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  • Nutritional assessment of patients with cirrhosis in the South West requires improvement: results of the Evaluation of NutRItion in CirrHosis (ENRICH) Study

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Nutritional assessment of patients with cirrhosis in the South West requires improvement: results of the Evaluation of NutRItion in CirrHosis (ENRICH) Study
  1. Keith Pohl1,2,
  2. Ashwin Dhanda1,2
  3. SPRinG Network
    1. 1 Faculty of Health, University of Plymouth, Plymouth, UK
    2. 2 South West Liver Unit, Plymouth Hospitals NHS Trust, Plymouth, UK
    1. Correspondence to Dr Keith Pohl, Faculty of Health, University of Plymouth, Plymouth, UK; k.pohl{at}nhs.net

    https://doi.org/10.1136/flgastro-2023-102566

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      Malnutrition is a concern for all inpatients; however, those with cirrhosis are particularly at risk. Current guidelines recommend standardised nutritional assessment of all inpatients with advanced chronic liver disease (eg, Malnutrition Universal Screening Tool (MUST)) followed by specialist dietician review within 24 hours to commence nutritional support.1 Such nutritional optimisation has been shown to improve symptoms, quality of life, morbidity and mortality.2

      Severn and Peninsula Research in Gastroenterology is a trainee research network. The Evaluation of NutRItion in CirrHosis is a trainee-led retrospective regional service evaluation of dietetic provision to inpatients with cirrhosis in the South West of England against current guidelines from the American Association for the Study of Liver Diseases and the European Association for the Study of the Liver.1 3 The aim was to evaluate the nutritional management of inpatients with cirrhosis to inform improvements in current services. The objectives were to determine the proportion of inpatients receiving nutritional assessment, referral to dietetics and/or the proportion appropriately commenced on nutritional support.

      Data was collected from admissions in …

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      Footnotes

      • X @KeithPohl7, @DrADhanda

      • Collaborators The Severn and Peninsula Research in Gastroenterology (SPRinG) Network Collaborators: Kushala Abeysekera (Severn Deanery), Katherine Belfield (Severn Deanery), Simeng Lin (Severn Deanery), Emma Saunsbury (Severn Deanery), Giovanna Sheiybani (Severn Deanery), Vishala Nadesan (Peninsula Deanery), Sarah Gormley (Severn Deanery), Christina Owen (Severn Deanery), Alexander Tuck (Severn Deanery), Annie Archer (Severn Deanery), Hannah Donnelly (Severn Deanery), Raghuvaran Mani (Severn Deanery), Ruairi Conway (Severn Deanery), Ria Smith (Peninsula Deanery), Azad Bhushan (Peninsula Deanery), Siobhan Dummett (Peninsula Deanery), Hafiz Babar (Peninsula Deanery).

      • Contributors The project management subgroup (as listed in the online supplemental material) contributed to the conceptualisation and drafting of the manuscript. Individual site collaborators collected and collated data and are listed in the online supplemental materials. All collaborators reviewed and approved the final draft of the manuscript.

      • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

      • Competing interests None declared.

      • Provenance and peer review Not commissioned; externally peer reviewed.

      • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.