Research Article
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Year 2021, Volume: 4 Issue: 1, 55 - 62, 21.01.2021
https://doi.org/10.32322/jhsm.823458

Abstract

References

  • Suárez-Llanos JP, Benítez-Brito N, Vallejo-Torres L, et al. Clinical and cost-effectiveness analysis of early detection of patients at nutrition risk during their hospital stay through the new screening method CIPA: A Study Protocol. BMC Health Serv Res 2017; 17: 292.
  • Correia MI, Peman MI, Waitzberg DL. Hospital malnutrition in Latin America: a systematic review. Clin Nutr 2017; 36: 958-67.
  • Bucay AJ, Machiavelo MA, Alvarez-Altamirano K, et al. Hospital malnutrition: food services need to be improved in Mexico. Int J Clin Nutr 2017; 1: 13-7.
  • Weiss ARR, Wassermann U, Brennfleck F, et al. Prevalence of malnutrition in general surgery applying the nutritional risk screening 2002. J Surg&Pract 2018; 1: 5.
  • Nakahara S, Nguyen DH, Bui AT, et al. Perioperative nutrition management as an important component of surgical capacity in low - and middle - income countries. Trop Med Int Health 2017; 22: 784-96.
  • Tang Z, Cai H, Cui Y. Influence of early postoperative feeding in gastrointestinal anastomotic fistula formation and healing time in rabbits. Biomed Res Int 2018; 2018: 8258096.
  • Horowitz M, Neeman E, Sharon E, et al. Exploiting the critical perioperative period to improve long-term cancer outcomes. Nat Rev Clin Oncology 2015; 12: 213-26.
  • Starke J, Schneider H, Alteheld B, et al. Short-term individual nutritional care as part of routine clinical setting improves outcome and quality of life in malnourished medical patients. Clin Nutr 2011; 30: 194-201.
  • Yeh DD, Fuentes E, Quraishi SA, et al. Adequate nutrition may get you home: effect of caloric/protein deficits on the discharge destination of critically ill surgical patients. J Parent Enteral Nutr 2016; 40: 37-44.
  • Zhong JX, Kang K, Shu XL. Effect of nutritional support on clinical outcomes in perioperative malnourished patients: A meta-analysis. Asia Pac J Clin Nutr 2015; 24: 367-78. 11.Mueller C, Compher C, Ellen DM. A.S.P.E.N. clinical guidelines: nutrition screening, assessment, and intervention in adults. J Parent Enteral Nutr 2011; 35: 16–24.
  • Flood A, Chung A, Parker H, et al. The use of handgrip strength as a predictor of nutrition status in hospital patients. Clin Nutr 2014; 33: 106-14.
  • Lomivorotov VV, Efremov SM, Boboshko VA, et al. Evaluation of nutritional screening tools for patients scheduled for cardiac surgery. Nutr 2013; 29: 436-42.
  • Lomivorotov VV, Efremov SM, Boboshko VA, et al. Prognostic value of nutritional screening tools for patients scheduled for cardiac surgery. Interact Cardiovasc Thorac Surg 2013; 16: 612–8.
  • Kondrup J, Allison SP, Elia M, et al. ESPEN guidelines for Nutrition Screening 2002. Clin Nutr 2003; 22: 415-21.
  • Alhaugi J, Gay CL, Henriksen C, et al. Pressure ulcer is associated with malnutrition as assessed by Nutritional Risk Screening (NRS 2002) in a mixed hospital population. Food Nutr Res 2017; 61: 1324230.
  • Bauer J, Capra S, Ferguson M. Use of the scored patient-generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr 2002; 56: 779–85.
  • Gupta D, Lammersfeld CA, Vashi PG, et al. Prognostic significance of Subjective Global Assessment (SGA) in advanced colorectal cancer. Eur J Clin Nutr 2005; 59: 35–40.
  • WHO. Waist Circumference and Waist–Hip Ratio: Report of a WHO Expert Consultation. http://apps.who.int/iris/bitstream/10665/44583/1/9789241501491_eng.pdf. Accessed April 6, 2017.
  • BAPEN. Malnutrition Universal Screening Tool. https://www.bapen.org.uk/pdfs/must/must_full.pdf. Accessed March 9, 2020.
  • Bishop CW, Bowen PE, Ritchey SJ. Norms for nutritional assessment of American adults by upper arm anthropometry. Am J Clin Nutr 1981; 34: 2530–9.
  • Dodds RM, Syddall HE, Cooper R, et al. Grip Strength across the life course: normative data from twelve British studies. PLoS One 2014; 9: e113637.
  • Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019; 48: 16–31.
  • Correia MI, Waitzberg DL. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr 2003; 22: 235-9.
  • Norman K, Schütz T, Kemps M, Josef Lübke H, Lochs H, Pirlich M. The Subjective Global Assessment reliably identifies malnutrition-related muscle dysfunction. Clin Nutr 2005; 24: 143-150.
  • Westergren A, Torfadóttir O, Ulander K, et al. Malnutrition prevalence and precision in nutritional care: an intervention study in one teaching hospital in Iceland. J Clin Nurs 2010; 19: 1830-37.
  • Ryu W, Kim H. Comparison of different nutritional assessments in detecting malnutrition among gastric cancer patients. World J Gastroenterol 2010; 16: 3310–17.
  • Tangvik RJ, Tell GS, Guttormsen AB, et al. Nutritional risk profile in a university hospital population. Clin Nutr 2015; 34: 705-11.
  • Valesco C, Garcia EV, Rodríguez V, et al. Comparison of four nutritional screening tools to detect nutritional risk in hospitalized patients: a multicentre study. Eur J Clin Nutr 2011; 65: 269–74.
  • Guler Y, Tireli M. Malnutrition frequency in surgical patients and its effect on morbidity and mortality. Acta Medica Alanya 2018; 2: 35-9.
  • Lim SL, Ong KC, Chan YH, et al. Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin Nutr 2012; 31: 345-50.
  • Abunnaja S, Cuviello A, Sanchez JA. Enteral and parenteral nutrition in the perioperative period: state of the art. Nutrients 2013; 5: 608-23.
  • Leij-Halfwerk S, Verwijs MH, van Houdt S, et al. Prevalence of protein-energy malnutrition risk in European older adults in community, residential and hospital settings, according to 22 malnutrition screening tools validated for use in adults ≥65 years: A systematic review and meta-analysis. Maturitas 2019; 126: 80-9.
  • Imoberdorf R, Meier R, Krebs P, et al. Prevalence of undernutrition on admission to Swiss hospitals. Clin Nutr 2010; 29: 38-41.
  • Kyle UG, Kossovsky MP, Karsegard VL, et al. Comparison of tools for nutritional assessment and screening at hospital admission: a population study. Clin Nutr 2006; 25: 409-17.
  • Pham NV, Cox-Reijven PL, Wodzig WK, et al. SGA and measures for muscle mass and strength in surgical Vietnamese patients. Nutr 2007; 23: 283-91.
  • Agarwal E, Ferguson M, Banks M, et al. Malnutrition and poor food intake are associated with prolonged hospital stay, frequent readmissions, and greater in-hospital mortality: results from the Nutrition Care Day Survey 2010. Clin Nutr 2013; 32: 737-45.
  • Knappe-Drzikova B, Maasberg S, Vonderbeck D, et al. Malnutrition predicts long-term survival in hospitalized patients with gastroenterological and hepatological diseases. Clin Nutr ESPEN 2019; 30: 26-34.
  • Leandro-Merhi VA, Braga de Aquino JL. Comparison of nutritional diagnosis methods and prediction of clinical outcomes in patients with neoplasms and digestive tract diseases. Clin Nutr 2015; 34: 647-51.
  • Wu B, Yin TT, Cao W, et al. Validation of the Chinese version of the Subjective Global Assessment scale of nutritional status in a sample of patients with gastrointestinal cancer. Int J Nurs Stud 2010; 47: 323-31.
  • Hiesmayr M, Schindler K, Pernicka E, et al. Decreased food intake is a risk factor for mortality in hospitalised patients: the NutritionDay survey 2006. Clin Nutr 2009; 28: 484-91.
  • Naber TH, Schermer T, de Bree A, et al. Prevalence of malnutrition in nonsurgical hospitalized patients and its association with disease complications. Am J Clin Nutr 1997; 66: 1232-9.
  • Pekcan G. Determination of nutritional status. Republic of Turkey Ministry of Health Publication Nu: 726, Ankara; 2008.
  • Maasberg S, Knappe-Drzikova B, Vonderbeck D, et al. Malnutrition predicts clinical outcome in patients with neuroendocrine neoplasia. Neuroendocrinology 2017; 104: 11-25.
  • Turkoglu I, Ilgaz A, Yalcin T, et al. Prevalence of malnutrition in hospitalized adult patients: a comparison of four nutritional screening tools. J Nutr Diet 2015; 43: 135-42.

