The Effect of Nutritional Status on Length of Hospital Stay in Adult Patients Undergoing Elective Orthopedic Surgery: A Prospective Analysis

Ferhatoğlu, Sibel Yılmaz; Dönmez, Nezihe Ferah

doi:10.4274/haseki.galenos.2020.5578

Cited by 3 publications

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“…Çalışmamızda malnütriyon riski yüksek olan ortopedi hastalarının yaş ortalaması daha yüksektir. Kaiser ve ark [2010], yaşlı yetişkinler arasında malnütrisyon sıklığını belirlemek amacıyla yaptıkları çalışmada, yaşlı yetişkinlerin %23'ünün malnütrisyonlu, %46'sının ise malnütrisyon riski altında olduğunu belirtmektedirler [20] Ortopedik cerrahi girişimlerin sıklıkla yaşlı bireylerde uygulanıyor olması, ortopedi kliniklerinde yatan yaşlı hastalar arasında da malnütrisyon riskinin fazlalığını açıklamaktadır [12,14]. Ihle ve arkadaşları (2017), ortopedik cerrahi geçiren yaşlı hastalarda malnütrisyon oranının %32-60 arasında değişmekte olduğunu saptamışlardır.…”

Section: Tablo 1 Hastaların Tanıtıcı Ve Klinik öZelliklerinin Dağılımı (N=123) Dm Ht Kalp Yetmezliğiunclassified

“…Çalışmamızda kadın hastaların erkek hastalara göre daha fazla malnütrisyon riski altında olduğu saptanmıştır. Çalışmamıza benzer şekilde kadınların erkeklerden daha fazla malnütrisyon açısından etkilendiğini belirten çalışmalar olduğu gibi [14,18] cinsiyetin etkilemediğini belirten bir çalışma da bulunmaktadır [22].…”

Section: Tablo 1 Hastaların Tanıtıcı Ve Klinik öZelliklerinin Dağılımı (N=123) Dm Ht Kalp Yetmezliğiunclassified

“…Malnütrisyon riski belirlenen ortopedi hastalarında hastanede yatış süresinin uzadığı ve mobilizasyonlarının geciktiği de bildirilmiştir [1]. Hastaneye yatıştan itibaren hastaların beslenme durumlarının değerlendirilerek yetersizliğin erken fark edilmesi ile pnömoni, uzamış yara iyileşmesi ve enfeksiyonu, sepsis ve mortalite gibi perioperatif komplikasyon risklerinin azaltılabileceği bildirilmektedir [1,14]. Avrupa Klinik Nutrisyon ve Metabolizma Derneği'nin (European Society for Clinical Nutrition and Metabolism, ESPEN) ve Amerika Birleşik Devletleri sağlık kuruluşları hastanın hastaneye kabulünden sonraki ilk 24 saat içinde beslenme durumunun değerlendirilmesi ve beslenmeyle ilgili risklerin belirlenmesini önermektedir [3].…”

Section: Introductionunclassified

See 2 more Smart Citations

Determination of Malnutrition Status and Risk Factors in Orthopedic Patients

Damar¹,

Savcı

Bilik

2021

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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Hastaların %31,7'sinin malnütriyon riski altında olduğu ve tamamının beslenme desteği almadığı saptandı. Malnütrisyon riski olan hastaların yaş ortalaması daha yüksekti (t=-4,087, p=0,000). Malnütriyon riski olan hastaların ameliyat öncesi aç kalma süreleri, riski olmayanlara göre daha uzundu (t=-3,019, p=0,000). Ameliyat olup malnütrisyon riski olan hastaların ameliyat sonrası ilk mobilizasyonları daha uzun sürede gerçekleşmişti (t=-4,113, p=0,000). Hastaların albumin değerleri ile NRS skorları arasında istatiksel olarak anlamlı bir fark saptandı (t=5,751, p=0,000). Katılımcıların cinsiyet (X 2 =4,809 p=0,028), eğitim düzeyleri (X 2 =10,358, p=0,0016), kronik hastalık varlığı (X 2 =5,890, p=0,015) ve enfeksiyonu durumu (X 2 =7,566, p=0,006) ile NRS skorları arasında istatiksel olarak anlamlı fark saptandı. Sonuç: Çalışmamızda yaklaşık üç hastadan birinin malnütriyon riski altında olduğu saptanmıştır. Araştırma sonuçları hastaların malnütrisyon riskini etkileyen diğer seçilmiş faktörlerin yaş, cinsiyet, hastaların eğitim düzeyi, komorbit hastalık varlığı, düşük albumin düzeyi, ameliyat öncesi açlık süresi ve ameliyat sonrası enfeksiyon gelişmesi olduğunu göstermiştir. Ayrıca malnütrisyon riski olan hastaların ameliyat sonrası ilk mobilizasyon sürelerinin daha geç olduğu saptanmıştır. Güncel rehberler doğrultusunda, profesyonel bir ekip yaklaşımı ile beslenme desteği yaklaşımları standart haline getirilmelidir.

