Malnutrition and nutritional screening in patients undergoing surgery in low and middle income countries: A systematic review
Malnutrition and nutritional screening in patients undergoing surgery in low and middle income countries: A systematic review
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低收入和中等收入国家接受手术的患者的营养不良和营养筛查：系统评价
DOI：
10.1002/crt2.55
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发表时间：
2022
影响因子：
--
通讯作者：
Jones D
中科院分区：
文献类型：
--
作者：
Jones D
在低收入和中等收入国家（LMIC）的住院患者中，术前营养不良的发生率很高，导致术后并发症、住院时间和早期死亡率增加。审查的目的是建立营养不良的患病率和评估使用经过验证的营养筛查工具在手术患者在LMICs.MethodsProtocol符合PRISMA和普洛斯彼罗注册（CRD 42019126765）。检索了1990年1月至2021年4月期间的12个国际数据库。纳入的研究是关于LMIC中接受手术的成人（≥16岁）的营养筛查。两名研究人员筛选研究并评估质量。营养不良的患病率呈加权百分比与置信区间（CI）。ResultsOf 4649记录确定，16项研究（n= 4032）是合格的。主观总体评估（SGA）或患者生成（PG）-SGA是使用最广泛的工具。SGA和PG-SGA显示出总体营养不良的高患病率（0.61，95% CI 0.50，0.73），确定有一定比例的人中度营养不良（0.44，95% CI 0.31，0.57）或严重营养不良（0.32，95%CI 0.19，0.45）.结论数据显示，在低收入国家，外科手术患者营养不良的患病率高达五分之三。结果表明，SGA是适合于评估这组患者，它可能是最合适的工具，使用由于其主观性和可靠性。PG-SGA虽然类似，但包括更多的症状评估，这对营养耗尽的癌症患者很重要。关于LMICs营养筛查工具有效性和可靠性的数据有限，表明需要进一步研究。
BackgroundThere is a high incidence of preoperative undernutrition in hospitalised patients in low and middle‐income countries (LMICs), leading to increased postoperative complications, length of hospital stay and early mortality. Review aims are to establish the prevalence of undernutrition and assess the use of validated nutritional screening tools in surgical patients across LMICs.MethodsProtocol was PRISMA compliant and Prospero registered (CRD42019126765). Twelve international databases were searched from January 1990 to April 2021. Included studies were on nutritional screening in adults (≥16 years) undergoing surgery in LMICs. Two researchers screened studies and assessed quality. Prevalence of undernutrition was presented as a weighted percentage with confidence intervals (CI).ResultsOf the 4649 records identified, 16 studies (n= 4032) were eligible. Subjective global assessment (SGA) or patient generated (PG)‐SGA were the tools used most widely. SGA and PG‐SGA showed a high prevalence of undernutrition overall (0.61, 95% CI 0.50, 0.73), with a proportion identified with moderate undernutrition (0.44, 95% CI 0.31, 0.57) or severe undernutrition (0.32, 95% CI 0.19, 0.45).ConclusionsData show the prevalence of undernutrition in surgical patients as high as three in five patients within LMICs. Results indicate that the SGA is suitable for assessing this group of patients and that it may be the most appropriate tool to use due to its subjectivity and reliability. PG‐SGA although similar includes more symptom assessment, which is important for nutritionally depleted cancer patients. The limited data on validity and reliability of nutritional screening tools in LMICs indicates further research is required.
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作者：
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影响因子：
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DOI：
--
发表时间：
2011
期刊：
影响因子：
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作者：
Kamonrut Pibul;A. Manomaipiboon;Suphakarn Techapongsatorn;Surasee Boonyavanich;Thanaporn Tosanguanrungruang;Sunanta Vitayaudom
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