PREDICTING NUTRITION-ASSOCIATED COMPLICATIONS FOR PATIENTS UNDERGOING GASTROINTESTINAL SURGERY
PREDICTING NUTRITION-ASSOCIATED COMPLICATIONS FOR PATIENTS UNDERGOING GASTROINTESTINAL SURGERY
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DOI：
10.1177/0148607187011005440
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发表时间：
1987-09-01
影响因子：
3.4
通讯作者：
JEEJEEBHOY, KN
中科院分区：
文献类型：
--
作者：
DETSKY, AS;BAKER, JP;JEEJEEBHOY, KN
我们研究了在两家大型教学医院接受胃肠手术计划的202例患者，以评估几种营养评估技术预测主要术后并发症（感染和/或伤口问题）的能力。主观总体评估（SGA）和白蛋白都有预测价值，这些变量的组合有助于区分低风险和高风险患者。转铁蛋白、肌酐-身高指数、理想体重百分比、体脂百分比和总淋巴细胞计数对预测并发症无效。我们的结论是，SGA和白蛋白是有用的“营养评估技术”，如果这种评估的目的是预测术后“营养相关并发症”。本研究的第二个主要发现是两家医院的并发症发生率都出乎意料地低（10%）。我们认为，这些低并发症发生率可能更适用于来自广泛社区基础的患者群体，而不是其他研究中描述的退伍军人或社会经济地位较低的患者组成的样本。
We studied 202 patients admitted to two major teaching hospitals for planned gastrointestinal surgery to assess the ability of several techniques of nutritional assessment to predict major postoperative complications (infection and/or wound problems). Subjective global assessment (SGA) and albumin were both of predictive value, and combination of these variables were useful in differentiating low-risk from high-risk patients. Transferrin, creatinine-height index, percent ideal weight, percent body fat, and total lymphocyte count were not useful in predicting complications. We conclude that SGA and albumin are useful "nutritional assessment techniques" for patients undergoing major gastrointestinal surgery if the purpose of such an assessment is to predict postoperative "nutrition-associated complications". The second major finding of this study was the unexpectedly low rate of complications (10%) which was found in both hospitals. We suggest that these low complications rates may be more generalizable to patient populations derived from a wide community base, rather than those described in other studies in which veterans or patients of lower socioeconomic status comprised the sample.