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. 2020 Sep 29;12(10):2976. doi: 10.3390/nu12102976

Table 3.

Post-operative nutritional interventions and outcome for the six months duration before and after liver transplant.

Patient ID #1 #2 #3 #4 #5
Total protein intake (g/day) Pre-LT 30.0 24.9 13.8 20.1 15.9
Post-LT 42.0 23.3 22.5 30.7 18.0
Total protein intake (g/kg/day) Pre-LT 0.70 1.03 0.98 1.10 1.00
Post-LT 0.81 0.81 1.36 1.59 0.99
Intact protein (% total daily protein intake) Pre-LT 67.22 87.74 100.00 70.19 71.72
Post-LT 100.00 100.00 100.00 100.00 100.00
Linear growth with height z-score Pre-LT N/A 0.81 −0.85 −2.33 −2.22
Post-LT N/A 0.82 −0.12 −2.85 −2.28
Weight z-score (except for #1) Pre-LT 45.7 kg 2.21 −0.80 −2.33 0.43
Post-LT 51.7 kg 1.46 1.1 −2.85 0.18
Carnitine dose (mg/kg/day) Pre-LT 53.3 136.9 20.3 48.4 56.5
Post-LT 11.6 51.8 18.2 40.2 26.5
Extubating Day POD#2 POD#1 POD#6 POD#9 POD#6
TPN No Yes Yes Yes Yes
TPN duration N/A 4 days (POD#1–4) 5 days (POD#3–7) 10 days (POD#1–10) 15 days (POD#1–15)
Highest TPN Protein Dose (g/kg/day) N/A 0.78 1.00 1.00 1.34
Insulin use Yes Yes Yes Yes Yes
Albumin infusion Yes Yes Yes Yes Yes
Albumin dose 1.25 g/kg × 1 day 0.5 g/kg × 4 days 0.5 g/kg × 2 days,
1.0 g/kg × 5 days
0.5 g/kg × 2 days,
1.0 g/kg × 1 day
0.5 g/kg × 3 days,
1.0 g/kg × 1 day
Enteral feeding initiation POD#3 POD#3 POD#6 POD#2 failed. POD#10 POD#7 failed. POD#14
Feeding complications No No No Feeding intolerance with vomiting Feeding intolerance with vomiting
Post-op inpatient nutrition protein goal (g/kg/day) 1.5–2.0 1.0–1.5 1.0–1.5 1.2–2.0 1.5
Stable protein dose achievement POD#4 POD#5 POD#14 POD#12 POD#12
Miscellaneous Maximum protein intake as high as 1.6 g/kg/day during admission for transplant Protein increased additionally after discharge Protein goal was decreased due to worsening renal dysfunction 3 months after transplant

POD; post-operative day, TPN; total parenteral nutrition, N/A; not assessed.