2012, Number 1
RCAN 2012; 22 (1)
Diagnostic quality of an algorithm combining clinical and anthropometric elements for the nutritional assessment of the patient with liver cirrhosis
Castellanos FMI, Santana PS
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ABSTRACTNutritional diagnosis of the patient with Liver Cirrhosis (LC) has been dealt previously by the authors. The diagnostic quality of an algorithm combining Subjective Global Assessment (SGA) with measurement of Arm Circumference is presented in the present work. The proposed algorithm was applied in 355 cirrhotic patients assisted at ambulatory specialized services of the hospitals where the authors work. Diagnostic quality of the proposed algorithm was similar to that observed with other procedures relying on extensive anthropometric measurements, biochemical determinations, or the use of SGA. Given the absence of local guidelines about the nutritional assessment of this class of patient, and the impossibility of having specialized equipment in other environments, the algorithm proposed in this work constitutes a commendable alternative that has been validated by the authors´s experience.