Decreased food intake is a risk factor for mortality in hospitalised patients: The NutritionDay survey 2006

Hiesmayr, Michael; Schindler, Karin; Pernicka, Elisabeth; Schuh, Christian; Schoeniger-Hekele, A.; Bauer, Péter; Laviano, Alessandro; Lovell, A. D.; Mouhieddine, M.; Schuetz, T.; Schneider, S.; Singer, Pierre; Pichard, Claude; Howard, Pat; Jonkers, C.; Grecu, I.; Ljungqvist, Olle

doi:10.1016/j.clnu.2009.05.013

Cited by 396 publications

(398 citation statements)

References 30 publications

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“…Hiesmayr et al 12 studied a European population and found that low food intake was an independent risk factor for mortality. However, this was a one-day cross-sectional study, and it did not assess long term outcomes.…”

Section: Introductionmentioning

confidence: 99%

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

Assis¹,

Silveira

Beghetto

et al. 2016

Rev. Nutr.

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Objective The aim was to assess whether postoperative calorie and protein intakes increase the risk of infection and prolonged length of stay in a tertiary care university hospital in Southern Brazil. Methods This is a prospective cohort study approved by the hospital's Research Ethics Committee. The sample consisted of adult patients undergoing elective surgery. The exclusion criteria included patients who could not undergo nutritional assessment and those with a planned hospital stay of fewer than 72 hours. Nutritional status was assessed on admission and every seven days thereafter until hospital discharge or death. Demographic and clinical data, as well as information regarding independent and outcome variables, were collected from the patient's records. Food intake assessment was conducted by researchers six times a week. Calorie and protein intakes were considered adequate if equal to or greater than 75% of the prescribed amount, and length of stay was considered prolonged when above the average for specialty and type of surgery. Data was analyzed using Poisson regression. Results Of the 519 study patients, 16.2% had adequate nutritional therapy. Most of these patients were men with ischemic heart disease and acquired immunodeficiency syndrome. After adjusting for confounders, inadequate nutritional therapy increased risk of infection by 121.0% (RR=2.21; 95%CI=1.01-4.86) and risk of prolonged length of stay by 89.0% (RR=1.89; 95%CI=1.01-3.53). Conclusion Most patients did not have adequate nutritional therapy. Those with inadequate nutritional therapy had a higher risk of infection and longer length of stay.

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Section: Introductionmentioning

confidence: 99%

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

Assis¹,

Silveira

Beghetto

et al. 2016

Rev. Nutr.

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“…Implementation of nutritional support strategies into daily clinical practice encounters many difficulties and considerable efforts are needed to be successful (Hiesmayr et al, 2009;Schindler et al, 2010). To facilitate this process, guidelines provided by the American and European Nutritional Societies may be helpful.…”

Section: Introductionmentioning

confidence: 99%

“…This is particularly related to the fact that even severe pre-existing comorbidities, like cardiovascular disease, pulmonary restrictions, impaired renal function and malnutrition, as well as age are no longer considered as contraindications for major GI surgery. There is increasing evidence that nutritional screening and therapy are important adjuncts in modern surgical care as 40% of surgical patients are malnourished (Bozzetti et al, 2007;Schiesser et al, 2008;Sorensen et al, 2008;Hiesmayr et al, 2009;Schindler et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Perioperative nutrition is still a surgical orphan: results of a Swiss–Austrian survey

et al. 2011

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Background/Objectives: There is strong evidence for the beneficial effects of perioperative nutrition in patients undergoing major surgery. We aimed to evaluate implementation of current guidelines in Switzerland and Austria. Subjects/Methods: A survey was conducted in 173 Swiss and Austrian surgical departments. We inquired about nutritional screening, perioperative nutrition and estimated clinical significance. Results: The overall response rate was 55%, having 69% (54/78) responders in Switzerland and 44% (42/95) in Austria. Most centres were aware of reduced complications (80%) and shorter hospital stay (59%). However, only 20% of them implemented routine nutritional screening. Non-compliance was because of financial (49%) and logistic restrictions (33%). Screening was mainly performed in the outpatient's clinic (52%) or during admission (54%). The nutritional risk score was applied by 14% only; instead, various clinical (78%) and laboratory parameters (56%) were used. Indication for perioperative nutrition was based on preoperative screening in 49%. Although 23% used preoperative nutrition, 68% applied nutritional support pre-and postoperatively. Preoperative nutritional treatment ranged from 3 days (33%), to 5 (31%) and even 7 days (20%). Conclusions: Although malnutrition is a well-recognised risk factor for poor post-operative outcome, surgeons remain reluctant to implement routine screening and nutritional support according to evidence-based guidelines.

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“…30,31 The spectrum of CVD in the setting of breast cancer therapy includes congestive heart failure (CHF), myocardial ischemia, hypertension, arrhythmias, QT prolongation, bradycardia, pericarditis, acute coronary syndrome, and thromboembolic events (TEs). [31][32][33][34] Anthracyclines: Doxorubicin and Epirubicin: Anthracyclines bind to the DNA of malignant cells, interfering with the replication process and resulting in cellular death. Anthracycline therapy has been shown to increase the development of CHF and cardiomyopathy by 2%, [34][35][36][37][38][39] doubling to 4% if used in conjunction or sequence with trastuzumab.…”

Section: Chemotherapymentioning

confidence: 99%

“…[46][47][48] As with most chemotherapeutic agents, the risk of cardiotoxicity appears to be dose related. 33,47 In addition to dose, prior anthracycline therapy, a history of mediastinal radiation, and elderly age are further risk factors for cardiotoxicity. 29,[45][46][47]49,50 Cytoskeletal …”

Section: Chemotherapymentioning

confidence: 99%

Atrial Fibrillation and Cor Triatriatum Sinister: A Case Report

Tran¹,

Gordon²,

Alloggiamento

et al. 2015

TPJ

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Decreased food intake is a risk factor for mortality in hospitalised patients: The NutritionDay survey 2006

Cited by 396 publications

References 30 publications

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

Perioperative nutrition is still a surgical orphan: results of a Swiss–Austrian survey

Atrial Fibrillation and Cor Triatriatum Sinister: A Case Report

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