NUTRITIONAL ASSESSMENT IN PATIENTS PREDICTED TO MAJOR ABDOMINAL SURGERY AT THE GENERAL HOSPITAL CELJE
Keywords:
malnutrition, nutritional assessment, major abdominal surgery, nutrition-associated complicationsAbstract
Background. Malnutrition has serious implications for recovery after surgery. Early detection of malnutrition with nutritional support minimizes postoperative complications. Nutritional assessment tools need to be simple and suitable for use in everyday practice. In our study we wanted to determine, how many patients might benefit from nutritional support.
Methods. From April to August 1999 fifty consecutively admitted patients predicted to major abdominal surgery have been examined. We used Mini nutritional assessment (MNA), Buzby’s nutrition risk index (NRI), blood albumin level and weight loss in the last 3 months period prior to the examination, to assess nutritional status.
Results. We examined 50 patients (27 males and 23 females, age 76.5 ± 16.5) and confirmed malnutrition in 40% of patients with MNA and serum albumin level. The increased risk for nutrition-associated complications was confirmed by NRI and weight loss in 44%.
Conclusions. A confident diagnosis of malnutrition and increased risk for nutrition-associated complications can be established by using a combination of simple methods like MNA, NRI, weight loss and serum albumin level. Almost half of the patients admitted for major abdominal surgery in General hospital Celje suffer from malnutrition and they may benefit with early nutritional intervention.
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References
McWhirter JP, Pennington CR. Incidence and recognition of malnutrition in hospital. BMJ 1994; 308: 945–8.
Edington J, Kon P, Martyn CN. Prevalence of malnutrition in patient in general practice. Clin Nutr 1996; 15: 60–3.
McCarter. Preoperative oral supplements with immunonutrients in cancer patients. JPEN 1997; 22: 206–11.
Detsky AS, Smalley PS, Chang J. Is this patient malnourished? JAMA 1994; 271: 54–8.
Veterans affairs TPN cooperative study group. Perioperative total parenteral nutrition in surgical patient. N Engl J Med 1991; 325: 525–32.
Meijerink WJHJ, Meyenfeldt MF, Rouflart MMJ, Soeters PB. Efficacy of perioperative nutritional support. The Lancet 1992; 340: 187–8.
Reilly HM. Screening for nutritional risk. Proc Nutr Soc 1996; 55: 841–53.
Lauque S, Vellas B. Nutritional assessment as part of geriatric evaluation: the mini nutritional assessment. 21st ESPEN Congress. Stockholm: ESPEN, 1999: 101–4.
Guigoz Y, Vellas B, Garry PJ. Assesing the nutritional status of the elderly: The mini nutritional assessment as part of geriatric evaluation. Nutr Rev 1996; 54: S59–65.
Ek AC, Unosson M, Christensson L, Bachrach-Lindstrom M, Wissing U. Identifying patients at nutritional risk. 21st ESPEN Congress. Stockholm: ESPEN, 1999: 93–6.
Klein H. Nutrition support in clinical practice. Journal of Parenteral and Enteral Nutrition 1997; 21: 133–56.
Zazzo JF. Perioperative artificial nutrition in elective adult surgery. Clinical Nutrition 1996; 15: 223–9.
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