MALNUTRITION AND CLINICAL OUTCOMES IN SURGICAL PATIENTS WITH COLORECTAL DISEASE

Arquivos De Gastroenterologia
Victor Keniti Gomes NishiyamaJoão Gomes Netinho

Abstract

Malnutrition is a frequent condition among hospitalized patients and a factor of increased risk of postoperative complication. This study aimed to evaluate the impact of malnutrition on phase angle (PA), body water distribution and clinical outcomes in surgical patients with colorectal disease. This retrospective study was performed in a tertiary hospital with 40 patients admitted electively. In the preoperative evaluation, global subjective assessment and bioelectrical impedance analysis were performed to determine nutritional status, PA, extracellular water (ECW), intracellular water (ICW) and total body water (TBW). In postoperative evaluation, the length of hospital stay and severe complications, according to Clavien-Dindo classification, were determined. The optimal PA cutoff for malnutrition screening was determined by ROC curve analysis. Seventeen (42.5%) patients were diagnosed as malnourished and 23 (57.5%) as well-nourished according to global subjective assessment. Twelve (30.0%) patients developed severe complications. The malnourished group presented lower values of serum albumin (P=0.012), hematocrit (P=0.026) and PA (P=0.002); meanwhile, ECW/ICW (P=0.019) and ECW/TBW (P=0.047) were higher. Furthermore, 58.8% of m...Continue Reading

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Citations

Aug 29, 2019·Arquivos De Gastroenterologia·Mariana Abe Vicente CavagnariNora Manoukian Forones
Aug 8, 2019·Current Opinion in Supportive and Palliative Care·Shilpa Mukunda Chowdhry, Varun Kumar Chowdhry
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Mar 27, 2021·Physiology & Behavior·Alexandre D MartinsRita Santos-Rocha
Nov 10, 2021·Nutrition and Cancer·Samara Bomfim Gomes CamposFabiana Andréa Moura

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