Chimal-Juárez MF, Saucedo-Moreno EM, Luna-Tovar A, Rodríguez-Reséndiz MP

Language: Spanish
References: 12
Page: 7-12
PDF size: 171.91 Kb.

ABSTRACT

Introduction: a precarious nutritional status is a known risk factor for complications during the perioperative period, performing a simple screening that detects patients at risk makes intervention and adequate support possible. Objective: to evaluate the usefulness of the NRS-2002 nutritional screening scale as a predictor of post-surgical complications. Material and methods: observational, cross-sectional, descriptive study with a cohort of 80 patients older than 18 years hospitalized for surgical procedures. The NRS-2002 was applied to all of them to identify those at risk of malnutrition prior to the procedure. Complications were evaluated with the Clavien Dindo (CDC) classification and were correlated with the previous presence of malnutrition. Results: the calculation of patients at risk of malnutrition with NRS 2002 was 12 (15%) patients, with a mean of 0.65. The sensitivity of the NRS 2002 to predict postoperative complications was 25% (95% CI 14.2-40.2%) with a specificity of 95% (95% CI 83.5-98.6%). Conclusions: the NRS-2002 is a useful, simple and easy to apply tool to detect patients at risk of malnutrition who present post-surgical complications.

REFERENCES

1. Fukatsu K. Role of nutrition in gastroenterological surgery. Ann Gastroenterol Surg. 2019; 3: 160-168. doi: 10.1002/ags3.12237.

2. Gur AS, Atahan K, Aladag I, Durak E, Cokmez A, Tarcan E, Tavusbay C. The efficacy of Nutrition Risk Screening-2002 (NRS-2002) to decide on the nutritional support in general surgery patients. Bratisl Lek Listy. 2009; 110: 290-292.

3. Schiesser M, Muller S, Kirchhoff P, Breitenstein S, Schafer M, Clavien PA. Assessment of a novel screening score for nutritional risk in predicting complications in gastro-intestinal surgery. Clin Nutr. 2008; 27: 565-570. doi: 10.1016/j.clnu.2008.01.010.

4. Sun Z, Kong XJ, Jing X, Deng RJ, Tian ZB. Nutritional risk screening 2002 as a predictor of postoperative outcomes in patients undergoing abdominal surgery: a systematic review and meta-analysis of prospective cohort studies. PLoS One. 2015; 10: e0132857. doi: 10.1371/journal.pone.0132857.

5. Jia ZY, Yang J, Tong DN, Peng JY, Zhang ZW, Liu WJ et al. Screening of nutritional risk and nutritional support in general surgery patients: a survey from Shanghai, China. Int Surg. 2015; 100: 841-848. doi: 10.9738/INTSURG-D-14-00245.1.

6. Geiker NR, Horup LSM, Stender S, Astrup A. Poor performance of mandatory nutritional screening of in-hospital patients. Clin Nutr. 2012; 31: 862-867. doi: 10.1016/j.clnu.2012.03.006.

7. Correia MI, Waitzberg DL. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr. 2003; 22: 235-239. doi: 10.1016/s0261-5614(02)00215-7.

8. Kondrup J, Johansen N, Plum LM, Bak L, Larsen IH, Martinsen A et al. Incidence of nutritional risk and causes of inadequate nutritional care in hospitals. Clin Nutr. 2002; 21: 461-468. doi: 10.1054/clnu.2002.0585.

9. Jie B, Jiang ZM, Nolan MT, Zhu SN, Yu K, Kondrup J. Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk. Nutrition. 2012; 28: 1022-1027. doi: 10.1016/j.nut.2012.01.017.

10. Karateke F, Ikiz GZ, Kuvvetli A, Menekse E, Das K, Ozyazici S et al. Evaluation of nutritional risk screening-2002 and subjective global assessment for general surgery patients: a prospective study. J Pak Med Assoc. 2013; 63: 1405-1408.

11. Sahli L, Hagenbuch N, Ballmer PE, Rühlin M, Imoberdorf R. NRS-2002 components, nutritional score and severity of disease score, and their association with hospital length of stay and mortality. Swiss Med Wkly. 2021; 151: w20517. doi: 10.4414/smw.2021.20517.

12. Evans DC, Martindale RG, Kiraly LN, Jones CM. Nutrition optimization prior to surgery. Nutr Clin Pract. 2014; 29(1):10-21. doi: 10.1177/0884533613517006. Epub 2013 Dec 17. PMID: 24347529.