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Section: Tablo 1 Hastaların Tanıtıcı Ve Klinik öZelliklerinin Dağılımı (N=123) Dm Ht Kalp Yetmezliğiunclassified

Section: Introductionunclassified

See 1 more Smart Citation

Determination of Malnutrition Status and Risk Factors in Orthopedic Patients

Damar¹,

Savcı

Bilik

2021

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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“…The major causes of malnutrition during perioperative period include vitamin and mineral deficiencies. Malnourished patients have been shown to experience more difficulties and stay in the hospital for longer (Ferhatoğlu et al, 2020). Other studies have associated malnutrition with numerous adverse perioperative patient outcomes.…”

Section: Introductionmentioning

confidence: 99%

Influence of Patient Related Perioperative Risks on Surgical Outcomes among Patients Undergoing Elective Surgery at Chuka County Referral Hospital

Mwangi,

Gitonga,

Nyamu

2023

Int J Health Sci Res

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The Purpose of this research was to determine how patient related perioperative risks influences surgical outcomes among patients undergoing elective surgery at Chuka County referral hospital. The study adopted a descriptive cross-sectional design. The target population consisted of 2005 patients who underwent elective surgery from the hospital records during the year 2021. A sample size of 202 patients was achieved through systematic sampling method. Both structured questionnaire and interview schedule were used to collect data. Quantitative information for each variable under examination was described using frequencies and percentages. At a 5% level of significance, a Chi square was employed to evaluate the association between patient related perioperative risks factors and surgical outcomes. The study revealed that the presence of comorbidities and the type of comorbidity, alcohol consumption and cigarette smoking had a statistically significance influence on surgical outcomes among patients undergoing elective surgery at 5% significance level. The study concluded that patient-related perioperative risks factors have adverse effects on surgical outcomes among patients undergoing elective surgery. Therefore, patients scheduled for elective surgical procedure that are found to have medical conditions, alcoholics and cigarette smokers that are known to increase perioperative risks, preoperative evaluation should include optimization or pre-habilitation. This will guarantee patients undergoing elective surgery positive surgical outcomes with minimal complications and reduced morbidity and mortality rates. Key words: Patient-related Perioperative Risks; Perioperative Risks; Elective Surgery; Surgical Outcomes

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Effect of malnutrition at admission on length of hospital stay among adult surgical patients in Wolaita Sodo University Comprehensive Specialized Hospital, South Ethiopia: prospective cohort study

Gebregziabher,

Nane,

Dake

et al. 2024

Front. Nutr.

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BackgroundMalnutrition in hospitalized patients remains a major public health problem in both developed and developing countries. Even though malnourished patients are more prone to stay longer in hospital, there is limited data regarding the magnitude of malnutrition and its effect on length of stay among surgical in patients in Ethiopia while nutritional assessment is also often a neglected component of the health service practice.ObjectiveThis study aims to assess the prevalence of malnutrition at admission and its effect on the length of hospital stay among adult surgical patients in Wolaita Sodo University Comprehensive Specialized Hospital, South Ethiopia, 2022.MethodsA facility-based prospective cohort study was conducted among 398 admitted surgical adult patients. Participants in the study were chosen using a convenient sampling technique. Subjective global assessment was used to determine the nutritional status of patients with a minimum stay of 24 h within 48 h after admission (SGA). Data were collected by open data kit (ODK) version 2022.3.3 software while Stata version 14.1 software was employed for statistical analysis. Cox regression model was used to determine the effect of malnutrition on the length of hospital stay (LOS) after adjusted for several potential confounders taken at admission. Adjusted hazard ratio (HR) with 95% confidence interval was used to show the effect of malnutrition.ResultsThe prevalence of hospital malnutrition at admission was 64.32% (95% CI: 59–69%) according to subjective global assessment (SGA) classification. Adult surgical patients who were malnourished at admission had higher median LOS (12 days: 95% CI: 11–13) as compared to well-nourished patients (8 days: 95% CI: 8–9), which means adult surgical patients who were malnourished at admission were at a higher risk of reduced chance of discharge with improvement (prolonged LOS) (AHR: 0.37, 95% CI: 0.29–0.47) as compared to well-nourished patients. The presence of comorbidity (AHR: 0.68, 95% CI: 0.50–90), poly medication (AHR: 0.69, 95% CI: 0.55–0.86), and history of admission (AHR: 0.70, 95% CI: 0.55–0.87) within the previous 5 years were found to be the significant covariates of LOS.ConclusionThe magnitude of hospital malnutrition at admission was found to be high. Malnourished patients at admission had a higher risk of prolonged length of hospital stay as compared to well-nourished patients. The presence of comorbidity, poly medication, and history of admission were found to be the significant covariates of LOS. All stakeholders should pay attention to reducing the magnitude of malnutrition and its covariates to improve the burden of LOS.

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The Effect of Nutritional Status on Length of Hospital Stay in Adult Patients Undergoing Elective Orthopedic Surgery: A Prospective Analysis

Cited by 3 publications

References 0 publications

Determination of Malnutrition Status and Risk Factors in Orthopedic Patients

Determination of Malnutrition Status and Risk Factors in Orthopedic Patients

Influence of Patient Related Perioperative Risks on Surgical Outcomes among Patients Undergoing Elective Surgery at Chuka County Referral Hospital

Effect of malnutrition at admission on length of hospital stay among adult surgical patients in Wolaita Sodo University Comprehensive Specialized Hospital, South Ethiopia: prospective cohort study

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