Avtor/Urednik		Novak, Ernest; Komadina, Radko
Naslov		Ocena prehranjenosti bolnikov v Splošni bolnišnici Celje pred velikim operativnim posegom v trebušni votlini
Prevedeni naslov		Nutritional assessment in patients predicted to major abdominal surgery at the General hospital Celje
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 70, št. Suppl 1
Leto izdaje		2001
Obseg		str. I-27-9
Jezik		slo
Abstrakt		Background. Malnutrition has serious implications for recovery after surgery. Early detection of malnutrition with nutritional support minimizes postoperative complications. Nutritional assessment tools need to be simple and suitable for use in everyday practice. In our study we wanted to determine, how many patients might benefit from nutritional support. Methods. From April to August 1999 fifty consecutively admitted patients predicted to major abdominal surgery have been examined. We used Mini nutritional assessment (MNA), Buzbys nutrition risk index (NRI), blood albumin level and weight loss in the last 3 months period prior to the examination, to assess nutritional status. Results. We examined 50 patients (27 males and 23 females, age 76.5 +- 16.5) and confirmed malnutrition in 40% of patients with MNA and serum albumin level. The increased risk for nutrition-associated complications was confirmed by NRI and weight loss in 44%. Conclusions. A confident diagnosis of malnutrition and increased risk for nutrition-associated complications can be established by using a combination of simple methods like MNA, NRI, weight loss and serum albumin level. Almost half of the patients admitted for major abdominal surgery in General hospital Celje suffer from malnutrition and they may benefit with early nutritional intervention.
Izvleček		Izhodišča. Podhranjenost pomembno vpliva na okrevanje po kirurškem posegu. Zgodnje odkritje podhranjenosti s prehranskim ukrepanjem zmanjša možnost pooperativnih zapletov. Metode prehranske ocene morajo biti enostavne in primerne za uporabo v vsakdanji praksi. Želeli smo ugotoviti, kakšno je število bolnikov, ki bi jin zgodnja prehranska podpora lahko koristila. Metode. Od aprila do avgusta 1999 smo pregledali 50 zaporedno sprejetih bolnikov s predvideno veliko operacijo v trebušni votlini. Za oceno prehranskega statusa smo uporabili Mini nutritional assessment (MNA), Buzbys nutrition risk index (NRI), raven serumskega albumina ter izgubo telesne teže v zadnjih treh mesecih pred oceno. Rezultati. Pregledali smo 50 bolnikov (27 moških in 23 žensk, povprečna starost 76,5+-16,5 leta) in z MNA in ravnijo serumskega albumina ugotovili podhranjenost pri 40% bolnikov. Z NRI in oceno telesne teže smo ugotovili povečano tveganje za nastanek s prehrano povezanih zapletov pri 44% bolnikov. Zaključki. Zanesljivo diagnozo podhranjenosti in povečano tveganje za nastanek s prehrano povezanih zapletov lahko postavimo s hkratno uporabo enostavnih metod: MNA, NRI, ocena izgube telesne teže, raven serumskega albumina. Skoraj polovica bolnikov, sprejetih zaradi predvidene velike operacije v trebušni votlini v Splošno bolnišnico Celje, je podhranjenih.
Deskriptorji		ABDOMEN PREOPERATIVE CARE NUTRITION ASSESSMENT NUTRITION DISORDERS SERUM ALBUMIN WEIGHT LOSS