The 30-day readmission rate of patients with an overlap of probable sarcopenia and malnutrition undergoing major oncological surgery

• Published in: Einstein (São Paulo, Brazil) Brazil), 2024-01, Vol.22, p.eAO0733
• Main Authors: Rodrigues, Hadassa Hillary Novaes Pereira, Araujo, Kathyelli Thaynara Pimenta de, Aguilar-Nascimento, José Eduardo de, Dock-Nascimento, Diana Borges
• Format: Article
• Language: English
• Subjects: Adult; Aged; Female; Humans; Male; Malnutrition; Malnutrition - complications; Malnutrition - epidemiology; MEDICINE, GENERAL & INTERNAL; Middle Aged; Neoplasms - complications; Neoplasms - surgery; Nutrition Assessment; Nutritional Status; Patient readmission; Patient Readmission - statistics & numerical data; Postoperative complications; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Prospective Studies; Risk Factors; Sarcopenia; Sarcopenia - complications; Surgical oncology; Time Factors
• ISSN: 1679-4508; 2317-6385; 2317-6385
• DOI: 10.31744/einstein_journal/2024AO0733

Overlapping sarcopenia and malnutrition may increase the risk of readmission in surgical oncology. Overlapping probable sarcopenia/malnutrition was found in 4.6% of 238 patients and the 30-day unplanned readmission rate was 9.0%. In multivariate analysis, the overlap of probable sarcopenia and malnutrition was a significant predictor for the 30-day unplanned readmission (OR= 8.10, 95%CI= 1.20-0.55; p=0.032). ■ Probable sarcopenia plus malnutrition was significantly associated with unplanned readmission. ■ Overlap of probable sarcopenia and malnutrition was an independent risk factor for readmission. ■ Certification of whether the patient is malnourished and/or sarcopenic preoperatively is necessary. ■ SARC-F and subjective global assessment can effectively and easily assess sarcopenia and malnutrition at admission. To assess the 30-day unplanned readmission rate and its association with overlapping probable sarcopenia and malnutrition after major oncological surgery. A prospective bicentric observational cohort study performed with adult oncological patients undergoing major surgery. The primary outcome was unplanned readmission within 30 days after discharge and the association with probable sarcopenia and malnutrition. Nutritional status and probable sarcopenia were assessed just prior to surgery. Patients classified using subjective global assessment, as B and C were malnourished. Probable sarcopenia was defined using SARC-F (strength, assistance with walking, rise from a chair, climb stairs, falls) questionnaire ≥4 points and low HGS (handgrip strength)