Evaluation of nutritional screening tools for patients scheduled for cardiac surgery

Ломиворотов, В. В.; Efremov, Sergey; Boboshko, Vladimir; Николаев, Д. А.; Vedernikov, P.E.; Ломиворотов, В. Н.; Karaskov, Alexander

doi:10.1016/j.nut.2012.08.006

Cited by 79 publications

(60 citation statements)

References 26 publications

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“…A small portion of the herein studied population was classified as "at nutritional risk", and these data were lower than those found by other authors [11,19] .…”

Section: Discussioncontrasting

confidence: 89%

“…Such data meet the findings by Soares et al [10] , who found 58% prevalence of clinical complications. However, Lomivorotov et al [19] have observed this prevalence in 42% of the patients, only.…”

Section: Discussionmentioning

confidence: 94%

“…The nutritional risk before the cardiac surgery has been associated with adverse effects in the postoperative period [5,19] due to increased catabolism and metabolic requirements [5] .…”

Section: Discussionmentioning

confidence: 99%

“…Lomivorotov et al [19] assessed the predictive value from nutritional status screening instruments applied to patients undergoing cardiac surgery. They found that the NRS 2002 method was the least sensitive to malnutrition detection.…”

Section: Discussionmentioning

confidence: 99%

“…Such finding supports the importance of developing an instrument designed for surgical cardiac patients. Such instrument must take into account the severity of the congestive heart failure and the clinical signs of cachexia [19] . Several studies have shown the association between nutritional status and high incidence of complications in the postoperative period of major cardiac surgeries [6,9,19,20] .…”

Section: Discussionmentioning

confidence: 99%

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Preoperative Nutritional Status and Clinical Complications in the Postoperative Period of Cardiac Surgeries

Gonçalves¹,

Jesus²,

Gonçalves³

et al. 2016

Brazilian Journal of Cardiovascular Surgery

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ObjectiveThis study aims to assess the preoperative nutritional status of patients and the role it plays in the occurrence of clinical complications in the postoperative period of major elective cardiac surgeries.MethodsCross-sectional study comprising 72 patients aged 20 years or older, who underwent elective cardiac surgery. The preoperative nutritional assessment consisted of nutritional screening, anthropometry (including the measurement of the adductor pollicis muscle thickness) and biochemical tests. The patients were monitored for up to 10 days after the surgery in order to control the occurrence of postoperative complications. The R software, version 3.0.2, was used to statistically analyze the data.ResultsClinical complications were found in 62.5% (n=42) of the studied samples and complications of non-infectious nature were most often found. Serum albumin appeared to be associated with renal complications (P=0.026) in the nutritional status indicators analyzed herein. The adductor pollicis muscle thickness was associated with infectious complications and presented mean of 9.39±2.32 mm in the non-dominant hand (P=0.030). No significant correlation was found between the other indicators and the clinical complications.ConclusionThe adductor pollicis muscle thickness and the serum albumin seemed be associated with clinical complications in the postoperative period of cardiac surgeries.

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“…A small portion of the herein studied population was classified as "at nutritional risk", and these data were lower than those found by other authors [11,19] .…”

Section: Discussioncontrasting

confidence: 89%

Section: Discussionmentioning

confidence: 94%

“…The nutritional risk before the cardiac surgery has been associated with adverse effects in the postoperative period [5,19] due to increased catabolism and metabolic requirements [5] .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Preoperative Nutritional Status and Clinical Complications in the Postoperative Period of Cardiac Surgeries

Gonçalves¹,

Jesus²,

Gonçalves³

et al. 2016

Brazilian Journal of Cardiovascular Surgery

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Prediction of Prolonged ICU Stay in Cardiac Surgery Patients as a Useful Method to Identify Nutrition Risk in Cardiac Surgery Patients: A Post Hoc Analysis of a Prospective Observational Study

Stoppe

Ney

Ломиворотов

et al. 2018

J Parenter Enteral Nutr

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Background Cardiovascular surgery patients with a prolonged intensive care unit (ICU) stay may benefit most from early nutrition support. Using established scoring systems for nutrition assessment and operative risk stratification, we aimed to develop a model to predict a prolonged ICU stay ≥5 days in order to identify patients who will benefit from early nutrition interventions. Methods This is a retrospective analysis of a prospective observational study of patients undergoing elective valvular, coronary artery bypass grafting, or combined cardiac surgery. The nutrition risk was assessed by well‐established screening tools. Patients’ preoperative EuroSCORE (European System for Cardiac Operative Risk Evaluation), primary disease, and intraoperative cardiopulmonary bypass (CPB) time were included as independent variables in a multivariate logistic regression analysis to predict a prolonged ICU stay (>4 days). Results The number of cardiac surgery patients included was 1193. Multivariate analysis revealed that for prediction of ICU stay >4 days, both Nutritional Risk Screening 2002 (area under the curve (AUC): 0.716, P = .020) and Mini Nutritional Assessment (MNA) score (AUC: 0.715, P = .037) were significant, whereas for prediction of ICU stay >5 days, only the MNA score showed significant results (AUC: 0.762, P = .011). Conclusion Present data provide first evidence about the combined use of EuroSCORE, primary disease, CPB time, and nutrition risk screening tools for prediction of prolonged ICU stay in cardiac surgery patients. If prospectively evaluated in adequately designed studies, this model may help to identify patients with prolonged ICU stay to initiate early postoperative nutrition therapy and thus, facilitate an enhanced recovery.

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Nutritional Screening and Assessment Tools for Cardiac Surgery and ICU

Efremov¹,

Lomivorotov²

2015

Diet and Nutrition in Critical Care

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Evaluation of nutritional screening tools for patients scheduled for cardiac surgery

Cited by 79 publications

References 26 publications

Preoperative Nutritional Status and Clinical Complications in the Postoperative Period of Cardiac Surgeries

Preoperative Nutritional Status and Clinical Complications in the Postoperative Period of Cardiac Surgeries

Prediction of Prolonged ICU Stay in Cardiac Surgery Patients as a Useful Method to Identify Nutrition Risk in Cardiac Surgery Patients: A Post Hoc Analysis of a Prospective Observational Study

Nutritional Screening and Assessment Tools for Cardiac Surgery and ICU

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