,Prospective study to evaluate the prognostic value of different nutritional assessment scores in li

来源 :肝胆外科与营养 | 被引量 : 0次 | 上传用户:13439718
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Background: Malnutrition is recognised as a preoperative risk factor for patients undergoing hepatic resection. It is important to identify malnourished patients and take preventive therapeutic action before surgery. However, there is no evidence regarding which existing nutritional assessment score (NAS) is best suited to predict outcomes of liver surgery. Methods: All patients scheduled for elective liver resection at the surgical department of the University Hospital of Heidelberg and the Municipal Hospital of Karlsruhe were screened for eligibility. Twelve NASs were calculated before operation, and patients were categorised according to each score as being either at risk or not at risk for malnutrition. The association of malnutrition according to each score and occurrence of at least one major complication was the primary endpoint, which was achieved using a multivariate logistic regression analysis including established risk factors in liver surgery as covariates. Results: The population consisted of 182 patients. The percentage of patients deemed malnourished by the NAS varied among the different scores, with the lowest being 2.20% (Mini Nutritional Assessment) and the highest 52.20% (Nutritional Risk Classification). Forty patients (22.0%) had a major complication. None of the scores were significantly associated with major complications. Conclusions: None of the twelve investigated NAS defined a state of malnutrition that was independently associated with postoperative complications. Other means of measuring malnutrition in liver surgery should be investigated prospectively.
其他文献
目的 构建心脏术后患者早期目标导向活动管理方案并评价其应用效果.方法 组建以重症护理学科为主导的心脏术后早期目标导向活动(early goal directed mobilization,EGDM)多学
目的 探讨在儿童重症监护病房(pediatric intensive care unit,PICU)的患儿中实施进阶性心肺康复方案的可行性,并进行近期效果评价.方法 采用PICU医护人员和康复治疗师为主导
总结了1例早期肠内营养伴严重腹泻患者分阶段目标喂养的护理体会.护理经验:计算患者每日所需目标热量,分滋养型喂养、允许性喂养、标准喂养、全量喂养4个阶段进行喂养,从而达
体温管理是促进健康与康复的传统实践疗法,降低体温有神经保护作用.目前临床应用目标体温管理来将患者体温降至目标水平并维持一定时间,随后缓慢恢复至基础体温,以保护脑组织
腹膜透析是危重症新生儿急性肾损伤的重要治疗手段,特别在低体重患儿中.应用腹膜透析救治2例急性肾损伤的新生儿,护理内容包括腹膜透析围手术期的护理、腹膜透析环境和装置的
目的 将ICU环境感染预防及管理的最佳证据应用于临床实践,旨在提高ICU护士对环境清洁与消毒相关知识的掌握度及相关行为的依从性.方法 运用循证护理方法获取最佳证据总结,制
主动服务虽已提倡多年 ,但仍是档案部门有待开发的领域。如主动服务的对象是谁?如何进行主动服务等研究得不够。因此 ,使得这项工作没有多少实质性的内容。作为对这一问题的探
通信领域权威的检测、校准机构信息产业有线通信产品质量监督检验中心成都泰瑞通信设备检测有限公司授权检验的业务范围:有线通信产品及无线通信产品SDH/PDH光传输设备以太网
目的 系统评价不同声门下负压吸引方式对气管插管机械通气患者呼吸机相关性肺炎(ventilator-associated pneumonia,VAP)的预防效果.方法 计算机检索Cochrane library、PubMed
企业档案工作是维护企业历史面貌的一项重要事业 ,只有管好企业档案 ,才能为企业留下一份文化遗产 ,企业文化建设和发展才能源远流长。然而 ,企业档案工作不是一成不变的。它