Nutritional risk screening and nutritional support in patients undergoing abdominal surgery
YU Fu-wen,WANG Chen-xi,TIAN shu-xia
Tianjin Hospital ITCWM Nankai Hospital, Tianjin (300100), China
Abstract:
Objective To investigate the application status of nutritional risk screening and nutritional support in patients undergoing abdominal surgery. Methods A consecutive series of patients admitted for selective abdominal surgery in the Tianjin Hospital of ITCWM Nankai Hospital were recruited from October 2021 to October 2022. Data were collected on the basic information, nutritional risk screening (NRS2002), the application of adequate nutritional support, PN or EN or PN+EN. Results A total of 1401 eligible patients were enrolled, including 435 patients with nutritional risk (NRS2002≥3 points) and 966 patients with no nutritional risk (NRS2002＜3 points). The incidence rate of nutritional risk among patients admitted for abdominal surgery was 31.05%. In 90 patients with body mass index (BMI) < 18.5 kg/m2 or albumin ＜30 g/L, the prevalence of malnutrition was 6.42%. Among the 435 patients with nutritional risk, 293 (67.36%) received nutritional support within 7 days after nutritional screening, and 142 (32.64%) did not receive nutritional support within 7 days. Of the 966 patients with no nutritional risk, 516 (53.42%) received nutritional support within 7 days and 450 (46.58%) did not receive nutritional support within 7 days. Patients at nutritional risk who received nutritional support therapy of 293 patients, 133 (45.39%) used PN, 44 (15.02%) used EN, and 116 (39.59%) used PN+EN. The rates of nutritional risk in 615 surgery patients was 29.27%, and the rates of nutritional risk in 786 non-surgery patients was 32.44%, and there was no obviously differnt between them(P＞0.05). The rates of nutritional risk in 420 gallbladder and biliary surgery patients was 26.43%, and the rates of nutritional risk in 191 pancreatic surgery patients was 35.60%. There was obviously differnt between them(P＜0.05). Conclusion The application of nutrition support in our abdominal surgery patients is insuficient in this hospital. Parenteral nutrition remains the most common type of nutrition support.The incidence of nutritional risk in patients undergoing pancreatic surgery was higher than that in patients undergoing cholecystobile duct surgery.
