Back to Search
Start Over
Malnutrition in elective surgery: How traditional markers might be failing surgeons and patients
- Source :
- Surgery. 168:1144-1151
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Background Serologic and anthropometric measures are commonly used as surrogate markers of nutritional status in clinical practice. In 2012, leading dietetic organizations published a standard definition of malnutrition based on clinical characteristics. We hypothesize that surrogate markers underrecognize clinical malnutrition and do not accurately identify patients at risk for adverse outcomes. Methods A single-institution cohort study of elective surgical inpatients from August 2015 to November 2017. Nutritional assessment was completed by trained registered dietitians using leading dietetic guidelines. Multivariable logistic regression was used to determine the association between malnutrition and perioperative outcomes. Results Among 953 elective surgical admissions, 456 underwent full clinical nutritional assessment. Of these, 202 (44.3%) met malnutrition criteria. In addition, 20.3% of patients with clinical malnutrition were underweight ( Conclusion In this cohort of elective surgical patients, traditional markers failed to identify malnutrition in a substantial portion of patients who met clinical malnutrition criteria. Clinical malnutrition assessment is effective in identifying patients who may be at risk for suboptimal outcomes. Surgeons should implement clinical nutritional assessment and factor that information into their preoperative evaluation and management of elective surgical patients.
- Subjects :
- Male
medicine.medical_specialty
Nutritional Status
030230 surgery
Risk Assessment
Cohort Studies
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Preoperative Care
medicine
Humans
Hospital Mortality
Elective surgery
Aged
Retrospective Studies
Missed Diagnosis
business.industry
Malnutrition
Retrospective cohort study
Perioperative
Middle Aged
Anthropometry
medicine.disease
Nutrition Assessment
Elective Surgical Procedures
030220 oncology & carcinogenesis
Emergency medicine
Cohort
Female
Surgery
Underweight
medicine.symptom
business
Cohort study
Subjects
Details
- ISSN :
- 00396060
- Volume :
- 168
- Database :
- OpenAIRE
- Journal :
- Surgery
- Accession number :
- edsair.doi.dedup.....4949da6cf211f097fdabd47b7741dd6e