Malnutrition: laboratory markers vs nutritional assessment

Bharadwaj, Shishira; Ginoya, Shaiva; Tandon, Parul; Gohel, Tushar; Guirguis, John; Vallabh, Hiren; Jevenn, Andrea; Hanouneh, Ibrahim A.

doi:10.1093/gastro/gow013

Cited by 302 publications

(326 citation statements)

References 82 publications

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“…So, further studies are needed to show the effectiveness of albumin infusion in aspects of general or malnourished geriatric patients. Although albumin is a popular serum marker as the determinant of nutritional status recently it's noted that albumin is good for detecting inflammatory process rather than undernourishment [13].…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analyses of 200 Patients Over 65 Years Receiving Albumin Treatment in Intensive Care Unit

Çevik¹,

Yüce²

2018

AJCMR

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The aim of this study is to evaluate the effectiveness of albumin infusion in critically ill geriatric patients and discuss the prognostic impact on mortality. This study is a retrospective analysis of patients with hypoalbuminemia (≤2.5 g/dl) over 65 years and older followed-up in a 38-bed-mixed medical-surgical tertiary intensive care unit (ICU) of a 650-bed-academic hospital affiliated to University of Health Sciences in İstanbul during 1-year-period. We collected the data including sex, cause of admission, length of stay, duration of mechanical ventilation and APACHE II scores from patients' medical records. The amount of albumin infused per patient and laboratory evaluation concerning albumin levels was processed by hospital electronic database. Overall 200 patients were included study. Among the patients, 90 (45%) were female, and 110 (53.5%) were male with overall mean age of 78.62±7.63 years. The cause of admission was due to non-surgical reasons in 119(59.5%) patients. Mean length of stay and mechanical ventilation time was significantly higher in non-survivors. The amount of albumin used per patient was similar in both study groups (p=0.276). Pretreatment level of serum album was 2.15±0.28 g/dl and 2.10±0.31 g/dl in both groups respectively (p=0.364) having no significant increase after treatment (p=0.352). In the non-survivors group, APACHE II score was significantly high. Long-term mortality ratio was significantly high which indicated that albumin had no beneficial effect on long-term mortality. The albumin transfusion in critically ill patients over 65 years old has no considerable effect on the treatment of hypoalbuminemia and ICU mortality.

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Section: Discussionmentioning

confidence: 99%

Retrospective Analyses of 200 Patients Over 65 Years Receiving Albumin Treatment in Intensive Care Unit

Çevik¹,

Yüce²

2018

AJCMR

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“…Levels <1,500/mm 3 correlate with malnutrition, and those <900/mm 3 reflects severe malnutrition (15).…”

Section: Laboratory Parametersmentioning

confidence: 97%

“…MAC can be measured at the same point as the TSF with a tape. A decline in subcutaneous fat and overall body muscle mass is a significant indicator of malnutrition and low levels of them correlate well with morbidity and mortality (15).…”

Section: Anthropometric Measurementsmentioning

confidence: 99%

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Assessment of nutritional status in laparoscopic gastrectomy for gastric cancer

Son¹,

Kwon²,

Ryu³

2017

Transl. Gastroenterol. Hepatol.

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“…Body mass index (BMI) as one of anthropometric measurements is a clinically available and objective variable with a fairly wide-spread use [7]. Biochemical parameters, such as hemoglobin, total lymphocyte count (TLC), albumin and cholesterol levels, are also objective measurements reflecting nutritional status [8]. The history and self-reported questionnaires to evaluate nutrition are not applicable to VS and MCS patients.…”

Section: Introductionmentioning

confidence: 99%

Nutritional Assessment in Vegetative and Minimally Conscious Patients

2017

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Highlights• The vegetative state (VS) and minimal conscious state (MCS) patients in rehabilitation center have normal range of body mass index (BMI) and biochemical parameters, including hemoglobin, lymphocyte, albumin and cholesterol.• The duration from onset has a positive correlation with BMI, and a negative correlation with cholesterol level.• This study suggests that regular and properly prescribed enteral feeding in VS and MCS patients would supply stable and appropriate nutrition. ABSTRACTThe aim of this study is to investigate the nutritional status in vegetative state (VS) and minimally conscious state (MCS) patients, and to identify correlation between the duration from onset and indices indicating nutritional status. This study included a total of 37 VS and MCS patients. For nutrition assessment, the body mass index (BMI), biochemical parameters such as hemoglobin, total lymphocyte count, albumin and cholesterol levels were measured. The mean BMI was 21.31 ± 2.81 kg/m 2 . Only 4 patients (10.81%) were classified as underweight, 24 patients (64.86%) had normal BMI, 6 patients (16.22%) were overweight, and 3 patients (8.11%) were obese. The partial correlation coefficients showed that duration from onset has a positive correlation with BMI, and a negative correlation with cholesterol level. This study suggests that regular and properly prescribed enteral feeding in VS and MCS patients would supply stable and appropriate nutrition. Further study is needed with additional nutrition assessments reflecting muscle mass.

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Malnutrition: laboratory markers vs nutritional assessment

Cited by 302 publications

References 82 publications

Retrospective Analyses of 200 Patients Over 65 Years Receiving Albumin Treatment in Intensive Care Unit

Retrospective Analyses of 200 Patients Over 65 Years Receiving Albumin Treatment in Intensive Care Unit

Assessment of nutritional status in laparoscopic gastrectomy for gastric cancer

Nutritional Assessment in Vegetative and Minimally Conscious Patients

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