title: [The nutrition of liver transplant patients in an intensive medicine service comparing the years 1989 and 1992].
abstract: We examined the possible changes undergone in the form of feeding post liver-transplant patients admitted to our Intensive Care Unit (ICU), comparing 1989 and 1992. As biological nutritional parameters, we reviewed blood lymphocyte values and albumin prior to the transplant, immediately after, seven days following and on discharge from the ICU. In the two periods studied, we assessed the features of the nutritional support received by these patients (type and chronology). We found that, in 1992, parenteral nutrition (in significant form, p = 0.04) and oral diet (as trend, p = 0.06) was initiated earlier than in 1989. We noted a tendency to change the overall nutritional pattern, with an increase seen in 1992 in oral diet and a reduction in parenteral nutritional when compared to the 1989 period. In 1992, 24% of patients received oral diet as a first nutrition as against none in 1989. These data must be correlated with the time in the Intensive Medicine Service and the tendency to reduce mortality, even though transplant patients in 1992 were significantly older than in 1989, while their selection and the base pathology altered the pattern of these patients.
authors.affiliation: Servicio de Medicina Intensiva, Unidad de Investigaciones Metabólicas Santiago Grisolia, Hospital General Universitario Vall d'Hebrón, Barcelona, España.
authors.forename: J R
authors.initials: JR
authors.lastname: Masclans
authors.forename: M
authors.initials: M
authors.lastname: Planas
authors.forename: R
authors.initials: R
authors.lastname: Iglesia
authors.forename: L
authors.initials: L
authors.lastname: Campos
authors.forename: B
authors.initials: B
authors.lastname: Bermejo
authors.forename: C
authors.initials: C
authors.lastname: Margarit
authors.forename: J B
authors.initials: JB
authors.lastname: Padró
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D003422:Critical Care / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000502:physiology / Q000706:statistics & numerical data; D008297:Male; D009752:Nutritional Status; D018529:Nutritional Support / Q000379:methods / Q000706:statistics & numerical data; D013030:Spain; D018709:Statistics, Nonparametric
vernacular_title: Nutrición de los enfermos trasplantados hepáticos en un Servicio de Medicina Intensiva, comparando los años 1989 y 1992.