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.