El Alama H, Boufettal R, Benmoussa A, Jai S R, Chehab F, Derfoufi S
J Pharm Belg. 2016 Dec(4):30-39.
Objective Is to evaluate the nutritional status of preoperative patients in the visceral surgery department III of CHU Ibn Rushd of Casablanca and to correlate to postoperative length of stay. Patients and methods Prospective observational study of six months from February 2015 to late July 2015, in patients from being operated in the visceral surgery department II1. The nutritional status of 151 patients preoperatively was evaluated the correlation between the various diagnostic tests and clinical and biological parameters was investigated and postoperative length of stay was calculated. Results 151 patients predominantly female (72.84%1, reporting their consent, were selected for this study. 51.56% of patients had risk factors for undernutrition. The cholelithiasis was the most responded diagnosis (57.61%). The Nutritional Risk Index (NRII allowed to identify 13 low nutritional risk patients, 7 moderate-risk and 3 major risk. According to the Mini Nutritional Assessment (MNA two elderly people [over 70 years] were at risk of undernutrition and one person had a bad nutritional status. Nutritional risk stratification identified 19 patients with postoperative nutritional grade 3. The average length of stay was variable; it was not correlated with the nutritional status of patients against it is based on the type of surgery. Conclusion The risk of undernutrition was high; however, a single parameter is insufficient for the diagnosis of preoperative undernutrition, a combination of different parameters would be a more reliable method.
目的是评估卡萨布兰卡伊本·鲁世德大学医院第三内科腹部外科术前患者的营养状况,并将其与术后住院时间相关联。患者与方法 2015年2月至2015年7月下旬对腹部外科II1的手术患者进行为期6个月的前瞻性观察研究。评估了151例患者术前的营养状况,调查了各种诊断测试与临床和生物学参数之间的相关性,并计算了术后住院时间。结果 151例患者中女性居多(72.84%),均表示同意参与本研究。51.56%的患者有营养不良风险因素。胆结石是最常见的诊断(57.61%)。营养风险指数(NRI)识别出13例低营养风险患者、7例中度风险患者和3例重度风险患者。根据微型营养评定法(MNA),两名70岁以上的老年人有营养不良风险,一人营养状况较差。营养风险分层识别出19例术后营养等级为3级的患者。平均住院时间各不相同;它与患者的营养状况无关,而是基于手术类型。结论 营养不良风险较高;然而,单一参数不足以诊断术前营养不良,不同参数的组合将是一种更可靠的方法。