Risk for malnutrition in patients prior to vascular surgery

Lies Ter Beek; Louise B D Banning; Linda Visser; Jan L N Roodenburg; Wim P Krijnen; Cees P van der Schans; Robert A Pol; Harriët Jager-Wittenaar

doi:10.1016/j.amjsurg.2017.11.038

Risk for malnutrition in patients prior to vascular surgery

Am J Surg. 2018 Sep;216(3):534-539. doi: 10.1016/j.amjsurg.2017.11.038. Epub 2017 Dec 9.

Authors

Lies Ter Beek¹, Louise B D Banning², Linda Visser³, Jan L N Roodenburg⁴, Wim P Krijnen⁵, Cees P van der Schans⁶, Robert A Pol⁷, Harriët Jager-Wittenaar⁸

Affiliations

¹ Hanze University of Applied Sciences, Research Group Healthy Ageing, Allied Health Care and Nursing, Petrus Driessenstraat 3, 9714 CA, Groningen, The Netherlands; University of Groningen, University Medical Center Groningen, Department of Pulmonary Diseases and Tuberculosis, HPC CD11, PO Box 30.001, 9700 RB, Groningen, The Netherlands; University of Groningen, University Medical Center Groningen, Department of Maxillofacial Surgery, HPC BB 70, PO Box 30.001, 9700 RB, Groningen, The Netherlands. Electronic address: l.ter.beek@pl.hanze.nl.
² University of Groningen, University Medical Center Groningen, Department of Surgery, Division of Vascular Surgery, HPC BA 11, PO Box 30.001, 9700 RB, Groningen, The Netherlands. Electronic address: l.b.d.banning@umcg.nl.
³ University of Groningen, University Medical Center Groningen, Department of Surgery, Division of Vascular Surgery, HPC BA 11, PO Box 30.001, 9700 RB, Groningen, The Netherlands. Electronic address: l.visser02@umcg.nl.
⁴ University of Groningen, University Medical Center Groningen, Department of Maxillofacial Surgery, HPC BB 70, PO Box 30.001, 9700 RB, Groningen, The Netherlands. Electronic address: j.l.n.roodenburg@umcg.nl.
⁵ Hanze University of Applied Sciences, Research Group Healthy Ageing, Allied Health Care and Nursing, Petrus Driessenstraat 3, 9714 CA, Groningen, The Netherlands; University of Groningen, Faculty of Science and Engineering, Groningen, The Netherlands. Electronic address: w.p.krijnen@pl.hanze.nl.
⁶ Hanze University of Applied Sciences, Research Group Healthy Ageing, Allied Health Care and Nursing, Petrus Driessenstraat 3, 9714 CA, Groningen, The Netherlands; University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, HPC CD 44, PO Box 30.001, 9700 RB, Groningen, The Netherlands; University of Groningen, University Medical Center Groningen, Department of Health Psychology Research, PO Box 30.001, 9700 RB, Groningen, The Netherlands. Electronic address: c.p.van.der.schans@pl.hanze.nl.
⁷ University of Groningen, University Medical Center Groningen, Department of Surgery, Division of Vascular Surgery, HPC BA 11, PO Box 30.001, 9700 RB, Groningen, The Netherlands. Electronic address: r.pol@umcg.nl.
⁸ Hanze University of Applied Sciences, Research Group Healthy Ageing, Allied Health Care and Nursing, Petrus Driessenstraat 3, 9714 CA, Groningen, The Netherlands; University of Groningen, University Medical Center Groningen, Department of Maxillofacial Surgery, HPC BB 70, PO Box 30.001, 9700 RB, Groningen, The Netherlands. Electronic address: ha.jager@pl.hanze.nl.

PMID: 29258651
DOI: 10.1016/j.amjsurg.2017.11.038

Abstract

Background: Malnutrition is an important risk factor for adverse post-operative outcomes. The prevalence of risk for malnutrition is unknown in patients prior to vascular surgery. We aimed to assess prevalence and associated factors of risk for malnutrition in this patient group.

Methods: Patients were assessed for risk for malnutrition by the Patient-Generated Subjective Global Assessment Short Form. Demographics and medical history were retrieved from the hospital registry. Uni- and multivariate analyses were performed to identify associated factors of risk for malnutrition.

Results: Of 236 patients, 57 (24%) were categorized as medium/high risk for malnutrition. In the multivariate analyses, current smoking (P = 0.032), female sex (P = 0.031), and being scheduled for amputation (P = 0.001) were significantly associated with medium/high risk for malnutrition.

Conclusions: A substantial proportion (24%) of patients prior to vascular surgery is at risk for malnutrition, specifically smokers, females and patients awaiting amputation. Knowledge of these associated factors may help to appoint patients for screening.

Keywords: Malnutrition; PG-SGA; Risk assessment; Vascular diseases; Vascular surgical procedure.

Publication types

Observational Study

MeSH terms

Cross-Sectional Studies
Female
Follow-Up Studies
Humans
Male
Malnutrition / complications
Malnutrition / diagnosis
Malnutrition / epidemiology*
Netherlands / epidemiology
Nutritional Status*
Preoperative Period
Prevalence
Prognosis
Retrospective Studies
Risk Assessment / methods*
Risk Factors
Vascular Diseases / complications
Vascular Diseases / surgery*
Vascular Surgical Procedures*