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Simple Clinical Screening Underestimates Malnutrition in Surgical Patients with Inflammatory Bowel Disease-An ACS NSQIP Analysis
The present large scale study aimed to assess the prevalence and consequences of malnutrition, based on clinical assessment (body mass index and preoperative weight loss) and severe hypoalbuminemia (
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| Published in: | Nutrients 2022-02, Vol.14 (5), p.932 |
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| Main Authors: | , , , , |
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| cites | cdi_FETCH-LOGICAL-c472t-c595ce1e7db35ffccc755b71767eda212d78453eb847d76943e1668dd2e4ae883 |
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| container_issue | 5 |
| container_start_page | 932 |
| container_title | Nutrients |
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| creator | Abd-El-Aziz, Mohamed A Hübner, Martin Demartines, Nicolas Larson, David W Grass, Fabian |
| description | The present large scale study aimed to assess the prevalence and consequences of malnutrition, based on clinical assessment (body mass index and preoperative weight loss) and severe hypoalbuminemia ( |
| doi_str_mv | 10.3390/nu14050932 |
| format | article |
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The American College of Surgeons National Quality improvement program (ACS-NSQIP) Public User Files (PUF) between 2005 and 2018 were assessed. A total of 25,431 patients were identified. Of those, 6560 (25.8%) patients had severe hypoalbuminemia, 380 (1.5%) patients met ESPEN 2 criteria (≥10% weight loss over 6 months PLUS BMI < 20 kg/m2 in patients <70 years OR BMI < 22 kg/m2 in patients ≥70 years), and 671 (2.6%) patients met both criteria (severe hypoalbuminemia and ESPEN 2). Patients who presented with malnutrition according to any of the three definitions had higher rates of overall, minor, major, surgical, and medical complications, longer LOS, higher mortality and higher rates of readmission and reoperation. The simple clinical assessment of malnutrition based on BMI and weight loss only, considerably underestimates its true prevalence of up to 50% in surgical IBD patients and calls for dedicated nutritional assessment.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu14050932</identifier><identifier>PMID: 35267906</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>albumin ; Blood transfusions ; Body composition ; Body fat ; Body mass ; Body mass index ; Body size ; Body weight loss ; Cardiopulmonary resuscitation ; Complications ; CPR ; Criteria ; Crohn’s disease ; Heart attacks ; Humans ; Hypoalbuminemia - diagnosis ; Hypoalbuminemia - epidemiology ; Inflammatory bowel disease ; Inflammatory bowel diseases ; Inflammatory Bowel Diseases - complications ; Inflammatory Bowel Diseases - surgery ; Intubation ; Kidneys ; Malnutrition ; Malnutrition - diagnosis ; Malnutrition - epidemiology ; Mortality ; Nutrition assessment ; Patients ; Pneumonia ; Postoperative Complications - diagnosis ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Pulmonary embolisms ; Quality control ; Retrospective Studies ; Sepsis ; Statistical analysis ; Surgery ; Surgical outcomes ; Thrombosis ; ulcerative colitis ; Ventilators ; Weight control ; Weight loss</subject><ispartof>Nutrients, 2022-02, Vol.14 (5), p.932</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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The simple clinical assessment of malnutrition based on BMI and weight loss only, considerably underestimates its true prevalence of up to 50% in surgical IBD patients and calls for dedicated nutritional assessment.