Simple Clinical Screening Underestimates Malnutrition in Surgical Patients with Inflammatory Bowel Disease-An ACS NSQIP Analysis.

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Version: Final published version
License: CC BY 4.0
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Download: nutrients-14-00932-v2Simple clinical screening underestimnates.pdf (1372.11 [Ko])
State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_8D7E3333E5EE
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Simple Clinical Screening Underestimates Malnutrition in Surgical Patients with Inflammatory Bowel Disease-An ACS NSQIP Analysis.
Journal
Nutrients
Author(s)
Abd-El-Aziz M.A., Hübner M., Demartines N., Larson D.W., Grass F.
ISSN
2072-6643 (Electronic)
ISSN-L
2072-6643
Publication state
Published
Issued date
22/02/2022
Peer-reviewed
Oui
Volume
14
Number
5
Pages
932
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
The present large scale study aimed to assess the prevalence and consequences of malnutrition, based on clinical assessment (body mass index and preoperative weight loss) and severe hypoalbuminemia (&lt;3.1 g/L), in a representative US cohort undergoing IBD surgery. The American College of Surgeons National Quality improvement program (ACS-NSQIP) Public User Files (PUF) between 2005 and 2018 were assessed. A total of 25,431 patients were identified. Of those, 6560 (25.8%) patients had severe hypoalbuminemia, 380 (1.5%) patients met ESPEN 2 criteria (≥10% weight loss over 6 months PLUS BMI &lt; 20 kg/m <sup>2</sup> in patients &lt;70 years OR BMI &lt; 22 kg/m <sup>2</sup> in patients ≥70 years), and 671 (2.6%) patients met both criteria (severe hypoalbuminemia and ESPEN 2). Patients who presented with malnutrition according to any of the three definitions had higher rates of overall, minor, major, surgical, and medical complications, longer LOS, higher mortality and higher rates of readmission and reoperation. The simple clinical assessment of malnutrition based on BMI and weight loss only, considerably underestimates its true prevalence of up to 50% in surgical IBD patients and calls for dedicated nutritional assessment.
Keywords
Humans, Hypoalbuminemia/diagnosis, Hypoalbuminemia/epidemiology, Inflammatory Bowel Diseases/complications, Inflammatory Bowel Diseases/surgery, Malnutrition/diagnosis, Malnutrition/epidemiology, Postoperative Complications/diagnosis, Postoperative Complications/epidemiology, Postoperative Complications/etiology, Retrospective Studies, Crohn’s disease, albumin, inflammatory bowel disease, malnutrition, surgery, ulcerative colitis
Pubmed
Web of science
Open Access
Yes
Create date
28/02/2022 18:23
Last modification date
01/04/2022 6:34
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