Nutritional screening for risk prediction in patients scheduled for abdominal operations

The British Journal of Surgery
D KuppingerP Rittler

Abstract

Increased risks related to surgery might reflect the nutritional status of some patients. Such a group might benefit from perioperative nutritional support. The purpose of this study was to identify the relative importance of nutritional risk screening along with established medical, anaesthetic and surgical predictors of postoperative morbidity and mortality. This prospective observational study enrolled consecutive eligible patients scheduled for elective abdominal operations. Data were collected on nutritional variables (body mass index, weight loss, food intake), age, sex, type and extent of operation, underlying disease, American Society of Anesthesiologists grade and co-morbidities. A modified composite nutritional screening tool (Nutritional Risk Screening, NRS 2002) currently recommended by European guidelines was used. Relative complication rates were calculated with multiple logistic regression and cumulative proportional odds models. Some 653 patients were enrolled of whom 132 (20.2 per cent) sustained one or more postoperative complications. The frequency of this event increased significantly with a lower food intake before hospital admission. No other individual or composite nutritional variable provided comparable...Continue Reading

References

Mar 1, 1988·Annals of Surgery·J A Windsor, G L Hill
Oct 1, 1994·Journal of Pharmacokinetics and Biopharmaceutics·T M LuddenL B Sheiner
Jun 8, 1999·JAMA : the Journal of the American Medical Association·D H SullivanR C Walls
May 27, 2003·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Jens KondrupUNKNOWN Ad Hoc ESPEN Working Group
Jul 26, 2003·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·J KondrupUNKNOWN Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN)
Aug 7, 2004·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Niels JohansenAnette Martinsen
May 16, 2006·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Matthias PirlichHerbert Lochs
Aug 10, 2006·Surgical Infections·Antonio Sitges-SerraEstela Membrilla
Dec 7, 2007·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Kristina NormanMatthias Pirlich
Mar 18, 2008·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Marc SchiesserPierre-Alain Clavien
May 28, 2008·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Janice SorensenUNKNOWN EuroOOPS study group
Jul 4, 2009·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·M HiesmayrUNKNOWN NutritionDay Audit Team
Jul 16, 2010·JPEN. Journal of Parenteral and Enteral Nutrition·Paul E Marik, Gary P Zaloga
Aug 31, 2010·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·UNKNOWN National Alliance for Infusion Therapy and the American Society for Parenteral and Enteral Nutrition Public Policy Committee
Aug 31, 2010·British Journal of Anaesthesia·A Ashworth, A A Klein
Oct 12, 2010·The British Journal of Surgery·Y CerantolaM Schäfer
Nov 3, 2010·Clinical Epidemiology·Henrik H RasmussenJens Kondrup
Jan 13, 2011·JPEN. Journal of Parenteral and Enteral Nutrition·Charles MuellerUNKNOWN American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors
Jul 1, 2011·The New England Journal of Medicine·Michael P CasaerGreet Van den Berghe
Aug 13, 2011·Current Opinion in Clinical Nutrition and Metabolic Care·Marinos Elia, Rebecca J Stratton
Jan 1, 2009·Language Learning and Development : the Official Journal of the Society for Language Development·Daniel J WeissAaron D Mitchel

❮ Previous
Next ❯

Citations

Feb 4, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Linda HertleinPeter Rittler
Apr 11, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A WeimannUNKNOWN DGEM Steering Committee
Sep 3, 2013·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Koshi KumagaiToshiharu Yamaguchi
Nov 23, 2013·Otolaryngologic Clinics of North America·Michael A Via, Jeffrey I Mechanick
Aug 6, 2016·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A WeimannH-J Meyer
Aug 1, 2012·Personalized Medicine·Laura J MuirheadJeremy K Nicholson
Jun 19, 2013·Current Opinion in Clinical Nutrition and Metabolic Care·Nilanjana TewariDileep N Lobo
Oct 24, 2014·Expert Review of Gastroenterology & Hepatology·Mette HolstOivind Irtun
Aug 16, 2017·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·B Jansen-WinkelnI Gockel

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition
J KondrupAd Hoc ESPEN Working Group
Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition
Janice SorensenEuroOOPS study group
Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition
J KondrupEducational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN)
© 2022 Meta ULC. All rights reserved