The influence of surgeon seniority and intestinal failure experience on identifying malnourished patients in emergency general surgery: a national survey.

IF 1.7 4区 医学 Q3 SURGERY
D L Ashmore, T R Wilson, V Halliday, M J Lee
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引用次数: 0

Abstract

Background: Variation exists in how consultant surgeons identify malnutrition in emergency general surgery (EGS) patients. These relate to differences in surgeon knowledge, understanding, ownership and hospital setting. Little is known regarding how these relate to nonconsultant surgeons, or those with experience of intestinal failure (IF).

Aims: This study aimed to characterise the awareness, practice and training of general surgeons in the identification of malnutrition in the emergency setting.

Methods: The survey focused on three domains: perceptions, current practices and nutrition training. Following piloting, EGS surgeons were invited to complete an online survey. Responses were gathered using Qualtrics. Descriptive analysis and associations with surgeon seniority and IF were performed in SPSSv26. Ethical approval was obtained (UREC 050436). Results are reported with reference to the CHERRIES guidelines.

Results: The completion rate was 52.1% (148/284), of whom 49.7% were nonconsultant surgeons and 46.6% had experience of IF. Surgeons from all UK regions completed the survey. There was strong agreement across participants that malnutrition can affect surgical outcomes and identifying it was an important skill for surgeons. However, only 37.2% (55/148) were confident in doing so. Surgeons with IF experience were significantly more confident than those without (49.3% vs 26.6%). Training was reportedly poor, and local teaching or a short course aimed at surgeons in training was considered most helpful in the future.

Conclusions: Identifying malnutrition in EGS is recognised as an important skill most surgeons feel they are lacking. Support for formal training in this area was high.

外科医生年资和肠衰竭经验对急诊普外科识别营养不良患者的影响:一项全国性调查。
背景:会诊外科医生如何识别急诊普外科(EGS)患者的营养不良存在差异。这些与外科医生的知识、理解、所有权和医院环境的差异有关。关于这些与非会诊外科医生或有肠衰竭(IF)经验的医生之间的关系,我们知之甚少。目的:本研究旨在描述普通外科医生在紧急情况下识别营养不良的认识、实践和培训。方法:调查集中在三个领域:观念,现行做法和营养培训。在试点之后,EGS外科医生被邀请完成一项在线调查。使用质量法收集反馈。在SPSSv26中进行描述性分析以及与外科医生资历和IF的关联。获得伦理批准(UREC 050436)。结果报告参照樱桃指南。结果:手术完成率为52.1%(148/284),其中非会诊医师占49.7%,有手术经验者占46.6%。来自英国所有地区的外科医生完成了这项调查。参与者一致认为营养不良会影响手术结果,对外科医生来说,识别营养不良是一项重要的技能。然而,只有37.2%(55/148)有信心这样做。有IF经验的外科医生明显比没有经验的外科医生更有信心(49.3% vs 26.6%)。据报道,培训很差,当地教学或针对培训中的外科医生的短期课程被认为对将来最有帮助。结论:识别EGS患者的营养不良被认为是大多数外科医生认为他们缺乏的一项重要技能。对这方面正式培训的支持度很高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
316
期刊介绍: The Annals of The Royal College of Surgeons of England is the official scholarly research journal of the Royal College of Surgeons and is published eight times a year in January, February, March, April, May, July, September and November. The main aim of the journal is to publish high-quality, peer-reviewed papers that relate to all branches of surgery. The Annals also includes letters and comments, a regular technical section, controversial topics, CORESS feedback and book reviews. The editorial board is composed of experts from all the surgical specialties.
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