</description><subject>albumin</subject><subject>Blood transfusions</subject><subject>Body composition</subject><subject>Body fat</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Body weight loss</subject><subject>Cardiopulmonary resuscitation</subject><subject>Complications</subject><subject>CPR</subject><subject>Criteria</subject><subject>Crohn’s disease</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Hypoalbuminemia - diagnosis</subject><subject>Hypoalbuminemia - epidemiology</subject><subject>Inflammatory bowel disease</subject><subject>Inflammatory bowel diseases</subject><subject>Inflammatory Bowel Diseases - complications</subject><subject>Inflammatory Bowel Diseases - surgery</subject><subject>Intubation</subject><subject>Kidneys</subject><subject>Malnutrition</subject><subject>Malnutrition - diagnosis</subject><subject>Malnutrition - epidemiology</subject><subject>Mortality</subject><subject>Nutrition assessment</subject><subject>Patients</subject><subject>Pneumonia</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Pulmonary embolisms</subject><subject>Quality control</subject><subject>Retrospective Studies</subject><subject>Sepsis</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Thrombosis</subject><subject>ulcerative colitis</subject><subject>Ventilators</subject><subject>Weight control</subject><subject>Weight loss</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdkktvEzEQgFcIRKvSCz8AWeKCkBa8fu5ekEJ4RSpQtPRsOfZs6sixU3uXKjd-Om5SSosvtuzPn2fGU1XPG_yG0g6_DVPDMMcdJY-qY4IlqYVg9PG99VF1mvMa3wyJpaBPqyPKiZAdFsfV795tth7Q3LvgjPaoNwkguLBCF8FCgjy6jR4ho6_ah2lMbnQxIBdQP6XV_sa5Hh2EMaNrN16iRRi83pQrMe3Q-3gNHn1wGXSGehbQbN6jb_2PxTmaBe132eVn1ZNB-wynt_NJdfHp48_5l_rs--fFfHZWGybJWBvecQMNSLukfBiMMZLzpWykkGA1aYiVLeMUli2TVoqOUWiEaK0lwDS0LT2pFgevjXqttqlklXYqaqf2GzGtlE6jMx4UF62Wehg6TC0rj2jMDMNF1NlSs8YW17uDazstN2BNyT5p_0D68CS4S7WKv1TbNURgUgSvbgUpXk2lxmrjsgHvdYA4ZUUEbWXDywcX9OV_6DpOqRRvT0nJSSt4oV4fKJNizgmGu2AarG76RP3rkwK_uB_-Hfq3K-gf7o-5Iw</recordid><startdate>20220222</startdate><enddate>20220222</enddate><creator>Abd-El-Aziz, Mohamed A</creator><creator>Hübner, Martin</creator><creator>Demartines, Nicolas</creator><creator>Larson, David W</creator><creator>Grass, Fabian</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-1530-3114</orcidid><orcidid>https://orcid.org/0000-0001-9884-2879</orcidid><orcidid>https://orcid.org/0000-0002-4521-8279</orcidid><orcidid>https://orcid.org/0000-0003-4477-0114</orcidid></search><sort><creationdate>20220222</creationdate><title>Simple Clinical Screening Underestimates Malnutrition in Surgical Patients with Inflammatory Bowel Disease-An ACS NSQIP Analysis</title><author>Abd-El-Aziz, Mohamed A ; 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| ispartof | Nutrients, 2022-02, Vol.14 (5), p.932 |
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| subjects | albumin Blood transfusions Body composition Body fat Body mass Body mass index Body size Body weight loss Cardiopulmonary resuscitation Complications CPR Criteria Crohn’s disease Heart attacks Humans Hypoalbuminemia - diagnosis Hypoalbuminemia - epidemiology Inflammatory bowel disease Inflammatory bowel diseases Inflammatory Bowel Diseases - complications Inflammatory Bowel Diseases - surgery Intubation Kidneys Malnutrition Malnutrition - diagnosis Malnutrition - epidemiology Mortality Nutrition assessment Patients Pneumonia Postoperative Complications - diagnosis Postoperative Complications - epidemiology Postoperative Complications - etiology Pulmonary embolisms Quality control Retrospective Studies Sepsis Statistical analysis Surgery Surgical outcomes Thrombosis ulcerative colitis Ventilators Weight control Weight loss |
| title | Simple Clinical Screening Underestimates Malnutrition in Surgical Patients with Inflammatory Bowel Disease-An ACS NSQIP Analysis |
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