Assessment of the perioperative nutritional status

作者：Thibault Ronan^*; Francon Daniel; Eloumou Servais; Piquet Marie Astrid

来源：Nutrition Clinique et Metabolisme, 2010, 24(4): 157-166.

DOI：10.1016/j.nupar.2010.10.005

• Undernutrition
• Nutritional assessment
• Surgery
• Serum albumin
• Anaesthesia

In surgical patients, malnutrition is associated with an increase in morbidity mortality length of stay and health care costs, and has an impact on quality of fife Before surgery the risk of malnutrition is depending on patient related factors (age associated diseases on-going symptoms duration of pie operative hospital stay) surgical procedure and medical treatment (radiotherapy chemotherapy corticoid treatment) The early screening and management of malnutrition are mandatory during the pen-operative period with the aim to improve post operative prognosis and clinical outcome The nutritional assessment is based on the research of weight logs the calculation of body mass index and the research of an hypoalbuminemia all of them having a negative imp let on postoperative prognosis The Nutritional Risk Index (NRI) is also of strong prognostic value We propose a stratification of the nutritional risk indicating several levels of surgical risk The organization the planning and the traceability in the medical record of the nutritional assessment should allow optimizing the management and the clinical outcome of surgical patients The pre operative consultation of anaesthesia could be th

• 出版日期2010-12