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Impact of preoperative nutritional status on surgical outcomes in patients with pediatric gastrointestinal surgery

BACKGROUND: Malnutrition has a high incidence among pediatric surgical patients and contributes to increased risks of postoperative complications and extended hospital stays. PURPOSE: The present study aimed to determine the influence of preoperative nutritional status on the postoperative outcomes...

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Autores principales: Koofy, Nehal El, Eldin, Hadeer Mohamed Nasr, Mohamed, Wesam, Gad, Mostafa, Tarek, Sara, Tagy, Gamal El
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Pediatric Society 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8426093/
https://www.ncbi.nlm.nih.gov/pubmed/33197305
http://dx.doi.org/10.3345/cep.2020.00458
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author Koofy, Nehal El
Eldin, Hadeer Mohamed Nasr
Mohamed, Wesam
Gad, Mostafa
Tarek, Sara
Tagy, Gamal El
author_facet Koofy, Nehal El
Eldin, Hadeer Mohamed Nasr
Mohamed, Wesam
Gad, Mostafa
Tarek, Sara
Tagy, Gamal El
author_sort Koofy, Nehal El
collection PubMed
description BACKGROUND: Malnutrition has a high incidence among pediatric surgical patients and contributes to increased risks of postoperative complications and extended hospital stays. PURPOSE: The present study aimed to determine the influence of preoperative nutritional status on the postoperative outcomes of pediatric patients who underwent elective gastrointestinal (GI) surgery. METHODS: This prospective observational study was conducted at Cairo University Specialized Pediatric Hospital. According to the designated inclusion criteria, 75 surgical cases of both sexes were included. A structured questionnaire was developed and administered. This questionnaire included 3 main sections: demographic data and nutritional status parameters at admission and discharge. Pre- and postoperative nutritional statuses were compared. RESULTS: According to both the subjective global nutritional assessment and STRONGKIDS score Questioner, more than 60% of patients in the upper GI patient group were at risk of malnutrition. Wasting status was most common in the upper GI patient group (67%; vs. 39.1% in the lower GI group). Underweight status was more common in the hepatobiliary and upper GI patient groups (nearly 50% for each group) than in the lower GI group (30.4%). On the other hand, stunted patients had a higher incidence of complications and a prolonged hospital stay (P=0.003 and P=0.037, respectively), while underweight lower GI patients experienced a prolonged hospital stay (P=0.02). A higher proportion of patients with preoperative anemia than those without preoperative anemia required a blood transfusion (P=0.003). CONCLUSION: Nutritional assessment is a crucial component of pediatric surgical patient management. Both underweight and wasting statuses were more common among hepatobiliary and upper GI patients. Postoperative complications and a long hospital stay were more common among stunted patients.
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spelling pubmed-84260932021-09-20 Impact of preoperative nutritional status on surgical outcomes in patients with pediatric gastrointestinal surgery Koofy, Nehal El Eldin, Hadeer Mohamed Nasr Mohamed, Wesam Gad, Mostafa Tarek, Sara Tagy, Gamal El Clin Exp Pediatr Original Article BACKGROUND: Malnutrition has a high incidence among pediatric surgical patients and contributes to increased risks of postoperative complications and extended hospital stays. PURPOSE: The present study aimed to determine the influence of preoperative nutritional status on the postoperative outcomes of pediatric patients who underwent elective gastrointestinal (GI) surgery. METHODS: This prospective observational study was conducted at Cairo University Specialized Pediatric Hospital. According to the designated inclusion criteria, 75 surgical cases of both sexes were included. A structured questionnaire was developed and administered. This questionnaire included 3 main sections: demographic data and nutritional status parameters at admission and discharge. Pre- and postoperative nutritional statuses were compared. RESULTS: According to both the subjective global nutritional assessment and STRONGKIDS score Questioner, more than 60% of patients in the upper GI patient group were at risk of malnutrition. Wasting status was most common in the upper GI patient group (67%; vs. 39.1% in the lower GI group). Underweight status was more common in the hepatobiliary and upper GI patient groups (nearly 50% for each group) than in the lower GI group (30.4%). On the other hand, stunted patients had a higher incidence of complications and a prolonged hospital stay (P=0.003 and P=0.037, respectively), while underweight lower GI patients experienced a prolonged hospital stay (P=0.02). A higher proportion of patients with preoperative anemia than those without preoperative anemia required a blood transfusion (P=0.003). CONCLUSION: Nutritional assessment is a crucial component of pediatric surgical patient management. Both underweight and wasting statuses were more common among hepatobiliary and upper GI patients. Postoperative complications and a long hospital stay were more common among stunted patients. Korean Pediatric Society 2020-11-16 /pmc/articles/PMC8426093/ /pubmed/33197305 http://dx.doi.org/10.3345/cep.2020.00458 Text en Copyright © 2021 by The Korean Pediatric Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Koofy, Nehal El
Eldin, Hadeer Mohamed Nasr
Mohamed, Wesam
Gad, Mostafa
Tarek, Sara
Tagy, Gamal El
Impact of preoperative nutritional status on surgical outcomes in patients with pediatric gastrointestinal surgery
title Impact of preoperative nutritional status on surgical outcomes in patients with pediatric gastrointestinal surgery
title_full Impact of preoperative nutritional status on surgical outcomes in patients with pediatric gastrointestinal surgery
title_fullStr Impact of preoperative nutritional status on surgical outcomes in patients with pediatric gastrointestinal surgery
title_full_unstemmed Impact of preoperative nutritional status on surgical outcomes in patients with pediatric gastrointestinal surgery
title_short Impact of preoperative nutritional status on surgical outcomes in patients with pediatric gastrointestinal surgery
title_sort impact of preoperative nutritional status on surgical outcomes in patients with pediatric gastrointestinal surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8426093/
https://www.ncbi.nlm.nih.gov/pubmed/33197305
http://dx.doi.org/10.3345/cep.2020.00458
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