Total Lymphocyte Count and Serum Albumin as Predictors of Nutritional Risk in Surgical Patients

Rocha, Naruna Pereira; Fortes, Renata Costa

doi:10.1590/s0102-67202015000300012

Cited by 42 publications

(35 citation statements)

References 15 publications

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“…Various studies have yielded conflicting results regarding the ability of the TLC to reflect the nutritional status [2829]. In our study, however, the TLC was not a suitable marker of malnutrition relative to the extent of gastrectomy.…”

Section: Discussioncontrasting

confidence: 59%

Actual 5-Year Nutritional Outcomes of Patients with Gastric Cancer

Kim

Park

et al. 2017

J Gastric Cancer

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PurposeIn this study, we aimed to evaluate the rarely reported long-term nutritional results of patients with gastric cancer after curative gastrectomy.Materials and MethodsWe retrospectively reviewed the prospectively collected medical records of 658 patients who underwent radical gastrectomy with curative intent for gastric cancer from January 2008 to December 2009 and had no recurrences. All patients were followed for 5 years. Nutritional statuses were assessed using measurements of body weight, serum hemoglobin, total lymphocyte count (TLC), protein, albumin, cholesterol, and nutritional risk index (NRI).ResultsPatients who underwent total gastrectomy had lower body weights, hemoglobin, protein, albumin, and cholesterol levels. TLC and NRI valued after the first postoperative year (P<0.05), and lower hemoglobin and NRI valued during the fifth postoperative year than patients who underwent distal gastrectomy (P<0.05). Patients who received adjuvant chemotherapy after gastrectomy had lower hemoglobin, protein, albumin, and cholesterol levels. TLC and NRI valued during the first postoperative year, than those who underwent gastrectomy only (P<0.05). Regarding post-distal gastrectomy reconstruction, those who underwent Roux-en-Y had lower cholesterol levels than did those who underwent Billroth-I and Billroth-II reconstruction at the first and fifth years after gastrectomy, respectively (P<0.05).ConclusionsPatients undergoing total or distal gastrectomy with Roux-en-Y anastomosis or adjuvant chemotherapy after surgery should be monitored carefully for malnutrition during the first postoperative year, and patients undergoing total gastrectomy should be monitored for malnutrition and anemia for 5 years.

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Section: Discussioncontrasting

confidence: 59%

Actual 5-Year Nutritional Outcomes of Patients with Gastric Cancer

Kim

Park

et al. 2017

J Gastric Cancer

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“…The values of pre-albumin and total lymphocyte were changed when there was malnutrition status in the early stage. [10][11][12] Therefore, NAF was more consistent with the pre-albumin and total lymphocyte count than MNA. So, screening the risk of malnutrition at an early stage was likely to be beneficial for the patients.…”

Section: Discussionmentioning

confidence: 95%

“…9 The values of pre-albumin and total lymphocyte changed when there was a malnutrition status in the early stage. [10][11][12]…”

Section: Data Collectionmentioning

confidence: 99%

The Study of Correlation and Concordance between a Nutrition Alert Form and a Mini Nutritional Assessment in Evaluating the Nutritional Status of the Elderly.

