Measuring malnutrition and its impact on pediatric surgery outcomes: A NSQIP-P analysis

Roberson, Mya L.; Egberg, Matthew D.; Strassle, Paula D.; Phillips, Michael

doi:10.1016/j.jpedsurg.2020.10.001

Cited by 17 publications

(12 citation statements)

References 24 publications

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“…[9][10][11][12][13] The findings obtained in the study conducted by Roberson et al suggest that preoperative malnutrition may be a modifiable risk factor for preventing surgical complications and is associated with increased morbidity in surgery. [13][14][15] Previous research identified malnutrition predictors, such as hypoalbuminemia, weakness, and the need for nutritional support, as potential indicators of poor postoperative outcomes. [16][17] Secker et al observed and evaluated patients for nutritionrelated complications for 30 days after surgery.…”

Section: Discussionmentioning

confidence: 99%

Does preoperative nutritional assessment affect clinical outcomes in children with acute appendicitis

CESUR

Özçelik

2022

Journal of Contemporary Medicine

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Background: Malnutrition increases postoperative complications in pediatric surgical patients. Objective: The aim of the present study was to examine whether the preoperative nutritional status had any effect on postoperative outcomes in pediatric patients with acute appendicitis who were in need of emergency surgery. Methods: This retrospective clinical study was carried out at the Department of Pediatric Surgery, Adana City Training and Research Hospital, University of Health Sciences. The study included 74 patients, whose data were analyzed retrospectively. The patients' preoperative Gomez malnutrition classifications and body mass indexes (BMI) were calculated and compared to clinical outcomes. Results: The study included 74 children who had appendectomy procedures. The mean age was 11.5±3.7 years, 64.9% of the patients in the study were male, while 35.1% were female. The duration of admission to the hospital was 1.77±1.34 days. A BMI cut-off value of less than 16.74 was found to be statistically significant (p<0.001), with 100.0% percent sensitivity and 68.66% specificity. Wound infection was more common in patients with a BMI greater than 16.74 (p=0.010). Low BMI patients were more common in the 0-6 age group and the 7-13 age group (p<0.001). Conclusion: Nutritional assessment is an essential part of the care of children undergoing surgery. In the present study, we discovered that mild-to-moderate malnutrition before surgery increased postoperative morbidity, hospital stay, and wound infection frequency in children with low BMI. These evaluation systems, in our opinion, will pave the way for positive changes in postoperative management planning.

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Section: Discussionmentioning

confidence: 99%

Does preoperative nutritional assessment affect clinical outcomes in children with acute appendicitis

CESUR

Özçelik

2022

Journal of Contemporary Medicine

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“…However, it is recognized that when operating on a significantly malnourished child, there is an increased likelihood of postoperative complications. Previous studies have shown that stunting (low height‐for‐age), often a marker of chronic undernutrition, was associated with postoperative complications, whereas wasting (low weight‐for‐age), typically a marker of acute undernutrition, was not 13,31 . Additionally, another study found that adults who were at high risk of malnutrition, based on preoperative screening, were almost 3 times as likely to develop complications and 12 times as likely to die 32 .…”

Section: Operative Considerations: When To Change Coursementioning

confidence: 99%

“…Previous studies have shown that stunting (low height-for-age), often a marker of chronic undernutrition, was associated with postoperative complications, whereas wasting (low weight-for-age), typically a marker of acute undernutrition, was not. 13,31 Additionally, another study found that adults who were at high risk of malnutrition, based on preoperative screening, were almost 3 times as likely to develop complications and 12 times as likely to die. 32 Similarly, in a study of children in Zimbabwe undergoing both elective and emergency surgery, 50% of undernourished children had a postoperative complication compared with 12% of those adequately nourished.…”

Section: Operative Considerations: When To Change Coursementioning

confidence: 99%

Nutrition considerations in pediatric surgical patients

Martins

Piper

2022

Nut in Clin Prac

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Children who require surgical interventions are subject to physiologic stress, necessitating a period of healing when nutrition needs may temporarily change. Providing appropriate nutrition to children before and after surgery is an important part of minimizing surgical morbidity. There is a clear link between poor nutrition and surgical outcomes, therefore providing good reason for ensuring an appropriate nutrition plan is in place for children requiring surgery. This review will address recent research investigating nutrition considerations for pediatric surgical patients with a focus on practical tools to guide decision making in the preoperative, intraoperative, and postoperative periods.

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“…Roberson and colleagues 38 report outcomes associated with PMN. However, their criteria for defining malnutrition included stunting, need for nutrition support, and preoperative hypoalbuminemia 38 …”

Section: Current Use Of Mnrs Tools and Malnutrition Assessmentmentioning

confidence: 99%

Pediatric malnutrition screening and assessment tools: Analyzing the gaps

Becker

Brunet-Wood²

2021

Nut in Clin Prac

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Pediatric healthcare professionals know that children who are malnourished have worse clinical outcomes than do their well‐nourished peers. The body of evidence in the literature on the topic of pediatric malnutrition (PMN) is growing and supports this conclusion. The goal of this article is to present the current state of practice related to PMN screening, the use of malnutrition risk screening (MNRS) tools, malnutrition assessment, and the use of malnutrition assessment tools. The purpose is also to discuss best practice for MNRS and assessment and to consider the gaps in practice where additional work is needed.

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Measuring malnutrition and its impact on pediatric surgery outcomes: A NSQIP-P analysis

Cited by 17 publications

References 24 publications

Does preoperative nutritional assessment affect clinical outcomes in children with acute appendicitis

Does preoperative nutritional assessment affect clinical outcomes in children with acute appendicitis

Nutrition considerations in pediatric surgical patients

Pediatric malnutrition screening and assessment tools: Analyzing the gaps

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