Risk of malnutrition in general surgical patients

Year 2021, Volume: 4 Issue: 1, 55 - 62, 21.01.2021
https://doi.org/10.32322/jhsm.823458

Abstract

Aim: The aim of this study is to determine the malnutrition risk of patients hospitalized in the general surgery clinic and to evaluate the relationship between malnutrition risk and anthropometric measurements.
Material and Methods: The study was carried out with 228 adults who were hospitalized in the general surgery clinic. Weight, body mass index (BMI), waist circumference, upper middle arm circumference (MUAC), triceps skinfold thickness (TSF) and handgrip strength measurements were taken. The nutritional status of the patients was evaluated with Nutritional Risk Screening (NRS)-2002 and Subjective Global Assessment (SGA).
Results: According to the NRS-2002, 30.3% of patients had a risk of malnutrition; according to the SGA 34.2% had moderate and 12.3% had severe malnutrition. The anthropometric measurements evaluated in the study and the length of hospital stay (LHOS) were found to be related to the NRS-2002 score and SGA level (p<0.05). The parameter that most affected the NRS-2002 score was MUAC (19.6%), the LHOS was the most affected by the NRS-2002 score (8.6%) (p<0.05).
Conclusion: The determination of malnutrition risk in general surgery clinics by using practical screening tools such as NRS-2002 and SGA and evaluating anthropometric measurements at certain intervals will enable early nutritional support to be initiated, thereby preventing the risk of developing malnutrition and its complications and contributing surgical procedures' success.

