Browse > Article
http://dx.doi.org/10.5388/aon.2012.12.1.110

Pre- and Post-Transplant Nutritional Assessment in Patients Undergoing Allogeneic Hematopoietic Stem Cell Transplantation  

Park, Mi-Young (Asan Medical Center)
Park, Jeong-Yun (Department of Clinical Nursing, University of Ulsan)
Publication Information
Asian Oncology Nursing / v.12, no.1, 2012 , pp. 110-116 More about this Journal
Abstract
Purpose: This study was performed to identify the pre-and post-transplant nutritional assessment for patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT). Methods: The subjects of this study were 25 patients undergoing allogeneic HSCT. The data collection was performed from January 31st to March 31st, 2011. The Patient-Generated Subjective Global Assessment (PG-SGA), anthropometrics and biochemical test were collected from the time they entered the isolation unit until they left. Results: Pre-transplant nutritional assessment status indicated moderate malnutrition which scored $7.32{\pm}1.68$ in PG-SGA. There were 22 patients (88.0%) with moderate malnutrition and 3 patients (12.0%) with severe malnutrition. Post-transplant nutritional assessment indicated severe malnutrition status which scored $11.92{\pm}3.26$ in PG-SGA. Pre-and post-transplant nutritional assessment displayed significant differences (p<.001) in PG-SGA score. Hematopoietic stem cell transplantation led to a deterioration of patients' nutritional status. Pre-transplant patients were already in malnutrition status and patients undergoing allogeneic HSCT were at risk for malnutrition. Conclusion: Pre-and post-transplant patients were categorized as having undernutritional and malnutritional status. Pre-transplant nutrition status impacted on post-transplant nutritional status. Health care personnel should pay attention to patient's nutrition status when undergoing allogeneic HSCT with appropriate nutritional assessment tools.
Keywords
Nutritional Status; Hematopoietic Stem Cell Transplantation; PG-SGA Tool;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Kang YA, Lee MS. Ethnography on isolation unit for hematopoietic stem cell transplantation. J Korean Oncol Nurs 2008;9:31-42.
2 Bensiner WI, Martin PJ, Storer B, Clift R, Forman SJ, Negrin R, et al. Transplantation of bone marrow as compared with peripheral-blood cells from HLA-identical relatives in patients with hematologic cancers. NEJM 2001;344:175-81.   DOI
3 Yang YH, Kwon SJ, Kim CI. The nutritional status of the patients with cancer during the chemotherapies. J Korean Acad Nurs 2001;31:978-87.   DOI
4 Dreizen S, McCredie KB, Keating MJ, Andersson BS. Nutritional deficiencies in patients receiving cancer chemotherapy. Postgrad Med J 1990;33:330-5.
5 Min HS, Hwang WH. The effects of nutritional education program on nausea and vomiting, anorexia, food intake, and nutritional status of GI cancer patients undergoing chemotherapy. J Korean Oncol Nurs 2010;20:38-47.
6 Monica MS, Raquel DP, Miguel AC, Alfonso M, Fernando HN. Nutritional recommendations in hematopoietic stem cell transplantation. Nutrition 2008;24:769-75.   DOI
7 So EJ, Kim JY, Jung SJ, Park S. Analysis of the factor relating nutritional status in discharging of leukemia patients receiving chemotherapy. Korean J Nutr 2010;43:26-33.   DOI
8 Middleton MH, Nazarenko G, Nivison-Smith I, Smerdely P. Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals. Intern Med J 2001;31:455-61.   DOI
9 So HS. Assessment of appetite and nutritional status in cancer patients undergoing radiation therapy: A prospective study. J Korean Acad Nurs 1999;29:1179-91.   DOI
10 Barrera R. Nutrition support in cancer patients. JPEN J Parenter Enteral Nutr 2002;26:63-71.   DOI
11 Kim HM. Management of chemotherapy-related toxicity: Nutrition support during chemotherapy. Korean Soc Clin Oncol 2005;4:23-33.
12 Bechard LJ, Guinan EC, Feldman HA, Tang V, Duggan C. Prognostic factors in the resumption of oral dietary intake after allogeneic hematopoietic stem cell transplantation (HSCT) in children. JPEN J Parenter Enteral Nutr 2007;31:295-301.   DOI
13 Wedrychowicz A, Spodaryk M, Krasowska A, Gozdzik J. Total parenteral nutrition in children and adolescents treated with high-dose chemotherapy followed by autologous haematopoietic transplants. Br J Nutr 2010;103:899-906.   DOI
14 Forchielli ML, Azzi N, Cadranel S, Paolucci G. Total parenteral nutrition in bone marrow transplant: What is the appropriate energy level? Oncology 2003;64:7-13.   DOI
15 Maurizio M, Gabriella G, Saveria C, Anna PI, Fillippo RF. Nutritional metabolic support in patients undergoing bone marow transplantation. Am J Clin Nutr 2002;75:183-90.   DOI
16 Rzepecki P, Barzal J, Sarosiek T, Szczylik C. Biochemical indices for the assessment of nutritional status during hematopoietic stem cell transplantation: are they worth using? A single center experience. Bone Marrow Transplant 2007;40:567-72.   DOI
17 Bae JH, Kim SK. The effect of total parenteral nutrition on hospitalized patients according to nutritional status. Korean J Community Nutr 2003; 8:574-83.
18 Takatwuka H, Takemoth Y, Iwata N, Suehiro A, Hamano T, Okamoto T, et al. Oral eicosapentaenoic acid for complications of bone marrow transplantation. Bone Marrow Transplant 2001;28:760-74.
19 Arfons LM, Lazarus HM. Total parenteral nutrition and hematopoietic stem cell transplantation. Bone Marrow Transplant 2005;36:281-8.   DOI
20 Lynne D. Good nutrition for good surgery: clinical and quality of life outcomes. Australian Prescriber 2003;26:136-40.   DOI
21 Curtas S, Champman G, Meguid MM. Evaluation of nutritional status. Nurs Clin North Am 1998;24:301-13.
22 Yang YH, Choi SM, Kim EK. Changes in nutritional status of general medical patients during hospitalization. J Korean Clin Nurs Res 1997; 27:49-60.
23 Hadjibabaie M, Iravani M, Taghizadeh M, Ataie-Jafari A, Shamshiri SA, Mousavi SA, et al. Evaluation of nutritional status in patients undergoing hematopoietic SCT. Bone Marrow Transplant 2008;42:469-73.   DOI
24 Ottery FD. Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition 1996;12:15-9.   DOI
25 Frisancho AR. New norms of upper limb fat and muscle areas for assessment of nutritional status. Am J Clin Nutr 1981;34:2540-5.   DOI
26 Donoghue M, Nunnally C, Yasko JM. Nutritional needs of cancer patients. Nurs Clin North Am 1982;16:295-302.
27 Park HJ. Nutritional Assessment for hemopoietic stem cell transplantation patients [dissertation]. Seoul:Catholic Univ.;2000.
28 Michele L, Kuszajewski LM. Prealbumin is best for nutritional monitoring in hospital. Nursing 2005;35:70-1.