[Preoperative nutritional assessment: a 1-year experience]. 1992

J Larrea, and J M Torrent, and V Vega, and T Martínez, and J R Santana, and V Núñez
Servicio de Cirugía General y Digestiva, Hospital Insular, Las Palmas de Gran Canaria.

A study was made of 443 surgical patients using a standard protocol for nutritional evaluation based on anthropometrical, analytical and immunological tests. The main criteria used for considering the presence of malnutrition was a weight loss of 10% and/or seric albumin level of less than 3.5 g/dl., by which method four nutritional groups were established. The average age of the sample was 56 +/- 15 years and 35% of patients had neoplasias, 9.25% of patients were classified as belonging to Group A (weight loss and low albumin levels), 10.15% as group B (low albumin levels), 14.44% as group C (weight loss), and 66.16% as group D (normal), so that the global malnutrition percentage was 33.84%. The Body Mass Index (BMI) and Ideal Weight Percentage (% IWP) were of similar importance, and there was a significant alteration in the Triceps Skin Fold (% TSF) and Muscular Area Percentage of the arm (% MAP) when malnutrition was in evidence. In the study of the Delayed Hypersensitivity Skin Tests (DSST) 21.4% showed anergia, 15.8% hypoergia and 62.8% were reactive, with a reduction in reactivity in the case of malnutrition. This was the parameter that most affected the albumen level.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009748 Nutrition Disorders Disorders caused by nutritional imbalance, either overnutrition or undernutrition. Nutritional Disorders,Nutrition Disorder,Nutritional Disorder
D009752 Nutritional Status State of the body in relation to the consumption and utilization of nutrients. Nutrition Status,Status, Nutrition,Status, Nutritional
D011300 Preoperative Care Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed) Care, Preoperative,Preoperative Procedure,Preoperative Procedures,Procedure, Preoperative,Procedures, Preoperative
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000704 Analysis of Variance A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable. ANOVA,Analysis, Variance,Variance Analysis,Analyses, Variance,Variance Analyses

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