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

Détails

Ressource 1Télécharger: nutrients-14-00932-v2Simple clinical screening underestimnates.pdf (1372.11 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
Document(s) secondaire(s)
Télécharger: nutrients-14-00932-v2Simple clinical screening underestimnates.pdf (1372.11 [Ko])
Etat: Public
Version: Final published version
Licence: Non spécifiée
ID Serval
serval:BIB_8D7E3333E5EE
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Simple Clinical Screening Underestimates Malnutrition in Surgical Patients with Inflammatory Bowel Disease-An ACS NSQIP Analysis.
Périodique
Nutrients
Auteur⸱e⸱s
Abd-El-Aziz M.A., Hübner M., Demartines N., Larson D.W., Grass F.
ISSN
2072-6643 (Electronic)
ISSN-L
2072-6643
Statut éditorial
Publié
Date de publication
22/02/2022
Peer-reviewed
Oui
Volume
14
Numéro
5
Pages
932
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
28/02/2022 17:23
Dernière modification de la notice
21/11/2022 8:22
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