Complications associated with malnutrition in elective surgical patients in a Malaysian setting

Latiff, Nur S Mohd Abdul; Ahmad, Nurulumi; Islahudin, Farida

doi:10.4314/tjpr.v15i6.27

Cited by 7 publications

(20 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…35 Two collected cross-sectional nutritional data across two sites 36 and preoperatively and postoperatively. 36,37 One study was diagnostic, 38 evaluating the Vajira Screening nutritional screening tool against the gold standard, validated Subjective Global Assessment (SGA) tool.…”

Section: Designmentioning

confidence: 99%

“…28 The mean number of patients per study was 252, (range 25-928). Eight studies included patients undergoing surgery for cancer, [26][27][28]30,31,[33][34][35] four were for gastrointestinal surgery, 24,25,32,36 three were for general surgery 23,37,38 and one was for emergency laparotomy 29 (Table 1).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…All studies recorded the prevalence of malnutrition, with 12 studies measuring malnutrition preoperatively, 23,[25][26][27][29][30][31][32][33][34][35]38 two measuring postoperatively 24,28 and two measuring both preoperatively and postoperatively. 36,37 Anthropometry measures were recorded by 12 studies, [23][24][25][29][30][31][32][33][34][35][36][37] blood markers by six studies [23][24][25]31,34,36 and two studies recorded di-etary intake. 24,30 Postoperative outcomes were also recorded by 12 studies.…”

Section: Interventionmentioning

confidence: 99%

“…24,30 Postoperative outcomes were also recorded by 12 studies. [25][26][27][28][29][30][31][32][33][34][35]37 Comparators Five studies measured malnutrition with SGA and compared it with other tools or measurements. 23,25,27,28,34 Two studies compared two or more nonvalidated tools or measurements.…”

Section: Interventionmentioning

confidence: 99%

See 3 more Smart Citations

Malnutrition and nutritional screening in patients undergoing surgery in low and middle income countries: A systematic review

Jones

Knight

Sremanakova

et al. 2022

JCSM Clinical Reports

View full text Add to dashboard Cite

BackgroundThere is a high incidence of preoperative undernutrition in hospitalised patients in low and middle‐income countries (LMICs), leading to increased postoperative complications, length of hospital stay and early mortality. Review aims are to establish the prevalence of undernutrition and assess the use of validated nutritional screening tools in surgical patients across LMICs.MethodsProtocol was PRISMA compliant and Prospero registered (CRD42019126765). Twelve international databases were searched from January 1990 to April 2021. Included studies were on nutritional screening in adults (≥16 years) undergoing surgery in LMICs. Two researchers screened studies and assessed quality. Prevalence of undernutrition was presented as a weighted percentage with confidence intervals (CI).ResultsOf the 4649 records identified, 16 studies (n = 4032) were eligible. Subjective global assessment (SGA) or patient generated (PG)‐SGA were the tools used most widely. SGA and PG‐SGA showed a high prevalence of undernutrition overall (0.61, 95% CI 0.50, 0.73), with a proportion identified with moderate undernutrition (0.44, 95% CI 0.31, 0.57) or severe undernutrition (0.32, 95% CI 0.19, 0.45).ConclusionsData show the prevalence of undernutrition in surgical patients as high as three in five patients within LMICs. Results indicate that the SGA is suitable for assessing this group of patients and that it may be the most appropriate tool to use due to its subjectivity and reliability. PG‐SGA although similar includes more symptom assessment, which is important for nutritionally depleted cancer patients. The limited data on validity and reliability of nutritional screening tools in LMICs indicates further research is required.

show abstract

Section: Designmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

See 2 more Smart Citations

Malnutrition and nutritional screening in patients undergoing surgery in low and middle income countries: A systematic review

Jones

Knight

Sremanakova

et al. 2022

JCSM Clinical Reports

View full text Add to dashboard Cite

show abstract

“…Malnutrition in intensive care units is a serious problem seen in developing countries with high rates of 50-78% [1]. In surgical patients, malnutrition is a clinical process that starts with systemic inflammation and extends to immune deficiency and has an important effect on hospital stay and mortality in the postoperative period [2,3]. In addition to malnutrition in intensive care, conditions such as infection, undernutrition, and prolonged inflammatory events also play a role in prolonging the duration of hospitalization in intensive care [4].…”

