TY - JOUR
T1 - VA cooperative study on alcoholic hepatitis II
T2 - Prognostic significance of protein-calorie malnutrition
AU - Mendenhall, C. L.
AU - Tosch, T.
AU - Weesner, R. E.
AU - Garcia-Pont, P.
AU - Goldberg, S. J.
AU - Kiernan, T.
AU - Seeff, L. B.
AU - Sorell, M.
AU - Tamburro, C.
AU - Zetterman, R.
PY - 1986
Y1 - 1986
N2 - Three hundred and fifty-two patients with alcoholic hepatitis were evaluated for protein-calorie malnutrition (PCM). In order to facilitate data analysis of nutritional status, a PCM score was calculated for each patient using eight nutritional parameters. The PCM score correlated significantly with mortality, clinical severity of the liver disease, and biochemical liver dysfunction. When 30 day changes in the PCM scores were compared with 30 day caloric intake (expressed as percent basal energy expenditure (BEE)), a marginally significant correlation was observed (p = 0.05). However, those patients who showed improvement in their PCM score over 30 days of hospitalization also improved their 6-mo and 1-yr survival. These data indicate that nutrition, as determined by the PCM score, has prognostic significance. Additional studies are needed to establish the beneficial role for vigorous protein-calorie nutritional therapy in the management of alcoholic hepatitis.
AB - Three hundred and fifty-two patients with alcoholic hepatitis were evaluated for protein-calorie malnutrition (PCM). In order to facilitate data analysis of nutritional status, a PCM score was calculated for each patient using eight nutritional parameters. The PCM score correlated significantly with mortality, clinical severity of the liver disease, and biochemical liver dysfunction. When 30 day changes in the PCM scores were compared with 30 day caloric intake (expressed as percent basal energy expenditure (BEE)), a marginally significant correlation was observed (p = 0.05). However, those patients who showed improvement in their PCM score over 30 days of hospitalization also improved their 6-mo and 1-yr survival. These data indicate that nutrition, as determined by the PCM score, has prognostic significance. Additional studies are needed to establish the beneficial role for vigorous protein-calorie nutritional therapy in the management of alcoholic hepatitis.
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U2 - 10.1093/ajcn/43.2.213
DO - 10.1093/ajcn/43.2.213
M3 - Article
C2 - 3080866
AN - SCOPUS:0022585550
SN - 0002-9165
VL - 43
SP - 213
EP - 218
JO - American Journal of Clinical Nutrition
JF - American Journal of Clinical Nutrition
IS - 2
ER -