Seriate prealbumin and C-reactive protein measurements in monitoring nutritional intervention in hospitalized patients: a prospective observational study
Autor: | Maura Ferrari Bravo, Roberta Garbarini, Enrico Haupt, Omar Racchi, Franca Deiana, Fabrizio Gallo, Gian Luigi Devoto, Concetta Marchello, Roberta Boicelli |
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Rok vydání: | 2011 |
Předmět: |
medicine.medical_specialty
Nutrition and Dietetics biology Hospitalized patients business.industry Endocrinology Diabetes and Metabolism C-reactive protein Confounding medicine.disease Transthyretin Malnutrition Dietary Reference Intake Internal medicine Diabetes mellitus Immunology biology.protein medicine Observational study business Food Science |
Zdroj: | Mediterranean Journal of Nutrition and Metabolism. 4:191-195 |
ISSN: | 1973-7998 1973-798X |
Popis: | Protein-energy malnutrition (PEM) in hospitalized patients is associated with poor outcomes. Prealbumin (PAB) has been shown to be a potentially useful tool in PEM assessment. PAB plasma concentrations are closely related to nutritional state and nutritional intervention. However, PAB is also inversely correlated to C-reactive protein (CRP), making difficult the interpretation of PAB changes during tratment of severely ill patients with inflammation and/or infection. Methods: To assess the confounding role of CRP we investigated the role of two seriate measures of PAB and CRP in monitoring the response to nutritional intervention in 83 hospitalized patients enrolled in a nutritional care program (group 1). Data were also collected from 60 patients with low PAB not enrolled in any nutritional program (group 2). Results: When nutritional needs were not satisfied (nutritional intake/needs ratio |
Databáze: | OpenAIRE |
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