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Gastroenterology Research and Practice
Volume 2017 (2017), Article ID 8348390, 5 pages
https://doi.org/10.1155/2017/8348390
Research Article

Subjective Global Assessment and Handgrip Strength as Predictive Factors in Patients with Liver Cirrhosis

1Gastroenterology Department, Fundeni Clinical Institute, Bucharest, Romania
2“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
3“Victor Babes” Hospital, Bucharest, Romania
4“Agrippa Ionescu” Clinical Emergency Hospital, Bucharest, Romania

Correspondence should be addressed to Mircea Mănuc; moc.oohay@cubpehortsag

Received 6 March 2017; Accepted 11 June 2017; Published 18 July 2017

Academic Editor: Massimiliano Berretta

Copyright © 2017 Maria Ciocîrlan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background and Aims. Malnutrition is common in patients with chronic liver disease. We aimed to evaluate malnutrition assessment tools in predicting severity and survival of patients with liver cirrhosis. Material and Methods. We examined patients with liver cirrhosis. Nutritional evaluation was performed on admission, using subjective global assessment (SGA), handgrip strength (HGS), and anthropometry. Patients were followed up for 6 months. Results. We included 100 patients, 72 men, with mean age of 59.2 years. According to disease severity, patients were 23% Child-Pugh A, 46% Child-Pugh B, and 31% Child-Pugh C. SGA and HGS significantly correlated with Child-Pugh, MELD, and MELD-Na scores on admission. At 6 months follow-up, 80.4% (78 of 97) of patients survived, while 3 patients were lost from observation. Survival was predicted by SGA (1 death in 32 patients SGA A, 8 deaths in 46 patients SGA B, and 9 deaths in 19 patients SGA C, ) and HGS (25.1 ± 8.5 in deceased versus 30.6 ± 10.9 in survivors, ). The mean BMI and MAMC values did not significantly differ between patients who survived or were deceased at 6 months. Conclusion. HGS and SGA may predict severity and short-term survival in cirrhotic patients.