Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
INTRODUCTION. Malnutrition has been an undervalued complication in cirrhosis. It is a predictor of clinical deterioration and mortality. Its identification and timely treatment are key in the evolution of the disease. OBJECTIVE. To determine the nutritional status, relationship with the clinical stage and risk factors in cirrhotic patients. MATERIALS AND METHODS. Correlation study. Universe of 111patients and sample of 94 cirrhotic patients from the Liver Clinic of the Sspecialties Eugenio Espejo Hospital of Quito-Ecuador. The data was obtained from the HOSVITAL computer system. Arm muscle circumference was determined and the Liver Disease Undernutrition Screening Tool and Royal Free HospitalNutritional Prioritizing Tool surveys were applied. RESULTS. 94 patients were identified; 40% (38;94) men and 60% (56;94) women. 52% (49;94) had a normal muscle reserve. The Liver Disease Undernutrition Screening Tool survey determined malnutrition in 72% (68;94) of the cases and was statistically significant in relation to the male sex, prolonged evolution time, low muscle reserve and advanced clinical stage (p <0.05). The Royal Free Hospital-Nutritional Prioritizing Tool survey identified a high risk of malnutrition in 36% (34;94) of cases and was statistically significant in relation to hepatic encephalopathy, prolonged evolution, low muscle reserve and advanced clinical stage (p <0.05). CONCLUSION. There was a correlation between nutritional status with clinical stage of cirrhosis and risk factors: male sex, clinical stage, muscle reserve, time of evolution and hepatic encephalopathy.
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