References

  • Suárez-Llanos JP, Benítez-Brito N, Vallejo-Torres L, et al. Clinical and cost-effectiveness analysis of early detection of patients at nutrition risk during their hospital stay through the new screening method CIPA: A Study Protocol. BMC Health Serv Res 2017; 17: 292.
  • Correia MI, Peman MI, Waitzberg DL. Hospital malnutrition in Latin America: a systematic review. Clin Nutr 2017; 36: 958-67.
  • Bucay AJ, Machiavelo MA, Alvarez-Altamirano K, et al. Hospital malnutrition: food services need to be improved in Mexico. Int J Clin Nutr 2017; 1: 13-7.
  • Weiss ARR, Wassermann U, Brennfleck F, et al. Prevalence of malnutrition in general surgery applying the nutritional risk screening 2002. J Surg&Pract 2018; 1: 5.
  • Nakahara S, Nguyen DH, Bui AT, et al. Perioperative nutrition management as an important component of surgical capacity in low - and middle - income countries. Trop Med Int Health 2017; 22: 784-96.
  • Tang Z, Cai H, Cui Y. Influence of early postoperative feeding in gastrointestinal anastomotic fistula formation and healing time in rabbits. Biomed Res Int 2018; 2018: 8258096.
  • Horowitz M, Neeman E, Sharon E, et al. Exploiting the critical perioperative period to improve long-term cancer outcomes. Nat Rev Clin Oncology 2015; 12: 213-26.
  • Starke J, Schneider H, Alteheld B, et al. Short-term individual nutritional care as part of routine clinical setting improves outcome and quality of life in malnourished medical patients. Clin Nutr 2011; 30: 194-201.
  • Yeh DD, Fuentes E, Quraishi SA, et al. Adequate nutrition may get you home: effect of caloric/protein deficits on the discharge destination of critically ill surgical patients. J Parent Enteral Nutr 2016; 40: 37-44.
  • Zhong JX, Kang K, Shu XL. Effect of nutritional support on clinical outcomes in perioperative malnourished patients: A meta-analysis. Asia Pac J Clin Nutr 2015; 24: 367-78. 11.Mueller C, Compher C, Ellen DM. A.S.P.E.N. clinical guidelines: nutrition screening, assessment, and intervention in adults. J Parent Enteral Nutr 2011; 35: 16–24.
  • Flood A, Chung A, Parker H, et al. The use of handgrip strength as a predictor of nutrition status in hospital patients. Clin Nutr 2014; 33: 106-14.
  • Lomivorotov VV, Efremov SM, Boboshko VA, et al. Evaluation of nutritional screening tools for patients scheduled for cardiac surgery. Nutr 2013; 29: 436-42.
  • Lomivorotov VV, Efremov SM, Boboshko VA, et al. Prognostic value of nutritional screening tools for patients scheduled for cardiac surgery. Interact Cardiovasc Thorac Surg 2013; 16: 612–8.
  • Kondrup J, Allison SP, Elia M, et al. ESPEN guidelines for Nutrition Screening 2002. Clin Nutr 2003; 22: 415-21.
  • Alhaugi J, Gay CL, Henriksen C, et al. Pressure ulcer is associated with malnutrition as assessed by Nutritional Risk Screening (NRS 2002) in a mixed hospital population. Food Nutr Res 2017; 61: 1324230.
  • Bauer J, Capra S, Ferguson M. Use of the scored patient-generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr 2002; 56: 779–85.
  • Gupta D, Lammersfeld CA, Vashi PG, et al. Prognostic significance of Subjective Global Assessment (SGA) in advanced colorectal cancer. Eur J Clin Nutr 2005; 59: 35–40.
  • WHO. Waist Circumference and Waist–Hip Ratio: Report of a WHO Expert Consultation. http://apps.who.int/iris/bitstream/10665/44583/1/9789241501491_eng.pdf. Accessed April 6, 2017.
  • BAPEN. Malnutrition Universal Screening Tool. https://www.bapen.org.uk/pdfs/must/must_full.pdf. Accessed March 9, 2020.
  • Bishop CW, Bowen PE, Ritchey SJ. Norms for nutritional assessment of American adults by upper arm anthropometry. Am J Clin Nutr 1981; 34: 2530–9.
  • Dodds RM, Syddall HE, Cooper R, et al. Grip Strength across the life course: normative data from twelve British studies. PLoS One 2014; 9: e113637.
  • Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019; 48: 16–31.
  • Correia MI, Waitzberg DL. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr 2003; 22: 235-9.
  • Norman K, Schütz T, Kemps M, Josef Lübke H, Lochs H, Pirlich M. The Subjective Global Assessment reliably identifies malnutrition-related muscle dysfunction. Clin Nutr 2005; 24: 143-150.
