Nutritional risk and anthropometric evaluation in pediatric liver transplantation
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/52282 |
Resumo: | 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. |
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Nutritional risk and anthropometric evaluation in pediatric liver transplantation Nutritional AssessmentAnthropometryLiver TransplantationChildrenPediatric Intensive Care Unit 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. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2012-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/5228210.6061/clinics/2012(12)07Clinics; Vol. 67 No. 12 (2012); 1387-1392 Clinics; v. 67 n. 12 (2012); 1387-1392 Clinics; Vol. 67 Núm. 12 (2012); 1387-1392 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/52282/56309Zamberlan, PatríciaLeone, CláudioTannuri, UenisCarvalho, Werther Brunow deDelgado, Artur Figueiredoinfo:eu-repo/semantics/openAccess2013-03-08T20:00:00Zoai:revistas.usp.br:article/52282Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2013-03-08T20:00Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Nutritional risk and anthropometric evaluation in pediatric liver transplantation |
title |
Nutritional risk and anthropometric evaluation in pediatric liver transplantation |
spellingShingle |
Nutritional risk and anthropometric evaluation in pediatric liver transplantation Zamberlan, Patrícia Nutritional Assessment Anthropometry Liver Transplantation Children Pediatric Intensive Care Unit |
title_short |
Nutritional risk and anthropometric evaluation in pediatric liver transplantation |
title_full |
Nutritional risk and anthropometric evaluation in pediatric liver transplantation |
title_fullStr |
Nutritional risk and anthropometric evaluation in pediatric liver transplantation |
title_full_unstemmed |
Nutritional risk and anthropometric evaluation in pediatric liver transplantation |
title_sort |
Nutritional risk and anthropometric evaluation in pediatric liver transplantation |
author |
Zamberlan, Patrícia |
author_facet |
Zamberlan, Patrícia Leone, Cláudio Tannuri, Uenis Carvalho, Werther Brunow de Delgado, Artur Figueiredo |
author_role |
author |
author2 |
Leone, Cláudio Tannuri, Uenis Carvalho, Werther Brunow de Delgado, Artur Figueiredo |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Zamberlan, Patrícia Leone, Cláudio Tannuri, Uenis Carvalho, Werther Brunow de Delgado, Artur Figueiredo |
dc.subject.por.fl_str_mv |
Nutritional Assessment Anthropometry Liver Transplantation Children Pediatric Intensive Care Unit |
topic |
Nutritional Assessment Anthropometry Liver Transplantation Children Pediatric Intensive Care Unit |
description |
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. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/52282 10.6061/clinics/2012(12)07 |
url |
https://www.revistas.usp.br/clinics/article/view/52282 |
identifier_str_mv |
10.6061/clinics/2012(12)07 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/52282/56309 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 67 No. 12 (2012); 1387-1392 Clinics; v. 67 n. 12 (2012); 1387-1392 Clinics; Vol. 67 Núm. 12 (2012); 1387-1392 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222759325794304 |