The Investigation Of Nutritional Risk And Undernutrition In Cirrhosis Patients In A Tertiary Hospital In Taiyuan

Objective:(1). To investigate the prevalence of nutritional risk, undernutrition, overweight and obesity in gastroenterology inpatients in a tertiary hospital in Taiyuan.(2). To analyze the related factors to nutritional risk and undernourishment in patients with cirrhosis. Methods:The clinical date of all patients in the wards of Gastroenterology were consecutively recorded from July 2013 to September 2015, NRS2002 was used to identify the nutritional risk and undernutrition.Nutritional laboratory indicators, complications, the Child-Pugh grade,length of hospitalization and discharge outcomes of liver cirrhosis were also recorded.The data were then statistically analyzed. Results:In 579 cases of with cirrhosis which were enrolled, 257 patients(44.4%) were at nutritional risk; 117 patients(20.2%) were at undernutrition. HBV occupied a higher proportion(33.2%) in the cause of cirrhosis. The nutritional risk rates of Child-pughA, B and C grade were 33.2%, 49.3% and 52.5%(P<0.001). There was statistically significant(P<0.001) difference between Class A and B grade, C grade, not statistically significant(P=0.580) difference between Class B and Class C. The rates of nutritional risk(51.8%) and undernutrition(24.9%) were higher in patients with complications(P<0.001, P=0.003). Nine patients died during hospitalization, 8 of them were at nutritional risk in admission, the difference was statistically significant(P=0.018). Conclusions:There was a higher rate of nutritional risk which had positive correlation with disease severity in patients with liver cirrhosis. Who was at nutritional risk had a higher mortality rate during hospitalization. The long-term follow-up of nutritional status and nutrition intervention need further research.