Asian Oncol Nurs.  2012 Feb;12(1):110-116. 10.5388/aon.2012.12.1.110.

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

Affiliations
  • 1Asan Medical Center, Seoul, Korea.
  • 2Department of Clinical Nursing, University of Ulsan, Seoul, Korea. pjyun@ulsan.ac.kr

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+/-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+/-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.

Keyword

Nutritional Status; Hematopoietic Stem Cell Transplantation; PG-SGA Tool

MeSH Terms

Data Collection
Delivery of Health Care
Hematopoietic Stem Cell Transplantation
Hematopoietic Stem Cells
Humans
Malnutrition
Nutrition Assessment
Nutritional Status

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