{
  "abstract": "Malnutrition and muscle mass loss (sarcopenia) are associated with a higher rate of complications in patients with cirrhosis. There are a number of tools to assess nutritional status but only the Royal Free Hospital Global Assessment (RFH-GA) is validated in a cirrhotic population. The aim was to assess the prevalence of malnutrition, using 3 different tools, in a liver transplant (LT) population; RFH-GA, American Society for Parenteral and Enteral Nutrition (ASPEN) criteria and Global Leadership Initiative on Malnutrition (GLIM) criteria.This study was completed as part of the standard dietetic preoperative nutritional assessment of patients undergoing LT assessment and included all patients undergoing LT assessment. Patients with incomplete datasets were excluded. Approval was received from the hospital audit committee.Using MAMC, BMI and oral intake the RFH-GA malnutrition categorization was calculated.Insufficient energy intake, weight loss, loss of muscle mass loss of subcutaneous fat and diminished functional status as measured by handgrip strength was used to diagnose malnutrition as per ASPEN criteria.GLIM criteria for diagnosing malnutrition involved the diagnosing and grading of malnutrition using phenotypic criteria (weight loss, reduced BMI, and reduced muscle mass) and etiologic criteria (reduced food intake/assimilation and disease burden/inflammation).51 patients (59% male) were nutritionally assessed using all 3 methods. The incidence of malnutrition, according to the different tools, was; RFHGA 30/51(59%) mild/moderate malnutrition and 0% severe malnutrition, ASPEN 71% mild/moderate and 6% severe malnutrition and GLIM 80% mild/moderate and 6% severe malnutrition. Over 40% (22/51) of patients had a different nutritional status identified depending on which nutritional tool was utilized.We have demonstrated that currently available nutritional assessment tools do not give homogenous results in diagnosing malnutrition in a pre-LT population.",
  "authors": [
    {
      "affiliations": [
        "St. Vincent’s University Hospital, Elm Park ,Dublin 4, Ireland"
      ],
      "name": "Niamh O’Sullivan"
    },
    {
      "affiliations": [
        "St. Vincent’s University Hospital, Elm Park ,Dublin 4, Ireland"
      ],
      "name": "Zita Galvin"
    }
  ],
  "title": "P129 Diagnosing malnutrition in the liver transplant population",
  "uid": "90fe3cba-7c1e-50e7-a70b-3c8057a98812"
}