Clinical and nutritional status of surgical patients with and without malignant diseases: cross-sectional study

Abstract

-Context -Malnutrition is frequently observed in inpatients with malignant diseases and may contribute to longer hospital stays. Objective -To compare the nutritional status, lymphocyte count, hemoglobin values and length of hospital stay of patients with and without malignant diseases. Methods -This comparative study assessed indicators of nutritional status, namely body mass index, recent weight loss, lymphocyte count, hemoglobin and length of hospital stay, of 928 surgical patients with and without malignant diseases (50.2% females and 49.8% males). The chi-square test was used to compare proportions and the Mann-Whitney test was used to compare continuous measurements between two groups. The significance level was set at 5%. Results -Patients with malignant diseases had longer hospital stays (P<0.0001), furthermore, a higher percentage of patients with malignant diseases had body mass index <18.5 (P<0.0001) and experienced recent weight changes (P<0.0002). Lymphocyte count also differed statistically between the groups (P = 0.0131), which lower levels were identified among patients with malignant diseases. Conclusion -The lymphocyte count, hemoglobin values and weight loss are important findings of nutritional depletion in patients with malignant diseases. HEADINGS -Nutritional status. Weight loss. Blood cell count. Length of stay.

Pp146-Mon Determinants of Malnutrition and Postoperative Complications in Hospitalized Surgical Patients

“…This work was part of another research that studied the nutritional status of hospitalized surgical patients (8,14,15). Assessment of 388 patients found that 15.9% were malnourished, 20.7% had lost weight in the 6 months before admission, and 42.9% had HEI/ER <75%.…”

“…Although many studies have assessed the nutritional status of hospitalized patients, including some from this research group (8,14,15), the relationship between nutritional status and other variables, such as type of disease, type of surgery, and occurrence of complications, among others, should be further explored. Newfound Associations may help improve interventional actions and control strategies that aim to prevent malnutrition-related intercurrences.…”

Perioperative nutrition management as an important component of surgical capacity in low‐ and middle‐income countries

“…Reports have indicated that the prevalence of hospital malnutrition is as high as 50% in HICs and approximately 70% in LMICs . Studies in LMICs show that the prevalence of pre‐operative malnutrition among surgical patients is also high (Table ) . Of these studies, 16 were from Latin American countries, 7 from China, 3 from Vietnam, 3 from Turkey, 2 from India and 1 from Thailand.…”

“…Of these studies, 16 were from Latin American countries, 7 from China, 3 from Vietnam, 3 from Turkey, 2 from India and 1 from Thailand. Although the prevalence varies, patients with malignant disease or undergoing major surgery showed a consistently high prevalence of pre‐operative malnutrition (50–80%) .…”

Reliability of nutritional assessment in patients with gastrointestinal tumors

“…A cross-sectional study with elderly patients (n = 109) observed that combined arm circumference (AC) and BMI allowed to predict the MNA classification 33 . In another study evaluating elderly patients with hepatocellular carcinoma, the results suggested that MNA was adequate to identify the risk of deterioration in the quality of life and functional status, and to determine the risk of malnutrition 23 .…”