Nutritional risk screening in surgery: Valid, feasible, easy!

Almeida, Ana Isabel; Correia, Marta; Camilo, M.; Ravasco, Paula

doi:10.1016/j.clnu.2011.10.003

Cited by 69 publications

(54 citation statements)

References 14 publications

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“…Pablo 23 and Almeida 1 found a low correlation between Subjective Global Assessment and Nutritional Risk Index. 21,23 In the same study, Almeida 1 suggested that the Nutritional Risk Index has a lower sensitivity and specificity to assess malnutrition risk as compared to Subjective Global Assessment. Some postoperative complications are related to the wound healing process.…”

Section: Discussionmentioning

confidence: 99%

O índice de risco nutricional (nutritional risk index) é preditor de complicação pós-operatória em operações do aparelho digestivo ou parede abdominal?

Thieme¹,

Cutchma²,

CHieferdecker³

et al. 2013

ABCD, arq. bras. cir. dig.

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RACIONAL: Pode-se considerar a desnutrição como doença mais comum no ambiente hospitalar, devido à sua alta prevalência. OBJETIVO: Verificar os indicadores de estado nutricional que melhor se correlacionam com as complicações pós-operatórias e o tempo de permanência hospitalar de pacientes submetidos à operações do aparelho digestivo ou parede abdominal de médio e grande porte. MÉTODO: Estudo retrospectivo, com análise de 215 fichas de avaliação nutricional de pacientes cirúrgicos que foram submetidos à avaliação nutricional por meio de dados antropométricos (peso, altura, IMC, circunferência do braço, prega cutânea triciptal, circunferência muscular do braço), avaliação subjetiva global e dados bioquímicos (contagem total de linfócitos e albumina sérica). Em adição, posteriormente foi calculado o índice de risco nutricional. RESULTADOS: Foram incluídos 125 indivíduos. Diagnóstico de desnutrição de acordo com circunferência muscular do braço, índice de risco nutricional e avaliação subjetiva global foi de 46%, 88% e 66%, respectivamente. A classificação como gravemente desnutridos foi de 17,6% dos pacientes de acordo com a avaliação subjetiva global, enquanto que com o índice de risco nutricional foi de 42%. Os pacientes com câncer são mais desnutridos (5,42 unidades do índice de risco nutricional a menos). Houve correlação significativa entre ocorrência de complicações pós-operatórias não infecciosas quando analisado o índice de risco nutricional, considerando que seus menores complicaram mais (p=0,0016). O mesmo resultado foi obtido para albumina sérica (p=0,0015). Os pacientes sem complicações permaneceram, em média, 14,24 dias internados a menos do que os pacientes com complicações não infecciosas (p<0,05). CONCLUSÃO: O índice de risco nutricional e a albumina sérica são os parâmetros com melhor capacidade em predizer ocorrência de complicações pós-operatórias não infecciosas.

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Section: Discussionmentioning

confidence: 99%

O índice de risco nutricional (nutritional risk index) é preditor de complicação pós-operatória em operações do aparelho digestivo ou parede abdominal?

Thieme¹,

Cutchma²,

CHieferdecker³

et al. 2013

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

show abstract

“…A relatively high proportion of patients scheduled for rehabilitation presented with increased nutritional risk following recent heart surgery [13,24,25] . Such an outcome could be dominantly a consequence of increased metabolic demands due to tissue repair after major invasive treatment, in addition to effects of several chronic comorbidities, as well as probable lack of additional enteral nutritional support [26] .…”

Section: Discussionmentioning

confidence: 99%

Influence of Transiently Increased Nutritional Risk on a Left Ventricle Myocardial Mass Assessed by Echocardiography

Boban

Laviano

Peršić³

et al. 2016

Ann Nutr Metab

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Background/Aim: Metabolic derangements due to increased nutritional risk lead to catabolism and loss of proteins, muscle tissue and eventually mass of parenchymatous organs. The aim of our study was to assess whether transitory nutritional risk after heart surgery influences on the left ventricle myocardial mass (LVMM), assessed by echocardiography. Methods: Consecutive sample of patients scheduled for cardiovascular rehabilitation, in period 0-3 months after surgery. Nutritional risk screening (NRS) was analyzed using the NRS-2002 tool. Results: Study sample included 330 patients after heart surgery for ischemic 186 (56.4%); valvular 91 (27.6%) and valvular plus ischemic 53 (16.1%) heart disease. Age was 65.5 ± 10.6 (range 23-84) and there were more male patients than female - 240 (72.7%) and 90 (27.3%), respectively. The percentage of unintentional loss of weight was 10.8 ± 3.4%, in range 0-23.81%, whereas NRS-2002 was 4.4 ± 1.1. LVMM was 218.7 ± 65.9 g vs. 252.3 ± 51.7 (p = 0.015); for patients with increased nutritional risk and controls, respectively. There was no significant correlation of LVMM with NRS-2002, while the percentage of unintentional loss of weight displayed only weakly inverse correlation (Rho CC = -0.197; p = 0.007). LVMM also correlated significantly with body mass index (Rho CC = 0.247; p < 0.001) and waist-to-hip ratio (Rho CC = 0.291; p < 0.001). In conclusion, LVMM was found to decrease slightly in the period of increased nutritional risk, following heart surgery. Changes in LVMM are partially consequences of systemic catabolic response, as well as anthropometric changes due to unintentional loss of weight.

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“…and "Have you lost weight recently without trying?," and it is accurate when compared with the standard Subjective Global Assessment. 17 The MST is reliable and sensitive and may be used to screen patients for the need for further nutritional assessment. One must elicit reasons for difficulty eating.…”

Section: Calculation Of Nutritional Riskmentioning

confidence: 99%

“…Determining a patient's risk for malnutrition would be key during the preoperative visit to plan and optimize supportive measures accordingly. 17,46 The Malnutrition Screening Tool (MST) is a quick and easy tool to help determine this risk, as it asks 2 simple questions: "Have you been eating poorly because of a decreased appetite?" and "Have you lost weight recently without trying?," and it is accurate when compared with the standard Subjective Global Assessment.…”

Section: Calculation Of Nutritional Riskmentioning

confidence: 99%

“…Malnutrition has been associated with increased postoperative complications, 14-16 perioperative mortality, 17,18 increased hospital length of stay, 17 decreased longevity, 11 and quality of life 11 in elderly patients with various disease conditions. Sadly, the prevalence of malnutrition in hospital and nursing home settings has been reported to be more than 40% to 50%.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Management of the Gastrointestinal Tract and Nutrition in the Geriatric Surgical Patient

Nohra

Bochicchio

2015

Surgical Clinics of North America

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Nutritional risk screening in surgery: Valid, feasible, easy!

Cited by 69 publications

References 14 publications

O índice de risco nutricional (nutritional risk index) é preditor de complicação pós-operatória em operações do aparelho digestivo ou parede abdominal?

O índice de risco nutricional (nutritional risk index) é preditor de complicação pós-operatória em operações do aparelho digestivo ou parede abdominal?

Influence of Transiently Increased Nutritional Risk on a Left Ventricle Myocardial Mass Assessed by Echocardiography

Management of the Gastrointestinal Tract and Nutrition in the Geriatric Surgical Patient

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