Cirrhotic patients with malnutritional status Albumin less than 3.5 mg/dl or patient graded subjective global assessment more than 4 mid arm circumference less than normal population cirrhosis malnutrition
Conditions
Interventions
Our study take a short peroid nutritional education then give one of nutritional guide and 3months nutritional record book.,Only nutritional education peroid and guide book.
CMU nutrition guidance group,control group
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
20 Years to 75 Years
Inclusion criteria
Inclusion criteria: Age 20-75 years Diagnosed cirrhosis(CTP B/C) and imaging study confirmed Risk of malnutrition Serum albumin < 3.5 mg/dL BMI ≤ 18.5 kg/m2 or Scored Patient-Generated Subjective Global Assessment ≥ 4 or Midarm muscle circumference (MAMC) ≤ 23.4 cm. for male, ≤ 21.3 cm. for female
Exclusion criteria
Exclusion criteria: Malnutrition associated disease Advanced chronic disease : Heart failure, Chronic kidney disease Stage ≥ 3, Insulin dependent diabetic mellitus Protein loosing disease : Protein loosing enteropathy, Nephrotic syndrome, active exfoliative skin disease Active malignancy Problem of enteral feeding : Dysphagia, bowel obstruction Intravenous albumin used Data collection ≤ 75 %
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Nutritional status 3 and 6 months albumin level, transferrin level, Improvement of CTP score | — |
Secondary
| Measure | Time frame |
|---|---|
| risk factor of malnutrition in cirrhotic patients 3 and 6 months collect factors of cirrhotic patients | — |
Contacts
Public ContactAmorn Sankhaanurak
Faculty of medicine, Chiangmai university
Outcome results
None listed