Nutritional Status Deteriorates Postoperatively Despite Preoperative Nutritional Support.

Details

Serval ID
serval:BIB_A675B0B4EC7B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Nutritional Status Deteriorates Postoperatively Despite Preoperative Nutritional Support.
Journal
Annals of nutrition & metabolism
Author(s)
Grass F., Benoit M., Coti Bertrand P., Sola J., Schäfer M., Demartines N., Hübner M.
ISSN
1421-9697 (Electronic)
ISSN-L
0250-6807
Publication state
Published
Issued date
2016
Peer-reviewed
Oui
Volume
68
Number
4
Pages
291-297
Language
english
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
Abstract
The aim of the current study was to assess the postoperative evolution of nutritional status and to relate it with postoperative outcomes.
Demographic, surgical and nutritional parameters were assessed 10 days preoperatively (d-10) and 30 days postoperatively (d30) in 146 patients. Risk factors responsible for perioperative (>5% between d-10 and d30) weight loss were identified. Overall, severe (Clavien 3-5) and infectious complications were compared in patients with and without perioperative weight loss (>5%).
Nutritional status worsened beyond the postoperative period as reflected by decreasing weight (67 ± 13 kg at d-10 vs. 63 ± 13 kg at d30, p < 0.001), body mass index (23.4 ± 4 vs. 22.2 ± 4 kg/m2, p < 0.001) and mid upper-arm muscle circumference (MAMC, 241 ± 32 vs. 232 ± 30 mm, p < 0.001). Fifty-two patients (46%) lost >5% of their body weight between d-10 and d30. Patients who presented overall (63 vs. 36%, p = 0.004) and major (27 vs. 10%, p = 0.016) postoperative complications were at significantly higher risk to deteriorate postoperative nutritional status. Multivariate analysis identified low preoperative lean body mass (OR 3.2; 95% CI 1.2-8.9, p = 0.023) and low preoperative MAMC (OR 2.5; 95% CI 0.9-6.8, p = 0.066) as independent risk factors for perioperative weight loss.
These data suggest continuing nutritional follow-up after the index hospitalization.

Keywords
Arm, Body Mass Index, Cohort Studies, Digestive System Surgical Procedures/adverse effects, Energy Intake, Female, Humans, Male, Malnutrition/epidemiology, Malnutrition/physiopathology, Malnutrition/prevention & control, Malnutrition/therapy, Muscle Development, Nutrition Assessment, Nutritional Status, Nutritional Support, Postoperative Complications/epidemiology, Postoperative Complications/physiopathology, Postoperative Complications/prevention & control, Postoperative Complications/therapy, Preoperative Care, Retrospective Studies, Risk Factors, Severity of Illness Index, Switzerland/epidemiology, Weight Loss
Pubmed
Web of science
Create date
15/02/2017 20:43
Last modification date
20/08/2019 16:11
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