The role of the nutritional status of geriatric patients with gastrointestinal cancer in developing postoperative complications

Q4 Medicine
Sanja Starcevic, Dragana Radovanovic, Svetlana Skoric-Jokic, Nora Mihalek, Danica Golijanin
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引用次数: 0

Abstract

Background: Many studies have shown that geriatric patients with altered nutritional status are at higher risk of developing complications during medical treatment. Our study aimed to examine the role of preoperative nutritional status in developing postoperative complications and the length of hospital stay in geriatric patients who suffer from cancer and undergo major abdominal surgery. Methods: Prospective research was conducted at the Oncology Institute of Vojvodina from January 2020 until April 2021. This study included 82 patients over 65 years old, who were admitted to have radical surgery for gastrointestinal cancer performed. There were 6 patients excluded from the study. Nutritional status analysis was performed using BMI (Body mass index), preoperative serum albumin level, MNA-SF (Mini nutritional assessment-short form), and GNRI (Geriatric nutritional risk index). The classification of surgical complications was done using the Clavien-Dindo classification scale. Results: Of the total number of patients, 57 of them (75%) developed at least one surgical complication. Nonsurgical complications have been recognized in 28 patients (36.84%). Overweight patients, according to BMI, had a greater chance of developing grade I (p < 0.01) and grade II (p < 0.05) surgical complications of the Clavien-Dindo classification. Patients with normal serum albumin levels had a significantly lower chance of developing surgical complications of any grade (p = 0.00). BMI and MNA-SF were the most important predictors of delirium. Patients without GNRI risk (GNRI: >98) had a significantly lower chance of developing nonsurgical complications regarding comorbidity exacerbation (p = 0.03), and delirium (p = 0.00). Conclusion: None of the nutritional assessment tools used in our study were better or more efficient than the others in our sample of patients. Precise nutritional status assessment is complex and we cannot use only one scoring system or scale to get accurate results.
老年胃肠道肿瘤患者的营养状况在术后并发症中的作用
背景:许多研究表明,营养状况改变的老年患者在药物治疗期间发生并发症的风险更高。我们的研究旨在探讨术前营养状况在患癌症并接受腹部大手术的老年患者术后并发症和住院时间中的作用。方法:前瞻性研究于2020年1月至2021年4月在伏伊伏丁那肿瘤研究所进行。本研究包括82例65岁以上的患者,他们接受了胃肠癌根治性手术。有6例患者被排除在研究之外。采用BMI(身体质量指数)、术前血清白蛋白水平、MNA-SF(迷你营养评估-简表)和GNRI(老年营养风险指数)进行营养状况分析。手术并发症采用Clavien-Dindo分类量表进行分类。结果:57例(75%)患者发生了至少一种手术并发症。发现非手术并发症28例(36.84%)。根据BMI,超重的患者有更大的机会发展为I级(p <0.01)和II级(p <0.05) Clavien-Dindo分类的手术并发症。血清白蛋白水平正常的患者发生任何级别手术并发症的几率明显较低(p = 0.00)。BMI和MNA-SF是谵妄最重要的预测因子。无GNRI风险的患者(GNRI: 98)发生合并症加重(p = 0.03)和谵妄(p = 0.00)等非手术并发症的几率显著降低。结论:在我们的研究中,没有一种营养评估工具比我们的患者样本中的其他工具更好或更有效。精确的营养状况评估是复杂的,我们不能只使用一个评分系统或量表来获得准确的结果。
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来源期刊
Archive of Oncology
Archive of Oncology Medicine-Oncology
CiteScore
0.60
自引率
0.00%
发文量
5
审稿时长
12 weeks
期刊介绍: Archive of Oncology is an international oncology journal that publishes original research, editorials, review articles, case (clinical) reports, and news from oncology (medical, surgical, radiation), experimental oncology, cancer epidemiology, and prevention. Letters are also welcomed. Archive of Oncology is covered by Biomedicina Vojvodina, Biomedicina Serbica, Biomedicina Oncologica, EMBASE/Excerpta Medica, ExtraMED and SCOPUS.
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