Preoperative serum cholinesterase levels as a risk factor of postoperative complications for the elderly undergoing emergency surgery

Takano, Yasuhiro; Haruki, Koichiro; Tsukihara, Shu; Ito, Daisuke; Kanno, Hironori; Son, Kyonsu; Eto, Ken; Hanyu, Nobuyoshi; Ikegami, Toru

doi:10.1007/s00595-021-02288-4

Cited by 5 publications

(3 citation statements)

References 34 publications

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“…The aims of 14 studies (45.2 per cent) were specifically related to nutrition 5 , 28 , 30–41 . The majority of studies enrolled fewer than 100 EGS patients 30 , 36 , 37 , 40–46 . A total of seven studies included patients who all had a laparotomy 36 , 38 , 44–48 .…”

Section: Resultsmentioning

confidence: 99%

“…Of the 31 studies included in this review, 23 studies (75 per cent) provided a definition of malnutrition. This was by use of a nutrition screening tool alone 33 , 34 , 39 , 48 , 50 , an assessment tool 28 , 29 , 32 , 37 , 38 , 40–42 , 51 , or a nutrition marker, either on its own 35 , 43 , 45 or combined 5 , 31 , 44 , 49 , 52 , 53 . There were two studies that provided no definition of malnutrition 46 , 54 .…”

Section: Resultsmentioning

confidence: 99%

“…There were seven single measures used to define malnutrition ( Table 6 ): albumin, arm muscle circumference, BMI, cholinesterase, haemoglobin, neutrophil to lymphocyte ratio, and the total number of lymphocytes. Albumin 28 , 40 , 43 , 45 , 55 and BMI 28 , 35 , 40 , 54 , 57 were the most commonly used measures (used in five studies each).…”

Section: Resultsmentioning

confidence: 99%

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Identifying malnutrition in emergency general surgery: systematic review

Ashmore,

Rashid,

Wilson

et al. 2023

BJS Open

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Background Emergency general surgery practice is high risk. Surgery is a key part of treatment, with resultant catabolic stress and frequent need for nutritional support. The aim of this study was to examine the current methods of defining and determining malnutrition in emergency general surgery. This included examining the use of nutrition screening and assessment tools and other measures of malnutrition. Methods MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, trial registries, and relevant journals published between January 2000 and January 2022 were searched for studies of adult patients with any emergency general surgery diagnosis, managed conservatively or operatively, with an assessment of nutritional status. Mixed populations were included if more than 50 per cent of patients were emergency general surgery patients or emergency general surgery results could be separately extracted. Studies in which patients had received nutritional support were excluded. The protocol was registered with PROSPERO, the international prospective register of systematic reviews (CRD42021285897). Results From 6700 studies screened, 324 full texts were retrieved and 31 were included in the analysis. A definition of malnutrition was provided in 23 studies (75 per cent), with nutritional status being determined by a variety of methods. A total of seven nutrition screening tools and a total of nine ‘assessment’ tools were reported. To define malnutrition, the most commonly used primary or secondary marker of nutritional status was BMI, followed by albumin level. Conclusion Wide variation exists in approaches to identify malnutrition risk in emergency general surgery patients, using a range of tools and nutrition markers. Future studies should seek to standardize nutrition screening and assessment in the emergency general surgery setting as two discrete processes. This will permit better understanding of malnutrition risk in surgical patients.

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