Nutritional risk and nutritional support in gastrointestinal cancer surgical patients
10.3760/cma.j.issn.1674-635X.2011.06.004
- VernacularTitle:胃肠肿瘤外科患者营养风险及营养支持调查
- Author:
Yu FANG
;
Xiaowei XIN
;
Yanli WANG
;
Rui YANG
;
Xianglong ZONG
;
Xiaotian ZHANG
- Publication Type:Journal Article
- Keywords:
Gastrointestinal carcinoma;
Nutritional risk;
Nutritional Risk Screening 2002;
Nutritional support;
Postoperative complications
- From:
Chinese Journal of Clinical Nutrition
2011;19(6):368-371
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the prevalence of nutritional risk and perioperative nutritional support status in the gastrointestinal cancer surgical patients.Methods Adult inpatients from the gastrointestinal cancer surgery department of our hospital were consecutively enrolled from May to September 2010.Nutritional Risk Screening 2002 ( NRS 2002) was performed at admission,and data of the nutritional support and complications during hospitalization were collected.The relationship between nutritional risk and postoperative complications was analyzed.ResultsA total of 195 patients were eligible.At admission,43.6% (85/195) patients were at riskOf the patients at risk,totally 11.7% (10/85) patients received preoperative nutritional support,and 100% (85/85) patients received postoperative nutritional support; of the patients not at risk,no patients received preoperative nutritional support,and 84.5% (93/110) patients received postoperative nutritional support.The overall rates of postoperative complications were 19.1% ( 13/68 ) in the patients at risk while 7.1% (9/127 )in the patients not at risk ( P =0.02).ConclusionsNutritional risk in gastrointestinal cancer surgical patients was high.The application of nutritional support was inappropriate in these patients.The nutritional risk is associated with higher postoperative complications.Dissemination of evidence-based guidelines should be enhanced.