A Study of Malnutrition among Chronic Liver Disease Patients

Butt, Shaheen; Ahmed, Parvez Iftekhar; Liaqat, Perveen; Ahmad, Hajira

doi:10.3923/pjn.2009.1465.1471

Cited by 9 publications

(19 citation statements)

References 22 publications

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“…The majority of the patients in this study had advanced cirrhosis of the liver (Child-Pugh C in 31,54% and Child-Pugh B in 49,32%) similar to earlier studies (22,23). An earlier study (30) has contrasted to our study and showed less advanced chronic liver disease (Child-Pugh C in 15% and Child-Pugh B in 35%).…”

Section: Discussionsupporting

confidence: 69%

“…Among patients with cirrhosis and portal hypertension, malnutrition is associated with significantly higher in-hospital mortality and hospital resource utilization (18) Earlier studies of patients with cirrhosis reported rates of malnutrition as high as 65-90% (19)(20)(21). This study shows the mean age of presentation as 44,20±SD 13,61 years, while earlier study (22) (22,28). Alcohol has been proven to be the commonest reason of liver cirrhosis in the Western countries, while in our study, it was the rarest aetiology, probably due to religious prohibition of alcohol among Muslims.…”

Section: Discussioncontrasting

confidence: 51%

“…An earlier (22) local study has shown that 82.6% of patients had mild to moderate degree of malnutrition, while 41,6% had moderate to severe malnutrition. The above study did not categorize the patients according to the RFH-GA modified scheme and showed overall BMI, MAMC and TSF in patients of liver cirrhosis.…”

Section: Discussionmentioning

confidence: 99%

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Determining the frequency and severity of malnutrition and correlating it with the severity of liver cirrhosis

Naqvi

Mahmood²,

Salekeen³

et al. 2013

Turk J Gastroenterol

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Section: Discussionsupporting

confidence: 69%

Section: Discussioncontrasting

confidence: 51%

See 1 more Smart Citation

Determining the frequency and severity of malnutrition and correlating it with the severity of liver cirrhosis

Naqvi

Mahmood²,

Salekeen³

et al. 2013

Turk J Gastroenterol

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show abstract

“…Alcohol found as the commonest cause of liver cirrhosis in western countries contrasted to our study due to religious prohibition among Muslims. Most of the patients in this study (65.99%) had overall decompensated cirrhosis with further scoring of (Child-Pugh C 61.22%, 31.87% Child-Pugh B and 6.90% child Pugh A) which is similar to earlier studies [32] [33]. An earlier study [34] has contrasted to our study and showed less advanced chronic liver disease (ChildPugh C 15% and 35% Child-Pugh B).…”

Section: Discussioncontrasting

confidence: 56%

Infections in Cirrhotics: Types, Microbiological Spectrum and Risk Factors—5-Year Cohort Study

Naqvi¹,

Mahmood²,

Talib³

et al. 2014

OJGas

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Cirrhosis is an immunocompromised state that leads to various infections, with an estimated 30% mortality. Pakistan already has a high morbidity and mortality related to complications of cirrhosis. Where the data on infection among cirrhotics is scanty, this study aimed to determine the frequency, microbiological spectrum and various risk factors of infections in cirrhosis of liver. This is a prospective cohort study conducted at a tertiary care hospital. The microbiological spectrum and frequency of infections was determined in cirrhotics.

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“…Pakistan has a high burden of liver cirrhosis with advance disease Child Turcott Pugh (CTP) stage B and C [14, 15]. Patients with cirrhosis of the liver have a higher rate of complications and an overall increased mortality.…”

Section: Introductionmentioning

confidence: 99%

The heart matters when the liver shatters! Cirrhotic cardiomyopathy: frequency, comparison, and correlation with severity of disease

Naqvi

Mahmood

Naeem

et al. 2016

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IntroductionCirrhotic cardiomyopathy is a visor complication among patients with cirrhosis of the liver, manifesting during stress, exertion, transjuglar intrahepatic portosystemic shunt (TIPS), or liver transplantation. Cirrhotic cardiomyopathy is reported to be most common cause of post transplant mortality after rejection of 7% to 21%.AimTo determine the frequency of cirrhotic cardiomyopathy and was further designed to compare parameters of cardiac dysfunction in patients with or without cirrhotic cardiomyopathy.Material and methodsAll confirmed cases of cirrhosis with various aetiologies were enrolled. Resting ejection fraction (EF) was determined in all patients. Patients were grouped with resting EF < 55% (suspected cardiomyopathy) or > 55% (without cardiomyopathy). Stress echocardiography with dobutamine infusion in both groups yielded an increase of less than 10% in left ventricular (LV) EF at peak dobutamine infusion confirming systolic dysfunction. The diastolic dysfunction (E/A ratio), electrocardiographic parameter (prolong QT interval), and cardiac biomarker (NT-proBNP) were also determined in both the groups to confirm cirrhotic cardiomyopathy.ResultsAmong 89 patients with cirrhosis, 35 (39.32%) had cirrhotic cardiomyopathy. All components of cirrhotic cardiomyopathy, like systolic dysfunction, diastolic dysfunction, prolong QT interval, and cardiac biomarkers, were found to be statistically significant (p = 0.001) when compared with patients without cardiomyopathy. Cirrhotic cardiomyopathy parameters were positively correlated with advancing liver disease.ConclusionsCirrhotic cardiomyopathy is a frequent but unmasked complication in cirrhosis of the liver. All components of cardiac dysfunction, such as systolic, diastolic, and electrocardiographic changes, are present in patients with cirrhotic cardiomyopathy. Cirrhotic cardiomyopathy is positively correlated to severity of liver disease.

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A Study of Malnutrition among Chronic Liver Disease Patients

Cited by 9 publications

References 22 publications

Determining the frequency and severity of malnutrition and correlating it with the severity of liver cirrhosis

Determining the frequency and severity of malnutrition and correlating it with the severity of liver cirrhosis

Infections in Cirrhotics: Types, Microbiological Spectrum and Risk Factors—5-Year Cohort Study

The heart matters when the liver shatters! Cirrhotic cardiomyopathy: frequency, comparison, and correlation with severity of disease

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