Keywords
Surgical Complications
MUST
Perioperative Nutrition
ERAS
How to Cite
Abstract
INTRODUCTION: Nutritional status of the patient is a key factor in determining the surgical outcomes of the patients.
OBJECTIVES: In this study we aimed to identify the relationship between risk of malnutrition and surgical outcomes. Malnutrition Universal Screening Tool (MUST) can be used to identify risk of malnutrition. The Clavien-dindo (CD) classification was used to report surgical complications. We also aimed to identify the relationship between factors such as age, sex and comorbidities with MUST, as well as the relationship between CD grade and site, indication, type and method of surgery.
METHOD: We conducted a cross-sectional prospective study over three months, between 16th february to 16th may of 2024. We chose 161 patients admitted for surgery under the department of Surgery in Indira Gandhi Memorial Hospital (IGMH) using consecutive sampling, and collected data for MUST and CD grading in two phases.
RESULTS: In the study sample, the risk of malnutrition was categorized to be low, medium and high in 75.2%, 11.8% and 13% respectively. No significant correlation was found between MUST category and age (p = 0.729), sex (p= 0.628) and comorbidities (p = 0.964). 55.3% participants had CD grade 1 and 36.6% had CD grade 2. Only 8% had more than CD grade 3. Significant correlation was found between indication and CD grade and indication (p = <0.001), type (p = <0.001) and method of surgery (p = 0.01) but not between site and CD grade (p = 0.091). A significant relationship was found between MUST category and CD grade. (p = 0.035).
CONCLUSION: Our study is consistent with numerous studies that record malnutrition to be an important factor in post-operative recovery, highlighting the importance of nutritional screening and optimization of nutritional status.
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