Department of Surgery, Tottori Prefectural Central Hospital, 730 Ezu, Tottori, 680-0901, Japan.
Department of Surgery, Japanese Red Cross Tottori Hospital, 117 Shotoku-cho, Tottori, 680-8571, Japan.
BMC Surg. 2021 Dec 29;21(1):445. doi: 10.1186/s12893-021-01450-6.
Patients who undergo gastrectomy for gastric cancer (GC) are likely to have nutritional difficulty after surgery. Readmission due to nutritional difficulty is common in such patients. Thus, in this study, we aim to identify the predictive indicators for readmission due to nutritional difficulty in patients who underwent gastrectomy for GC.
We retrospectively reviewed surgical outcomes in 516 consecutive patients who underwent gastrectomy for GC.
The readmission rate within 1 year was 13.8%. Readmission due to nutritional difficulty was observed in 20 patients (3.9%); it was determined as the second leading cause of readmission. Multivariate analysis revealed that the type of gastrectomy and the modified frailty index (mFI) were independent predictive indicators of readmission due to nutritional difficulty. Patients were assigned 1 point for each predictive indicator, and the total points were calculated (point 0, point 1, or point 2). The readmission rates due to nutritional difficulty were 1.2%, 4.7%, and 11.5% in patients with 0, 1, and 2 points, respectively (P = 0.0008).
The readmission rate due to nutritional difficulty was noted to be high in patients who underwent total or proximal partial gastrectomy with high mFI. Intensive follow-up and nutritional support are needed to reduce readmissions due to nutritional difficulty. Reduced readmission rates can improve patient quality of life and reduce medical costs.
接受胃癌（GC）胃切除术的患者术后可能会出现营养困难。此类患者因营养困难而再次入院的情况较为常见。因此，在这项研究中，我们旨在确定接受 GC 胃切除术患者因营养困难再次入院的预测指标。
我们回顾性分析了 516 例连续接受胃切除术治疗 GC 的患者的手术结果。
1 年内的再入院率为 13.8%。20 例（3.9%）患者因营养困难再次入院，这是再次入院的第二大原因。多变量分析显示，胃切除术的类型和改良衰弱指数（mFI）是营养困难再次入院的独立预测指标。患者每个预测指标各得 1 分，并计算总分（0 分、1 分或 2 分）。0 分、1 分和 2 分患者的营养困难再入院率分别为 1.2%、4.7%和 11.5%（P=0.0008）。
接受全胃或近端胃大部切除术且 mFI 较高的患者，营养困难再次入院率较高。需要加强随访和营养支持，以减少因营养困难导致的再次入院。降低再次入院率可以提高患者的生活质量并降低医疗费用。