Techakriengkrai¹,

Komindr

Wattanapanom³

et al. 2017

bkkmedj

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T he prevalence of malnutrition in one study in a United Kingdom hospital is about 11-44% and it is increasing to 29-61% in the elderly. 1 The risk of undernutrition and malnutrition range from loss of appetite, decreased taste buds, abnormality in digestion and malabsorption, oral care and teeth problems. 2 Malnutrition also affects the immune system, the healing of wounds, loss of muscle mass and increased length of stay in hospital. [3][4][5][6] Nutrition screening in the elderly is important and those who are at risk of malnutrition should be detected early in order to provide appropriate nutrition support in time. Adam et al. 4 reported that medical staff, including doctors and nurses, were concerned about malnutrition in only 19 percent of the total at risk patients in the hospital. Usually, the process to screen for risk of malnutrition takes a lot of time and it is difficult to do because there are a lot of factors: history of body weight, weight change in the past 6 months, body mass index, anthropometry, nutrition chemical data and dietary history. A Mini Nutritional Assessment (MNA) is developed to screen malnutrition in the elderly and it is reported that the MNA is related to malnutrition. 5 MNA has been accepted by 71.3% of dietitians, but is only used to screen malnutrition in the elderly in around 20% of cases, 6 as MNA takes a lot of time (average 15 minutes per person) and is not always easy to measure arm and calf circumference. Mostly, the elderly have no data of current body weight (54.1%) nor of height (25.9%) because they cannot be weighed or stand. 7 In Thailand, Elimitus Professor Comindr S. has developed the Nutrition Alert Form (NAF) which is easy to use and can screen nutrition status in people who do not have body weight by total lymphocyte (commonly blood test) or serum albumin. NAF has been accepted by the Asian Pacific Journal of Nutrition. 8 But, there have been no reports of the use of NAF in the elderly. Therefore, the objective of this research is to study the correlation and concordance between NAF and MNA Abstract OBJECTIVES: This research aimed to study the correlation between a Nutrition Alert Form (NAF) and a Mini Nutritional Assessment (MNA) in evaluating the nutritional status of the elderly and evaluated the relation between NAF, MNA and biochemical nutrition data. MATERIALS AND METHODS: A cross sectional study was conducted in 153 outpatient and inpatient elder at Bangkok Hospital from February to September 2015. The nutrition status of participants was screened by a longevity nurse with MNA and NAF and serum pre-albumin was collected. After that, the dietitian evaluated the nutrition assessment and recalled dietary habit, and the reason of weight change. Statistical analysis of this study used SPSS (Statistical Package for Social Science) version 19.0. Kappa index to analyze the agreement between NAF and MNA. The correlation was analyzed by Spearman's correlation coefficient. RESULTS:The kappa index between the NAF and the MNA (standard) which was moderate: K 0.563 w...

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“…Harmandar et al reported observing a signi cant decrease in CRP levels in patients who achieved the target calorie intake but not in patients who failed to achieve their target calorie intake [13]. Some studies showed that although the initial serum albumin levels were re ective of the baseline nutrition status, serum albumin and serum prealbumin level trends did not correlate with calorie or protein de cits and should not be solely used to assess the adequacy of nutrition delivery [15,16]. Their serum levels are good predictors for the risk of postoperative complications; when they are used with other methods of assessing nutritional status, such as subjective global assessment or the percentage of adequacy of skinfolds, they can be useful for identifying the nutritional risk [16].…”

Section: Discussionmentioning

confidence: 99%

Target calorie intake achievements for patients treated in the surgical intensive care unit

Kim

Choi

Suh

et al. 2020

Preprint

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BackgroundAdequate nutritional therapy in critically ill patients is integral to an optimal outcome. This study determined which clinical factors affect the target calorie approach during SICU admission.MethodsConsecutive patients that were provided with nutritional support during their hospitalization in the Chung-Ang university hospital SICU from August 2014 to July 2016 were included in this retrospective study. Data on demographics, supplied calorie amount and method, lengths of stay in the hospital and the intensive care unit, and mortality outcomes when discharged from the SICU were collected and analyzed. ResultsIn 279 patients, 36.9% approached target calorie intake during SICU stay. In multivariate regression analysis, patients’ sex and nasogastric tube insertion were significant factors affecting target calorie approach. (OR 2.00 for female sex, 2.03 for nasogastric tube insertion; p-value 0.012 and 0.024 for each, respectively) When we divide the patients into two groups by SICU stay length, nasogastric tube insertion is more important variable in ≤7days of SICU stay for achieve the target calorie goal. (OR 4.13; p-value 0.006) As higher amounts of calories are supplied to the patients, total lymphocyte count (TLC) and C-reactive protein (CRP) levels improved significantly without changes in mortality.ConclusionExistence of nasogastric tube and patient sex were important clinical factors to reach target calorie supply for SICU patients and their importance is different according to SICU stay length.

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Total Lymphocyte Count and Serum Albumin as Predictors of Nutritional Risk in Surgical Patients

Cited by 42 publications

References 15 publications

Actual 5-Year Nutritional Outcomes of Patients with Gastric Cancer

Actual 5-Year Nutritional Outcomes of Patients with Gastric Cancer

The Study of Correlation and Concordance between a Nutrition Alert Form and a Mini Nutritional Assessment in Evaluating the Nutritional Status of the Elderly.

Target calorie intake achievements for patients treated in the surgical intensive care unit

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