Nutritional screening in surgical patients of a teaching hospital from Southern Brazil: the impact of nutritional risk in clinical outcomes

Garcia, Rosane Scussel; Tavares, Léa Regina da Cunha; Pastore, Carla Alberici

doi:10.1590/s1679-45082013000200002

Cited by 17 publications

(33 citation statements)

References 16 publications

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“…The study frequency of malnutrition was very similar to that found by other Brazilian and foreign studies 16,19,20 , corroborating the statement that along the last four decades, the prevalence of malnutrition has remained high 21 , increasing the length of hospital stay and risk of death 22 .…”

Section: Discussionsupporting

confidence: 88%

Risk factors associated with malnutrition in hospitalized patients

Fragas

Oliveira

2016

Rev. Nutr.

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A B S T R A C T ObjectiveTo identify factors associated with malnutrition in patients hospitalized in general public hospitals of the city of Manaus, Amazonas, Brazil. MethodsThis cross-sectional study included 397 patients of both sexes aged more than 18 years, staying at three public hospitals in Manaus, Amazonas. The patients were submitted to anthropometric and subjective global assessments, the latter being the main diagnostic method. For association analyses between malnutrition (dependent variable) and other covariates, we used contingency table for variable selection and multiple logistic regression for independent effect test between exposure and outcome. The strength of association between the variables was expressed as odds ratio, with a 95% confidence interval. The analyses were performed by Epi Info 7.0. ResultsAmong the risk factors associated with hospital malnutrition, hospital stays longer than 15 days, when analyzed alone, nearly tripled the odds of malnutrition. However, in the final model, the variables that remained associated were: persistent change in diet, presence of gastrointestinal symptoms, recent weight loss, weight loss in the last six months, cancer, and age higher than 60 years. ConclusionMalnutrition is recurrent in hospitals, and the factors associated with malnutrition can be identified on admission, allowing adequate monitoring during hospital stay. Therefore, a more effective performance of nutritional screening and monitoring programs is critical. Keywords

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Section: Discussionsupporting

confidence: 88%

Risk factors associated with malnutrition in hospitalized patients

Fragas

Oliveira

2016

Rev. Nutr.

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“…Post‐operative complications that are influenced by nutrition include pneumonia, surgical site infections and anastomosis leak. This has been confirmed by studies conducted in LMICs, also including trauma victims, which consistently showed poor outcomes among patients with malnutrition or at risk of malnutrition (Table ) . Furthermore, malnutrition is also associated with increased toxicity of, decreased response to, and poor outcomes of chemotherapy and radiotherapy, which are sometimes required to treat patients with cancer in addition to or instead of surgical intervention .…”

Section: Resultsmentioning

confidence: 65%

“…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.…”

Section: Resultsmentioning

confidence: 99%

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

Nakahara

Nguyen

Bui

et al. 2017

Tropical Med Int Health

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SummaryNeeds for surgical care are growing in low-and middle-income countries. Existing surgical care capacity indicators, focusing on the availability of equipment, personnel, and operation and anaesthetic skills, are not intended to evaluate perioperative nutrition management, which influences surgical outcomes. In this narrative review, we describe the prevalence of malnutrition and its clinical consequences among surgical patients in low-and middle-income countries, suggest potential measures to improve nutrition management and discuss the necessity of considering nutrition management as a component of surgical care capacity.

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“…The nutritional status of hospitalized patients directly affects their clinical course, with higher rates of hospital-acquired diseases, higher risk of clinical complications and higher mortality rate among malnourished patients, increasing the time of hospitalization and reducing quality of life 21 .…”

Section: ■ Discussionmentioning

confidence: 99%

Combination of preoperative pulmonary and nutritional preparation for esophagectomy

et al. 2018

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Purpose: To compare pulmonary and nutritional parameters before and after inspiratory muscle training (IMT) and enteral feeding support in patients with esophageal disease undergoing preoperative outpatient follow-up. Methods: Thirty patients with a mean age of 55.83 years, 16 men and 14 women, were included. Pulmonary assessment consisted of the measurement of MIP, MEP, and spirometry. Anthropometric measurements and laboratory tests were performed for nutritional assessment. After preoperative evaluation, inspiratory muscle training and enteral nutrition support were started. A p<0.05 was considered statistically significant. Results: After an outpatient follow-up period of 4 weeks, a significant increase in MIP (-62.20 ± 25.78 to -81.53 ± 23.09), MEP (73.4 ± 31.95 to 90.33 ± 28.39), and FVC (94.86 ± 16.77 to 98.56 ± 17.44) was observed. Regarding the anthropometric variables, a significant increase was also observed in BMI (20.18 ± 5.04 to 20.40 ± 4.69), arm circumference (23.38 ± 3.28 to 25.08 ± 4.55), arm muscle circumference (21.48 ± 3.00 to 22.07 ± 3.36), and triceps skinfold thickness (5.62 ± 2.68 to 8.33 ± 6.59). Conclusion: Pulmonary and nutritional preparation can improve respiratory muscle strength, FVC and anthropometric parameters. However, further studies are needed to confirm the effectiveness of this preoperative preparation.

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Nutritional screening in surgical patients of a teaching hospital from Southern Brazil: the impact of nutritional risk in clinical outcomes

Cited by 17 publications

References 16 publications

Risk factors associated with malnutrition in hospitalized patients

Risk factors associated with malnutrition in hospitalized patients

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

Combination of preoperative pulmonary and nutritional preparation for esophagectomy

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