Dynamic change of nutritional risk in hepatological surgery patients during hospitalization: a prospective survey
10.3760/cma.j.cn115822-20210325-00071
- VernacularTitle:肝胆外科患者营养状态动态变化的前瞻性调查研究
- Author:
Lei LI
1
;
Xin YANG
;
Peng LIU
;
Pengxue LI
;
Hongyuan CUI
;
Chengyu LIU
;
Mingwei ZHU
;
Junmin WEI
Author Information
1. 北京医院普通外科 肝胆胰外科 国家老年医学中心 中国医学科学院老年医学研究院100730
- Keywords:
Nutritional risk;
Nutrition support therapy;
Dynamic investigation;
Postoperative complications;
Hospitalization costs
- From:
Chinese Journal of Clinical Nutrition
2021;29(6):321-325
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the dynamic change of nutritional risk in hepatological surgical patients during hospitalization.Methods:Anthropometric measurement and laboratory examination were conducted within 24 hours both after admission and before discharge. NRS 2002 was used to assess patients' nutritional status. The correlation between nutritional status and clinical outcomes was also analyzed.Results:A total of 600 patients were included in the study, among whom 401 were with benign diseases and 199 with malignant tumors. Compared with those values at admission, patients' weight, BMI, grip strength, calf circumference and main serum protein indicators decreased significantly at discharge ( P<0.05). The incidence of nutritional risk at discharge was 57.3%, higher than that at admission ( χ 2=6.512, P=0.011). The incidence of nutritional risk showed a significant increase during hospitalization in hepatological surgery patients ( P<0.05). Conclusions:Hepatological surgery patients were at high nutritional risk, which increased during hospitalization. The whole-course nutrition management of surgical patients should be given more attention.
