ORIGINAL RESEARCH ARTICLE

The relationship between nutritional status based on nutritional risk index (NRI) and length of stay of digestive surgery patients

Dian Reginalda Kusuma , Kadek Agus Heryana Putra, I Putu Kurniyanta

Dian Reginalda Kusuma
Medical Education Program, Faculty of Medicine, Udayana University. Email: dianreginalda@ymail.com

Kadek Agus Heryana Putra
Department of Anesthesiology, Pain Management, and Intensive Care Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

I Putu Kurniyanta
Department of Anesthesiology, Pain Management, and Intensive Care Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia
Online First: April 28, 2019 | Cite this Article
Kusuma, D., Putra, K., Kurniyanta, I. 2019. The relationship between nutritional status based on nutritional risk index (NRI) and length of stay of digestive surgery patients. Bali Journal of Anesthesiology 3(1): 14-18. DOI:10.15562/bjoa.v3i1.110


ABSTRACT

Background: Malnutrition is a common concomitant illness that can be found in digestive surgery patients.The risk of malnutrition in digestive surgery patients is often overlooked even though malnutrition has beenknown to be associated with poor postoperative outcomes. The study aimed to analyze the relationship of nutritional status based on the Nutritional Risk Index (NRI) and length of stay of digestive surgery patientsin Sanglah General Hospital. Patients and Methods: The design of this study is an analytical cross-sectional using secondary data fromthe medical record of the digestive surgery patients in Sanglah General Hospital. Data on body weight andserum albumin level were used to identify the preoperative nutritional status of the patients based on NRI. Results: Of the 42 patients involved in this study, 54.8% of patients have poor nutritional status and the remainder 45.2% of patients have good nutritional status. The result of the statistical analysis showed asignificant relationship between nutritional status and length of stay. The result of the logistic regressiontest showed that the prevalence of long hospitalizations (≥11 days) were 5.2 times greater in digestivesurgery patients with poor preoperative nutritional status compared to patients with good nutritionalstatus. Conclusion: This study shows that poor nutritional status is a significant problem for digestive surgery patients and it is one of the factors that contribute to a longer hospital stay.

References

REFERENCES

Cederholm T, Barazzoni R, Austin P, et al. ESPEN Guideline ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical Nutrition. 2017; 36(1): 49–64. DOI: 10.1016/j.clnu.2016.09.004

Cerantola Y, Grass F, Cristaudi A, et al. Perioperative Nutrition in Abdominal Surgery: Recommendations and Reality. Gastroenterology Research and Practice. 2011: 739347. DOI: 10.1155/2011/739347

Thieme RD, Cutchma G, Eliana M, et al. Nutritional Risk Index is Predictor of Postoperative Complications in Operations of Digestive System or Abdominal Wall ? ABCD Arq Bras Cir Dig. 2013; 26(4): 286–92. DOI: 10.1590/S0102-67202013000400007

Said S, Taslim NA, Bahar B. Hubungan IMT dan Kadar Albumin berhubungan dengan Penyembuhan Luka. Padjajaran Nursing Journal. 2016; 4: 60-69. DOI: 10.24198/jkp.v4i1.137

Ljungqvist O, Soop M, Hedström M. Why metabolism matters in elective orthopedic surgery : A review. Acta Orthopaedica. 2016; 78(5): 610-615. DOI: 10.1080/17453670710014293

Said S, Taslim NA, Bahar B. Gizi dan Penyembuhan Luka. Makassar, Indonesia Academic Publishing, 2013

Scott MJ, Baldini G, Fearon KCH, et al. Enhanced Recovery after Surgery (ERAS) for gastrointestinal surgery, part 1: Pathophysiological considerations. Acta Anaesthesiol Scand. 2015; 59(10): 1212-31. DOI: 10.1111/aas.12601

Kyle U, Pirlich M, Schuetz T, et al. Is nutritional depletion by Nutritional Risk Index associated with increased length of hospital stay? A population-based study. J Parenter Enter Nutr. 2004; 28(2): 99-104. DOI: 10.1177/014860710402800299

Shpata V, Prendushi X, Kreka M, et al. Malnutrition at the time of surgery affects negatively the clinical outcome of critically ill patients with gastrointestinal cancer. Med Arch. 2014; 68(4): 263-7. DOI: 10.5455/medarh.2014.68.263-267

Ho JW, Wu AH, Lee MW, et al. Malnutrition risk predicts surgical outcomes in patients undergoing gastrointestinal operations: Results of a prospective study. Clin Nutr. 2015; 34(4): 679-84. DOI: 10.1016/j.clnu.2014.07.012.

Susetyowati, Ija M, Makhmudi A. Status gizi pasien bedah mayor preoperasi berpengaruh terhadap penyembuhan luka dan lama rawat inap pascaoperasi di RSUP Dr Sardjito Yogyakarta. Jurnal Gizi Klinik Indonesia. 2010; 7(1): 1-7. DOI: 10.22146/ijcn.17608

Leandro-Merhi VA, de Aquino JLB. Determinants of malnutrition and post-operative complications in hospitalized surgical patients. J Heal Popul Nutr. 2014; 32(3): 400-10. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4221446/

Almeida AI, Correia M, Camilo M, et al. Length of stay in surgical patients : nutritional predictive parameters revisited. British Journal of Nutrition. 2013; 109(2): 322-8. DOI: 10.1017/S0007114512001134

Weimann A, Braga M, Carli F, et al. ESPEN guideline: Clinical nutrition in surgery. Clin Nutr. 2017; 36(3): 623-50. DOI: 10.1016/j.clnu.2017.02.013 0

Tu M, Chien T, Tu M. Using a Nutritional Screening Tool to Evaluate the Nutritional Status of Patients With Colorectal Cancer Using a Nutritional Screening Tool to Evaluate the Nutritional Status of Patients With Colorectal Cancer. Nutrition and Cancer. 2012; 64(2): 323-30. DOI: 10.1080/01635581.2012.650778


No Supplementary Material available for this article.
Article Views      : 91
PDF Downloads : 41