Assessing the Effect of Preoperative Nutrition on Upper Body Function in Elderly Patients Undergoing Elective Abdominal Surgery

Sikder, Tarifin; Maimon, Geva; Sourial, Nadia; Tahiri, Mehdi; Teasdale, Debby; Bernier, Paule; Fraser, Shannon A.; Demyttenaere, Sebastian; Bergman, Simon

doi:10.1177/0148607117703956

Cited by 3 publications

(4 citation statements)

References 49 publications

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“…Notably, four patients in the at-risk-of-malnutrition group and one patient in the malnourished group showed postoperative bleeding, requiring a radiological interventional procedure. Patients in the well-nourished group showed a relatively shorter length of hospitalization, which could be attributed to a lesser severity of postoperative complications in this group than the severity of complications observed in the at-risk-of-malnutrition or malnourished group 16. In this study, the rate of severe complications (except wound dehiscence) was higher in the at-risk-of-malnutrition and malnourished groups.…”

Section: Discussionmentioning

confidence: 45%

Effects of Preoperative Malnutrition on Postoperative Surgical Outcomes and Quality of Life of Elderly Patients with Periampullary Neoplasms: A Single-Center Prospective Cohort Study

2019

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Background/AimsWe investigated the effect of preoperative malnutrition on postoperative surgical outcomes in elderly patients undergoing pancreatoduodenectomy for periampullary neoplasms.MethodsThis prospective cohort study enrolled 154 patients aged ≥65 years with periampullary neoplasms. Using the Mini Nutritional Assessment tool, patients were categorized into three groups according to their preoperative nutritional status: well-nourished (13.0%), at-risk-of-malnutrition (59.7%), and malnourished (27.3%).ResultsSignificant intergroup differences were observed in preoperative body mass index (25.6±2.4 kg/m2 [well-nourished] vs 23.4±2.6 kg/m2 [at-risk-of-malnutrition] vs 21.1±2.8 kg/m2 [malnourished], p<0.001). The overall morbidity significantly differed between the well-nourished and malnourished groups (20% vs 50.0%, p=0.024). The rates of clinically significant postoperative pancreatic fistula were significantly different among groups (p=0.035). Univariate and multivariate analyses showed that the at-risk-of-malnutrition or malnourished status (hazard ratio [HR], 3.45; p=0.037) and intraoperative blood loss (HR, 1.01; p=0.040) significantly affected the overall postoperative morbidity in elderly patients.ConclusionsBefore surgery, 87.0% of patients were classified into the at-risk-of-malnutrition or malnourished group. Compared with well-nourished patients, patients with nutritional issues showed a higher overall surgical morbidity. Improved preoperative nutritional status leads to favorable surgical outcomes in elderly patients.

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Section: Discussionmentioning

confidence: 45%

Effects of Preoperative Malnutrition on Postoperative Surgical Outcomes and Quality of Life of Elderly Patients with Periampullary Neoplasms: A Single-Center Prospective Cohort Study

2019

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“…For men: BMI ≤ 24 and HGS ≤ 29 kg, 24 < BMI ≤ 26 and HGS ≤ 30 kg, 26 < BMI ≤ 28 and HGS ≤ 30 kg, or 28 < BMI and HGS ≤ 32 kg [3]. The Jamar dynamometer was used for all HGS measurements [26]. Slowness: A gait speed less than 0.6 m/s [27].…”

Section: Methodsmentioning

confidence: 99%

“…Exhaustion: Self-reported usual energy level of the past month [24,25] [3]. The Jamar dynamometer was used for all HGS measurements [26]. 4.…”

Section: Frailty Assessmentmentioning

confidence: 99%

Postoperative Recovery in Frail, Pre‐frail, and Non‐frail Elderly Patients Following Abdominal Surgery

et al. 2018

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“…The assessment of nutritional status in older patients undergoing surgery seems to play a key role in clinical outcome [ 26 ]. The most important factors to evaluate the nutritional status of patients are significant weight loss, low body mass index, hypo-albuminemia and significant and sustained reduction in food intake [ 27 , 28 ]. The causes can be related to functional decline, presence of comorbidities, increased symptom burden, psychosocial determinants and anticancer treatments.…”

Section: The Anaesthesiological Point Of Viewmentioning

confidence: 99%

Definition and assessment of frailty in older patients: the surgical, anaesthesiological and oncological perspective

Dottorini¹,

Turati²,

Mattei³

et al. 2020

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The number of oncology, surgery and anaesthesia procedures in older patients has greatly increased in recent years due to ageing populations. Older patients are typically characterised by physical changes such as comorbidities, decline in physiological activities and cognitive impairment. All these factors, together with polypharmacological therapies, may substantially impact perioperative outcome, quality of recovery and, more in general, quality of life. A comprehensive multidisciplinary approach to perioperative care is thus needed. The assessment of frailty has a central role in the pre-operative evaluation of older patients and, with a multidisciplinary approach. The best surgical procedures and oncologic therapies can be accurately discussed in the pre-and post-operative periods. All clinicians involved in this scenario should be proactive in multidisciplinary care to achieve better outcomes.

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Assessing the Effect of Preoperative Nutrition on Upper Body Function in Elderly Patients Undergoing Elective Abdominal Surgery

Abstract: While HGS values over the 24 weeks were consistently higher in the well-nourished SGA group than the mildly to moderately malnourished SGA group, no difference in the trajectories of HGS was detected between the groups.

Cited by 3 publications

References 49 publications

Effects of Preoperative Malnutrition on Postoperative Surgical Outcomes and Quality of Life of Elderly Patients with Periampullary Neoplasms: A Single-Center Prospective Cohort Study

Effects of Preoperative Malnutrition on Postoperative Surgical Outcomes and Quality of Life of Elderly Patients with Periampullary Neoplasms: A Single-Center Prospective Cohort Study

Postoperative Recovery in Frail, Pre‐frail, and Non‐frail Elderly Patients Following Abdominal Surgery

Definition and assessment of frailty in older patients: the surgical, anaesthesiological and oncological perspective

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