MALNUTRITION AND CLINICAL OUTCOME IN UROLOGICAL PATIENTS
MALNUTRITION AND CLINICAL OUTCOME IN UROLOGICAL PATIENTS
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DOI：
10.1186/2047-783x-16-10-469
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发表时间：
2011-10-10
影响因子：
4.2
通讯作者：
Rittler, P.
中科院分区：
文献类型：
--
作者：
Karl, A.;Staehler, M.;Rittler, P.
引言：在先前的研究中，我们评估了德国一所大学医院泌尿科患者营养不良的风险。在其他外科领域发表了不同的研究，可以显示营养不良和临床结果之间的相关性。由于在这个问题上的数据仍然是罕见的，在泌尿外科领域，我们的目的是相关的营养不良的风险与不同的参数关于clinical outcome.Methods：在2007年至2009年的时间，共320例患者进行了评估，关于营养不良的风险和并发症的发生在我们的泌尿外科住院期间。Kondrup等人的2002年营养风险筛查（NRS）用于估计营养不良的风险水平。德国大学医院的患者独立于干预措施、年龄或性别。临床结局的参数为：肺部并发症（感染性/非感染性）、心血管并发症（感染性/非感染性）、其他感染（尿路感染等），结果：本研究共纳入320例患者进行分析。40例患者（13%）入院时营养状况正常（NRS评分0），212例患者（66%）存在形成营养不良问题的风险（NRS评分1-2）。根据应用的NRS评分（>= 3），该泌尿科队列中的68例患者（21%）被检测出营养不良。就该队列的总体并发症发生率而言，与其他术野相比，该发生率相当低。在320名患者中，只有22名患者（7%）在住院期间出现相关并发症。然而，如果将数据按与患者营养状况相关的术中和术后并发症进行分层，则并发症发生率明显升高（9%）。在我们的泌尿科患者队列中，根据营养风险筛查系统（NRS）的定义，营养不良的患者术后并发症的风险更高进一步的研究需要表明，适当的营养支持疗法是否有助于优化营养不良的泌尿外科患者的临床结局。
Introduction: In a previous study we evaluated the risk for malnutrition among urological patients in a German university hospital. There are published different studies in other surgical fields that could show a correlation between malnutrition and clinical outcome. As data on this issue is still rare in the urological field we aimed to correlate the risk of malnutrition with different parameters regarding clinical outcome.Methods: In the time from 2007 to 2009 a total of 320 patients were evaluated regarding the risk of malnutrition and occurrence of complications during the time of hospitalization at our Urological department. The Nutritional risk screening 2002 (NRS) by Kondrup et al. was used for the estimation of the risk level for malnutrition. Patients of a German university hospital were included independently of intervention, age or gender. Parameters for clinical outcome were: pulmonary complications (infectious/noninfectious), cardiovascular complications (infectious/noninfectious), other infections (urinary tract infection etc.), wound healing disorders and time of hospitalization.Results: In this evaluation 320 patients were included for analysis. Forty patients (13%) presented with a normal nutritional status (NRS score 0) at the time of admission to the hospital and 212 patients (66%) were at risk for forming malnutrition problems (NRS score 1-2). Sixty eight patients (21%) of this urological cohort were detected with a malnutrition according to the applied NRS Score (>= 3). Regarding the occurrence of overall complications in this cohort the rate was rather low compared to other surgical fields. Of 320 patients only 22 patients (7%) presented with relevant complications during their hospitalization. However if data were stratified for peri- and postoperative complications in correlation to nutritional status of patients, an evident trend to a higher complication rate of 9% was obvious.Conclusions: In our cohort of exclusively urological patients, the risk for post-surgical complications was higher in patients who were malnourished as defined using the Nutritional Risc Screening System (NRS) by Kondrup et al. Further studies need to show whether an adequate nutritional supportive therapy could help to optimize the clinical outcome of malnourished urological patients.