  • Westergren A, Torfadóttir O, Ulander K, et al. Malnutrition prevalence and precision in nutritional care: an intervention study in one teaching hospital in Iceland. J Clin Nurs 2010; 19: 1830-37.
  • Ryu W, Kim H. Comparison of different nutritional assessments in detecting malnutrition among gastric cancer patients. World J Gastroenterol 2010; 16: 3310–17.
  • Tangvik RJ, Tell GS, Guttormsen AB, et al. Nutritional risk profile in a university hospital population. Clin Nutr 2015; 34: 705-11.
  • Valesco C, Garcia EV, Rodríguez V, et al. Comparison of four nutritional screening tools to detect nutritional risk in hospitalized patients: a multicentre study. Eur J Clin Nutr 2011; 65: 269–74.
  • Guler Y, Tireli M. Malnutrition frequency in surgical patients and its effect on morbidity and mortality. Acta Medica Alanya 2018; 2: 35-9.
  • Lim SL, Ong KC, Chan YH, et al. Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin Nutr 2012; 31: 345-50.
  • Abunnaja S, Cuviello A, Sanchez JA. Enteral and parenteral nutrition in the perioperative period: state of the art. Nutrients 2013; 5: 608-23.
  • Leij-Halfwerk S, Verwijs MH, van Houdt S, et al. Prevalence of protein-energy malnutrition risk in European older adults in community, residential and hospital settings, according to 22 malnutrition screening tools validated for use in adults ≥65 years: A systematic review and meta-analysis. Maturitas 2019; 126: 80-9.
  • Imoberdorf R, Meier R, Krebs P, et al. Prevalence of undernutrition on admission to Swiss hospitals. Clin Nutr 2010; 29: 38-41.
  • Kyle UG, Kossovsky MP, Karsegard VL, et al. Comparison of tools for nutritional assessment and screening at hospital admission: a population study. Clin Nutr 2006; 25: 409-17.
  • Pham NV, Cox-Reijven PL, Wodzig WK, et al. SGA and measures for muscle mass and strength in surgical Vietnamese patients. Nutr 2007; 23: 283-91.
  • Agarwal E, Ferguson M, Banks M, et al. Malnutrition and poor food intake are associated with prolonged hospital stay, frequent readmissions, and greater in-hospital mortality: results from the Nutrition Care Day Survey 2010. Clin Nutr 2013; 32: 737-45.
  • Knappe-Drzikova B, Maasberg S, Vonderbeck D, et al. Malnutrition predicts long-term survival in hospitalized patients with gastroenterological and hepatological diseases. Clin Nutr ESPEN 2019; 30: 26-34.
  • Leandro-Merhi VA, Braga de Aquino JL. Comparison of nutritional diagnosis methods and prediction of clinical outcomes in patients with neoplasms and digestive tract diseases. Clin Nutr 2015; 34: 647-51.
  • Wu B, Yin TT, Cao W, et al. Validation of the Chinese version of the Subjective Global Assessment scale of nutritional status in a sample of patients with gastrointestinal cancer. Int J Nurs Stud 2010; 47: 323-31.
  • Hiesmayr M, Schindler K, Pernicka E, et al. Decreased food intake is a risk factor for mortality in hospitalised patients: the NutritionDay survey 2006. Clin Nutr 2009; 28: 484-91.
  • Naber TH, Schermer T, de Bree A, et al. Prevalence of malnutrition in nonsurgical hospitalized patients and its association with disease complications. Am J Clin Nutr 1997; 66: 1232-9.
  • Pekcan G. Determination of nutritional status. Republic of Turkey Ministry of Health Publication Nu: 726, Ankara; 2008.
  • Maasberg S, Knappe-Drzikova B, Vonderbeck D, et al. Malnutrition predicts clinical outcome in patients with neuroendocrine neoplasia. Neuroendocrinology 2017; 104: 11-25.
  • Turkoglu I, Ilgaz A, Yalcin T, et al. Prevalence of malnutrition in hospitalized adult patients: a comparison of four nutritional screening tools. J Nutr Diet 2015; 43: 135-42.
There are 44 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Sümeyye Güzel 0000-0001-6974-8461

Alev Keser 0000-0003-2620-6747

İlknur Kepenekci Bayram 0000-0002-7311-1807

Publication Date January 21, 2021
Published in Issue Year 2021 Volume: 4 Issue: 1

Cite

AMA Güzel S, Keser A, Kepenekci Bayram İ. Risk of malnutrition in general surgical patients. J Health Sci Med / JHSM. January 2021;4(1):55-62. doi:10.32322/jhsm.823458

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