The Global Leadership Initiative on Malnutrition criteria for diagnosis of malnutrition and outcomes prediction in emergency abdominal surgery

Wu, Yue; Liu, Ruo-Tao; Zhou, Xiao-Yue; Fang, Qing; Huang, Dongpin; Jia, Zhen-yi

doi:10.1016/j.nut.2023.112298

Cited by 1 publication

(1 citation statement)

References 49 publications

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“…Considering these results, and in line with other studies [26,[36][37][38], early evaluation of the nutritional status to identify malnourishment in all elderly patients who undergo emergency abdominal surgery would be justified. Although there is as yet no single tool for performing this screening, in recent years the use of GLIM criteria has been an attempt to standardise the criteria and definition of malnutrition, and its use has been extended to older patients [39][40]. The correct identification of malnourished patients allows us to initiate interventions for these admitted patients with appropriate dietary modifications.…”

Section: Discussionmentioning

confidence: 99%

Impact of malnutrition on the clinical evolution of very elderly patients undergoing emergency surgery for abdominal pathology

Villajos-Guijarro,

Ramírez-Martín,

Mauleón-Ladrero

et al. 2024

Preprint

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Purpose: Analyse the influence of nutritional status on postoperative complications, as well as on mortality and mean length of hospital stay, of very elderly patients undergoing emergency abdominal surgery. Methods: We performed a longitudinal observational study including patients older than 80 years who underwent emergency surgery by the general surgery service for abdominal pathology, who were followed by the geriatrics service between September 2018 and May 2021. Global Leadership Initiative on Malnutrition criteria were used for the diagnosis of malnutrition, classifying patients as malnourished or normonourished. A comprehensive geriatric assessment was performed on the patients, and postoperative complications, mean length of hospital stay and in-hospital and 1-year mortality were recorded. Results: Of the 131 patients included, 84 were malnourished and 47 normonourished. The average age was 86±4.7 years. Compared with normonourished patients, malnourished patients had a higher incidence of atrial fibrillation debut (22.4% vs. 4.5%, p<0.05; odds ratio [OR] 6.1 [1.33-27.6]), urinary tract infection (18.4% vs 4.5%, p<0.05; OR 4.72 [1.02-21.95]) and bacteraemia (26% vs 9.1%, p<0.05; OR 3.51 [1.14-11.1]). Surgical complications were more frequent in malnourished patients (51.2% vs 23.9%, p<0.05; OR 3.34 [1.5-7.44]). The mean length of hospital stay was 22.6 (±14.1) days in the malnourished patients compared with 15.3 (±11.9) days in the normonourished (p<0.005). Conclusion: Malnutrition in very old patients undergoing emergency abdominal surgery is associated with a poorer clinical course; thus, it must be considered in the evaluation and follow-up of these patients.

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