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KMID : 0614620140640050284
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Korean Journal of Gastroenterology
2014 Volume.64 No. 5 p.284 ~ p.289
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Comparison of Malnutrition Risk between Patients with Liver Cirrhosis and Viral Hepatitis Carrier: A Single Center Study
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Lee Joo-Ah
Lee Tae-Hee
Kim Ji-Young
Seok Min-Gyu
Kang Min-Kyu
Jeong Ji-Hyun
Koo Hoon-Sup
Song Kyung-Ho
Kim Yong-Seok
Kim Sun-Moon
Huh Kyu-Chan
Choi Young-Woo
Kang Young-Woo
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Abstract
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Background/Aims: It is well-known that patients with chronic liver disease commonly have nutritional deficiency. In the present study, we investigated the differences in malnutrition risk between patients with liver cirrhosis and viral hepatitis carrier.
Methods: Patients with chronic liver disease who have been hospitalized at Konyang University Hospital from May 2012 to April 2013 were analyzed retrospectively. The malnutrition risk was divided into three categories (low, intermediate, and high) according to Konyang University Hospital Malnutrition Screening, which include BMI, serum albumin, total lymphocyte count (TLC), hemoglobin, weight change, appetite, and dysphagia, within 24 hours of hospitalization.
Results: Among a total of 460 patients, 313 had liver cirrhosis (LC), and 147 were viral hepatitis carriers. Age (p＜0.001), serum albumin level (p＜0.001), TLC (p=0.011), hemoglobin (p＜0.001) and serum cholesterol level (p=0.005) were significant different between the two groups. However, there were no difference in height, weight, and BMI. The malnutrition risk of the patients with viral hepatitis carrier was significantly lower than that of the patients with LC (p＜0.001). In addition, among 313 patients with LC, malnutrition risk of the patients with Child-Pugh class A (n=150) was significantly lower than that of the patients with class B (n=90) or C (n=73) (p＜0.001).
Conclusions: Viral hepatitis carrier group had significantly lower malnutrition risk than LC group. The risk of malnutrition in Child-Pugh class A group was significantly lower than that in class B or C group.
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KEYWORD
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Hepatitis, viral, human, Liver cirrhosis, Malnutrition
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