Malnutrition risk in elective surgery patients  and effectiveness of preoperative nutritional interventions at a pre-anaesthetic clinic:  a 4-year apart, single-centre, observational study

Paweł Kutnik; Oksana Wichowska; Justyna Sysiak-Sławecka; Marta Szczukocka; Elżbieta Rypulak; Paweł Piwowarczyk; Michał Borys; Mirosław Czuczwar

doi:10.5114/ait.2023.130632

eISSN: 1731-2531
ISSN: 1642-5758

Anaesthesiology Intensive Therapy

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abstract:

Original paper

Malnutrition risk in elective surgery patients and effectiveness of preoperative nutritional interventions at a pre-anaesthetic clinic: a 4-year apart, single-centre, observational study

Paweł Kutnik

¹

,

Oksana Wichowska

¹

,

Justyna Sysiak-Sławecka

¹

,

Marta Szczukocka

¹

,

Elżbieta Rypulak

¹

,

Paweł Piwowarczyk

¹

,

Michał Borys

¹

,

Mirosław Czuczwar

¹

II Department of Anaesthesiology and Intensive Care, Medical University of Lublin, Lublin, Poland

Anaesthesiol Intensive Ther 2023; 55, 3: 179–185

DOI: https://doi.org/10.5114/ait.2023.130632

Online publish date: 2023/08/25

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AMA

Kutnik P, Wichowska O, Sysiak-Sławecka J, et al. Malnutrition risk in elective surgery patients  and effectiveness of preoperative nutritional interventions at a pre-anaesthetic clinic:  a 4-year apart, single-centre, observational study. Anaesthesiology Intensive Therapy. 2023;55(3):179-185. doi:10.5114/ait.2023.130632.

APA

Kutnik, P., Wichowska, O., Sysiak-Sławecka, J., Szczukocka, M., Rypulak, E.,  & Piwowarczyk, P. et al. (2023). Malnutrition risk in elective surgery patients  and effectiveness of preoperative nutritional interventions at a pre-anaesthetic clinic:  a 4-year apart, single-centre, observational study. Anaesthesiology Intensive Therapy, 55(3), 179-185. https://doi.org/10.5114/ait.2023.130632

Chicago

Kutnik, Paweł, Oksana Wichowska, Justyna Sysiak-Sławecka, Marta Szczukocka, Elżbieta Rypulak, Paweł Piwowarczyk,  and Michał Borys et al. 2023. "Malnutrition risk in elective surgery patients  and effectiveness of preoperative nutritional interventions at a pre-anaesthetic clinic:  a 4-year apart, single-centre, observational study". Anaesthesiology Intensive Therapy 55 (3): 179-185. doi:10.5114/ait.2023.130632.

Harvard

Kutnik, P., Wichowska, O., Sysiak-Sławecka, J., Szczukocka, M., Rypulak, E., Piwowarczyk, P., Borys, M.,  and Czuczwar, M. (2023). Malnutrition risk in elective surgery patients  and effectiveness of preoperative nutritional interventions at a pre-anaesthetic clinic:  a 4-year apart, single-centre, observational study. Anaesthesiology Intensive Therapy, 55(3), pp.179-185. https://doi.org/10.5114/ait.2023.130632

MLA

Kutnik, Paweł et al. "Malnutrition risk in elective surgery patients  and effectiveness of preoperative nutritional interventions at a pre-anaesthetic clinic:  a 4-year apart, single-centre, observational study." Anaesthesiology Intensive Therapy, vol. 55, no. 3, 2023, pp. 179-185. doi:10.5114/ait.2023.130632.

Vancouver

Kutnik P, Wichowska O, Sysiak-Sławecka J, Szczukocka M, Rypulak E, Piwowarczyk P et al. Malnutrition risk in elective surgery patients  and effectiveness of preoperative nutritional interventions at a pre-anaesthetic clinic:  a 4-year apart, single-centre, observational study. Anaesthesiology Intensive Therapy. 2023;55(3):179-185. doi:10.5114/ait.2023.130632.

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Introduction:
Approximately 44% of all patients hospitalised for an elective surgical procedure have a malnutrition risk. In this study, we assessed the prevalence of malnutrition risk at a pre-anaesthetic clinic and the feasibility of introducing nutritional support. The primary objective of this study was to assess malnutrition risk prevalence in patients referred to a pre-anaesthetic clinic.

Material and methods:
This was a prospective observational study. The study was divided into two phases: one in 2020 and the other in 2023. Consecutive patients scheduled for an elective surgical procedure at a pre-anaesthetic clinic were asked to participate in the study by filling out the questionnaire. We divided the patients into two groups based on the GLIM criteria.

Results:
We included a total of 467 patients, including 214 from 2020 and 253 from 2023. In the total sample, 93 (19.9%) patients met the GLIM criteria for malnutrition risk, and 37 (7.9 %) fulfilled the ESPEN criteria for preoperative nutritional support. Out of 93 patients at malnutrition risk, 41 (44%) had BMI > 25 kg m^–2. The number of patients with indications for preoperative nutritional support in all departments remained similar across both time points. However, the number of patients receiving preoperative ONS almost doubled over the study period (36.8% in 2020 vs. 72.2% in 2023).

Conclusions:
Malnutrition risk was consistently high among our elective surgery patients. Not all patients with indications for preoperative nutritional support received it. As such, pre-anaesthetic clinics might be one of the major links in the nutritional programme chains of hospitals.

keywords:

Malnutrition risk in elective surgery patients and effectiveness of preoperative nutritional interventions at a pre-anaesthetic clinic: a 4-year apart, single-centre, observational study

Paweł Kutnik 1 , Oksana Wichowska 1 , Justyna Sysiak-Sławecka 1 , Marta Szczukocka 1 , Elżbieta Rypulak 1 , Paweł Piwowarczyk 1 , Michał Borys 1 , Mirosław Czuczwar 1

nutrition, preoperative assessment, preanesthetic clinic, malnutrition, GLIM

Paweł Kutnik

¹

,

Oksana Wichowska

¹

,

Justyna Sysiak-Sławecka

¹

,

Marta Szczukocka

¹

,

Elżbieta Rypulak

¹

,

Paweł Piwowarczyk

¹

,

Michał Borys

¹

,

Mirosław Czuczwar

¹