Publications by authors named "V Pisprasert"
Malnutrition among people with dementia in Khon Kaen, Thailand.
East Asian Arch Psychiatry
September 2024
Article Synopsis
- The study aimed to evaluate malnutrition rates and influencing factors in dementia patients in Khon Kaen, Thailand, involving participants aged 60 and over with major neurocognitive disorders.
- A total of 61 dementia patients and their caregivers were assessed for nutritional status, cognitive function, and severity of symptoms using various established scales.
- The findings revealed that 4.9% of patients were malnourished, 34.4% were at risk, and predictors included caregiver nutrition scores and patient apathy levels, highlighting the importance of monitoring these factors for better nutritional management.
Background & Aims: The Global Leadership Initiative on Malnutrition (GLIM) approach to malnutrition diagnosis is based on assessment of three phenotypic (weight loss, low body mass index, and reduced skeletal muscle mass) and two etiologic (reduced food intake/assimilation and disease burden/inflammation) criteria, with diagnosis confirmed by fulfillment of any combination of at least one phenotypic and at least one etiologic criterion. The original GLIM description provided limited guidance regarding assessment of inflammation and this has been a factor impeding further implementation of the GLIM criteria. We now seek to provide practical guidance for assessment of inflammation in support of the etiologic criterion for inflammation.
View Article and Find Full Text PDFArticle Synopsis
- * A working group created consensus-based guidelines to improve the assessment of inflammation in malnutrition, culminating in seven key guidance statements with 99% agreement in the final review.
- * Recommendations include using clinical judgment alongside C-reactive protein (CRP) measurements to assess inflammation, highlighting the importance of understanding the context of CRP readings in diagnostics.
Article Synopsis
- The study aimed to assess the incidence and severity of COVID-19 among patients receiving home parenteral nutrition (HPN) for chronic intestinal failure over a year-long observation period from March 2020 to March 2021.
- Out of 4680 patients from 68 centers across 23 countries, the cumulative incidence of COVID-19 infection was 9.6%, with 55.1% of patients providing COVID-related data, revealing varying rates of infection severity.
- Results indicated a higher incidence and severity of infection among deceased patients, and significant proportions of the cohort were unvaccinated or had unknown vaccination statuses; 42.8% of deaths in infected individuals were attributed to COVID-19.
Background: Diarrhea is a common problem in tube-fed patients. The relevant guidelines suggest using a peptide-based enteral formula in patients with diarrhea; however, sufficient evidence to support this recommendation is currently lacking.
Aim: This study aimed to evaluate the effects of a high-protein peptide-based formula on gastrointestinal intolerance, mainly focusing on diarrhea symptoms in patients who were intolerant to polymeric formula feeding.