[Nutritional control in orthopedic surgery patients].

Abstract:

OBJECTIVE:To assess the nutritional status of orthopaedic patients. DESIGN:Prospective observation study. SETTING:Tertiary hospital, Clinical Nutrition Unit. PATIENTS:107 patients (56.1% women, 43.9% men, 62.1 +/- 20.4 years) are studied at admission to the orthopaedic unit and it is observed the evolution of orthopaedic surgery patients with hip or knee prosthesis. MATERIAL AND METHODS:Medical history, anthropometric data and three nutritional screening tools were considered: Mini-Nutritional Assessment (MNA), Malnutrition Universal Screening Tool (MUST) y Valoración Global Subjetiva (VGS). It was assessed the prevalence of malnutrition in patients on admission to hospital, using different methods and determining if a correlation exists between malnutrition and other factors, such as the development of pressure sores of the dependence in activities of daily living. RESULTS:The risk of malnutrition is 22 and 24/100 patients admitted at hospital, if MNA and SGA are used, respectively (SGA caregorized 4% of the group as "malnourished"). 80% patients are considered to be at high risk of malnutrition using MUST. 1.7% patients presented a Body Mass Index (BMI) lower than 18.5. There is a strong agreement between malnutrition and neropsychological status (p = 0.001), and the dependence in activities of daily living (p = 0.002), and between medium and high risk of malnutrition and the development of pressure sores (p = 0.003). If MNA and SGA (p = 0.000) are used, post-surgical patients presents a deteriorating nutritional status. CONCLUSIONS:The prevalence of malnutrition in patients on admission to hospital is elevated. Orthopaedic surgery patients with hip and knee prosthesis presented a deteriorating nutritional status, and a higher incidence of pressure sores in a month.

journal_name

Nutr Hosp

journal_title

Nutricion hospitalaria

authors

García Duque S,Pérez Segura G,Sanavia Morán E,de Juanes Pardo JR,Arrazola Martínez MP,Resines Erasun C

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

493-9

issue

5

eissn

0212-1611

issn

1699-5198

pii

S0212-16112008000700012

journal_volume

23

pub_type

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