Publication:

Effect of high protein intervention on royal free hospital nutrition prioritising tool scores in patients with decompensated liver cirrhosis: a randomised control trial

Background The Royal Free Hospital Nutrition Prioritising Tool (RFH-NPT) is an effective instrument for assessing the nutritional status of individuals suffering from cirrhosis, demonstrating high sensitivity and specificity in detecting malnutrition risk among patients with liver cirrhosis.

Methods 110 male patients with decompensated cirrhosis were randomized, to a standard diet and a peptide supplement. The nutrition prioritizing tool, royal free hospital nutrition prioritising tool (RFH-NPT) was used to assess the effects on anthropometrics, dietary and biochemical markers. The statistically significance were analysed at p<0.05.

Results The peptide group showed significant improvement in nutrition tool scores, malnutrition and body mass index compared with controls (0.64±1.20 vs. 4.76±1.70, p<0.00 at 95% CI).

Conclusions The RFH-NPT is a valuable tool for identifying cirrhosis patients at risk of malnutrition, thereby allowing patients to receive nutritional care to improve their nutritional status and overall clinical outcomes.