Suárez NLE, Rodríguez FB, Gutiérrez GLO, Brito CA

Language: Spanish
References: 0
Page: 328-340
PDF size: 403.74 Kb.

ABSTRACT

Rationale: Undernutrition is a health problem of frequent presentation in the hospital carrying serious implications for the clinical course of the patient by increasing the risk of complications (death included) and prolonging hospital stay. Major surgery might place the patient at augmented risk of malnutrition. CONUT scoring Index of Nutrition Control (Ulibarri et al.; 2002) might serve to qualify nutritional risk in such patients and guide nutrition actions. Objective: To assess the risk of undernutrition of patients delivered to a hospital intensive care unit after a major surgery by means of the CONUT scoring. Study location: Intensive Care Unit (ICU), “Leopoldito Martínez” Province General Hospital (San José de las Lajas, Mayabeque, Cuba). Study design: Retrospective, analytical. Study serie: Fifty-five patients (Males: 50.9%; Average age: 59.4 ± 22.5 years; Age ≥ 60 years: 45.5%) whom remained admitted 24 (or more) hours in the hospital ICU after a major surgery between June 1rst, 2016 and May 31rst, 2017. Fifty-six point three percent of the studied patients were delivered from hospital Urgencies/Emergencies services. Methods: Association between CONUT score, on one hand, and ICU length of stay and condition of the patient upon discharge from the ICU and after 28 days of discharge, on the other; were assessed. Results: Fifty-two point seven percent of the patients presented with a CONUT score ≥ 5. CONUT scores were higher among those patients with a prolonged ICU (p > 0.05) and hospital stay (p > 0.05). CONUT scores were also higher in patients with 28-days mortality. Conclusions: CONUT scoring might point to patients at risk of death after surgical complications. CONUT scoring might also identify those patients with prolonged hospital stays.