Pre-operative nutritional risk assessment using Malnutrition Universal Screening Tool (MUST) as a predictor of postoperative outcome in adult patients undergoing abdominopelvic surgery at a tertiary hospital in Iloilo - A prospective study.
- Author:
Catherine Rose P. DUMPIT
1
;
April Esther O. CAGUIMBAY
1
;
Sheila May P. SONZA-ZARAGOZA
1
Author Information
- Publication Type:Journal Article, Original
- MeSH: Human; Nutritional Status; Risk Assessment; Risk Factors; Postoperative Complications
- From: Journal of the Philippine Medical Association 2024;103(1):57-75
- CountryPhilippines
-
Abstract:
Several studies have shown the serious implications of malnutrition, yet it is still underestimated, understudied and an undertreated problem in hospitalized patients. It remains a challenge for hospitals in the Philippines. Pre-operative malnutrition is a risk factor of perioperative morbidity and mortality. Malnourished patients have longer hospital stay and have higher risk of complications. Thus assessing the pre-operative nutritional status is necessary in planning early nutritional interventions and may predict risk of developing postoperative complications.
A prospective cohort study was conducted among adult patients ages 18 to 70 years old admitted for abdominopelvic surgery at St. Paul's Hospital lloilo from January 2021 to January 2022. Within 24-48 hours of admission, patient demographic and clinical profiles were identified and the presence of nutritional risk was evaluated using the Malnutrition Universal Screening tool (MUST). SPSS version 20 was used to analyze the data. Further statistical analysis was done using Cross Tabulation, Pearson Chi-Square and Logistic Regression.
The study demonstrates that nutritional risk, age, presence of malignancy, smoking and alcoholic beverage drinking are significantly correlated with post-operative complications.
Thus, nutritional risk screening using MUST pre-operatively can predict the outcomes of postoperative patients undergoing abdominopelvic operation.