Nutritional screening for risk prediction in patients scheduled for extra-abdominal surgery

Kuppinger, David; Hartl, Wolfgang H.; Bertok, M.; Hoffmann, J. N.; Cederbaum, Jona; Bender, Andreas; Küchenhoff, Helmut; Rittler, P.

doi:10.1016/j.nut.2012.06.013

Cited by 13 publications

(7 citation statements)

References 24 publications

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“…18 Kuppinger, et al found that the NRS-2002 alone was insufficient to precisely predict complications and a modified NRS-2002 classification might be required to preoperatively identify patients at a high nutritional risk for surgical patients with non-abdominal diseases. 19 However, Kuppinger et al did not deny the value of NRS-2002. They modified the value of NRS-2002 to "≥2 or <2", rather than "≥3 or <3" as it is currently classified.…”

Section: Conclusion/discussionmentioning

confidence: 99%

A Multicenter Investigation on Nutritional Risk and Nutrition Therapy in Chinese Teaching Hospitals with Nutritional Risk Screening 2002

Zhou¹,

Tang²,

H³

et al. 2015

Adv Food Technol Nutr Sci Open J

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Prevalence of malnutrition, nutritional risk and implementation rate of nutritional therapy were compared between patients in surgical wards and those in internal medicine wards. Results: A total of 1278 patients were in the final analysis. Among them, 551 patients were in surgical wards (the surgical group) and 727 patients were in internal medicine wards (the internal group). Compared to the internal group, the prevalence of nutritional risk was significantly lower in the surgical group (27.22% vs. 39.48%, p=0.0001). There were no significantly differences in prevalence of malnutrition between surgical and internal groups (15.06% vs. 16.23%, p=0.5702). In the internal group, more patients without nutritional risk underwent nutrition therapy (22.27% vs. 13.97%, p=0.0019) and fewer patients with malnutrition or nutritional risks underwent nutritional therapy (p<0.05). Conclusions: Nutritional risk and inappropriate nutritional therapy are more common among patients in internal medicine wards than those in surgical wards. The NRS-2002 is a worthwhile nutritional risk screening tool for hospitalized patients.TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT00289380.

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Section: Conclusion/discussionmentioning

confidence: 99%

A Multicenter Investigation on Nutritional Risk and Nutrition Therapy in Chinese Teaching Hospitals with Nutritional Risk Screening 2002

Zhou¹,

Tang²,

H³

et al. 2015

Adv Food Technol Nutr Sci Open J

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“…Therefore, patients with nutritional risk screening (NRS) score ≥3 should have an optimized nutritional support that includes both enteral nutrition to maintain the intestinal barrier function and parenteral nutrition to avoid malnutrition and infection due to long-term insuicient feeding. These measures will help to improve clinical outcomes in these patients [25,26].…”

Section: Evaluation Of Physiological Reservementioning

confidence: 99%

Minimally Invasive Esophagectomy

Calduch¹,

Oliver²,

Mozos³

et al. 2017

Esophageal Abnormalities

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Minimally Invasive Surgery (MIS) for esophageal carcinoma has improved the outcome of patients. This approach has been shown to decrease the rate of respiratory complications, the intensive care unit (ICU) stay, and to allow a faster recovery of patients. Also, an improvement in perioperative care has contributed to beter outcomes compared to the open approach. MIS has been shown to be as safe as open surgery in terms of resectability, harvested lymph nodes, and overall survival.

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“…Even though the postoperative complications have multiple causes and the establishment of the nutritional risk is not enough in order to predict the individual risk in the appearance of complications. Nevertheless the nutritional treatment in the preoperative period has the objective to correct the nutritional deficits in the case of surgical interventions, which are not urgent and can reduce the risk of postoperative complications (6).…”

Section: Introductionmentioning

confidence: 99%

The Importance of the Nutritional Factor and the Stage of the Disease in Postoperative Fistula in Patients with Gastric Cancer

Prunoiu¹,

Marincaş²,

Pantiş³

et al. 2019

chr

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RezumatIntroducere: În cancerul gastric sunt factori generali şi locali multipli care pot determina fistulelor postoperatorii. În studiul de faţă am propus analiza rolului stării nutriţionale preoperatorii şi al terapiei nutriţionale împreună cu stadiul bolii, vârsta şi sexul pacienţilor în cazul apariţiei fistulelor. Material şi Metodă: Acest studiu retrospectiv a inclus 158 de pacienţi operaţi pentru cancer gastric în Clinica de Chirurgie în perioada 2010-2016, în care am analizat incidenţa fistulei anastomotice. Rezultate: Incidenţa globală a fistulelor a fost de 11%. Dintre cei 30 de pacienţi cu pierdere în greutate şi nutriţie parenterală pre şi post-parenterală parenterală, fistula a apărut la 13%, dintre 36 pacienţi cu pierdere în greutate şi nutriţie parenterală numai postoperator, 14%, din 24 de pacienţi cu pierdere în greutate şi fără terapie nutriţională, au făcut fistulă 21%, iar 68 de pacienţi fără pierdere în greutate au făcut fistulă numai 6%. Concluzie: În concluzie, incidenţa fistulei postoperatorie a fost mai mare în stadiile avansate de boală (p=0.027) precum şi la pacienţii cu vârsta de peste 70 de ani. Putem spune că terapia nutriţională a condus la scăderea numărului de fistule (p=0.047) Cuvinte cheie: cancer gastric, nutritie, oncologie geriatrică Abstract Introduction: In gastric cancer there are multiple local and general risk factors for the occurrence of postoperative fistulas. In the present study, we proposed to analyse the role of the preoperative nutritional state and nutritional therapy along with the disease stage, the age and the sex of patients in the occurrence of fistulas. Material and method: This retrospective study included 158 patients operated for gastric cancer in Surgery Department of Bucharest Oncology institute between January 2010 and December 2016 in which we analysed the incidence of anastomotic fistula according to the nutritional status, disease status, age and sex of the patients. Results: The global incidence of fistulas was of 11%, out of which 8 % were fistulas of the duodenal stump and 3.19% fistulas of the eso-jejunal anastomosis. Out of the 30 patients with weight loss and parenteral nutrition in the preop period, we had 4 fistulas (13%), and out of the 36 patients with weight loss and nutritional measures in the postop we had 5 fistulas (14%), also, out of the 24 patients with weight loss and without nutritional intervention, we had 5 fistulas (21%), finally, out of the 68 patients without weight loss we had fistulas in 4 patients (6%).. The incidence of fistulas was 5% in patients with stage I, II and III and 24% in stage IV patients. The distribution of fistulas according to the age of the patients showed a much higher incidence of fistulae in patients over 70 years old. Conclusions: − The number of postoperative fistulas was higher in the advanced stages of the disease (p=0.027) and in patients over 70 years old (p=0.047) and the differences were statistically significant. − The difference between the number of fistulae occurred in patients who had wei...

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Nutritional screening for risk prediction in patients scheduled for extra-abdominal surgery

Cited by 13 publications

References 24 publications

A Multicenter Investigation on Nutritional Risk and Nutrition Therapy in Chinese Teaching Hospitals with Nutritional Risk Screening 2002

A Multicenter Investigation on Nutritional Risk and Nutrition Therapy in Chinese Teaching Hospitals with Nutritional Risk Screening 2002

Minimally Invasive Esophagectomy

The Importance of the Nutritional Factor and the Stage of the Disease in Postoperative Fistula in Patients with Gastric Cancer

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