Section: Introductionmentioning

confidence: 99%

The effect of malnutrition on prognosis in surgical inpatients in the intensive care unit

Yılmaz

Doğu²

2020

J Clin Med Kaz

View full text Add to dashboard Cite

Introduction: Malnutrition, which is a clinical process starting with systemic inflammation and extending to immune deficiency is a common problem in intensive care units. In this study, we aimed to investigate the effect of malnutrition on prognosis in surgical patients followed in intensive care unit.Material and methods: The study is retrospective, and the files of the surgical patients hospitalized in the intensive care units of Aydin State Hospital between January 2018 and January 2020 were reviewed. The demographic data of the patients, the duration of hospitalization in the intensive care unit and the hospital, the type of surgery being urgent-elective, and the ex-discharge status of the patients were recorded. For malnutrition screening, in addition to NRS-2002 and MNA-SF scores at the time of hospitalization, statistical analysis was performed by recording C-reactive protein, albumin, total protein and C-reactive protein/albumin values as markers.Results: A total of 160 patients were included in this study. The mean NRS-2002 score was 2.20±1.85, while the MNA-SF score was 11.39±2.99. The mean C-reactive protein/albumin value was 39.10, the hospital stay in intensive care was 3.4 days, and hospital stay was 13.58 days. It was observed that as the NRS-2002 scores at the time of hospitalization increased and MNA-SF scores decreased, the duration of hospitalization in the intensive care and the hospital increased (p<0.001). However, as the NRS-2002 scores increased and MNA-SF scores decreased, the need for mechanical ventilator and mortality rate increased (p <0.001). Conclusion:Malnutrition is a condition that triggers the inflammatory cascade in surgical patients and has a negative effect on prognosis. Its effect is more pronounced in patients who need intensive care for surgical reasons. We think that the early identification of the risk of malnutrition and providing the necessary nutritional support in the perioperative period, especially in surgical patients who need intensive care, would affect the prognosis positively.

show abstract

Hospital malnutrition in northeast and southeast Asia: A systematic literature review

Inciong

Chaudhary²,

Hsu

et al. 2020

Clinical Nutrition ESPEN

View full text Add to dashboard Cite

Background & aims: Hospital malnutrition is a prevalent yet frequently under-recognised condition that is associated with adverse clinical and economic consequences. Systematic reviews from various regions of the world have provided regional estimates of the prevalence of malnutrition and the magnitude of the associated health and economic burden; however, a systematic assessment of the prevalence and consequences of hospital malnutrition in northeast and southeast Asia has not been conducted. Methods: We performed a systematic literature search for articles on hospital malnutrition in 11 Asian countries published in English between January 1, 1997 and January 15, 2018. Studies reporting data on the prevalence, clinical consequences, or economic impact of hospital malnutrition in an adult inpatient population with a sample size !30 were eligible for inclusion. Results: The literature search identified 3207 citations; of these, 92 studies (N ¼ 62,280) met the criteria for inclusion. There was substantial variability in study populations and assessment methods; however, a majority of studies reported a malnutrition prevalence of >40%. Malnutrition was associated with an increase in clinical complications, mortality, length of hospitalisation, hospital readmissions, and healthcare costs. Conclusions: Hospital malnutrition is a highly prevalent condition among hospitalised patients in northeast and southeast Asia. Additionally, poor nutritional status is associated with increased morbidity and mortality and increased healthcare costs. Further research aimed at improving the identification and proactive management of hospitalised patients at risk for malnutrition is necessary to improve patient outcomes and alleviate the burden on local healthcare budgets.

show abstract

Complications associated with malnutrition in elective surgical patients in a Malaysian setting

Cited by 7 publications

References 13 publications

Malnutrition and nutritional screening in patients undergoing surgery in low and middle income countries: A systematic review

Malnutrition and nutritional screening in patients undergoing surgery in low and middle income countries: A systematic review

The effect of malnutrition on prognosis in surgical inpatients in the intensive care unit

Hospital malnutrition in northeast and southeast Asia: A systematic literature review

Contact Info

Product

Resources

About