission performed follow-up observations 1·5 years. NRS-2002 had higher sensitivities (64·8 52·4 %) specificities (60 70 than other tools regard screening cirrhotic patients. prevalence nutritional was under use against (63 v. 51 %). tended more easily detect advanced Child-Pugh classes (B C) lower Model End-stage scores (<15) compared NRS-2002. score an independent predictive factor mortality. Patients identified as being at high a mortality rate those low risk; same result not obtained Therefore, we suggest that using improves ability clinicians predict caused by virus infection earlier stage.