To Improve / Prevent Decline in Nutrition and Functional Status of Pre-Liver Transplant Patients While Awaiting Liver Transplant
Care Continuum
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2023
Reduce MAMC decline to <20%, handgrip strength decline to <15%, and improve Frailty Index scores. Multidisciplinary approaches reduced sarcopenia and frailty, improving patient outcomes.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Process ＆ Redesign, Care Continuum, Value Based Care, Functional Outcome, Preventive Care, Patient Education
About this Content
Aims
Reduce MAMC decline to <20%, handgrip strength decline to <15%, and improve Frailty Index scores.
Background
Pre-liver transplant patients suffer from sarcopenia and frailty, increasing mortality and delays.
Methods
Developed protocols for nutrition follow-up, screening, education, videos, and diet optimization.
Results
82% reduced MAMC decline; 86% improved handgrip strength; frailty index reduced from 18.5% to 4.3%.
Conclusion
Multidisciplinary approaches reduced sarcopenia and frailty, improving patient outcomes.
Lessons Learnt
Early intervention and education on nutrition and sodium intake are crucial.
Additional Information
Recognized under NUH's Quality Improvement Award for Nutrition.
Keywords
Frailty, Sarcopenia, Nutrition, Muscle Strength, Pre-Liver Transplant
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Ancillary Care, Medical |
Applicable Specialty or Discipline | Nutrition ＆ Dietetics |
Project Lead(s) | Tan Hooi Yen, Wong Wei Yee |
Project Member(s) | Valerie Goh |
Connect with this contributor!
Tan Hooi Yen - hooi_yen_tan@nuhs.edu.sg
Wong Wei Yee - wei_yee_wong@nuhs.edu.sg