Abstract | BACKGROUND AND AIM OF THE STUDY: METHODS: This prospective cohort study included 441 adult patients who were screened using four nutritional screening tools: Nutritional Risk Screening 2002 (NRS-2002); Malnutrition Universal Screening Tool (MUST); Mini Nutritional Assessment (MNA); and Short Nutritional Assessment Questionnaire (SNAQ). Nutritional assessment was performed using a Subjective Global Assessment (SGA). In-hospital mortality, postoperative complications, and duration of hospital stay were each analyzed. RESULTS: With regards to the detection of malnutrition, the sensitivities of MUST, SNAQ, MNA and NRS-2002 were 100%, 92%, 84.6% and 43.6%, respectively. Malnutrition identified by MUST and MNA were associated with postoperative complications (OR 1.63, p = 0.033 and OR 1.6, p = 0.035) and prolonged hospitalization (OR 1.57, p = 0.048 and OR 1.7, p = 0.02). According to multivariate logistic regression analysis, along with well-known age and duration of CPB, malnutrition identified by MUST and MNA was associated with a risk of development of complications (OR 1.6, p = 0.049 and OR 1.6, p = 0.04, respectively). The sensitivities of SNAQ, MUST, NRS-2002 and MNA with regards to postoperative complications were 26.8%, 28.8%, 10%, and 31.6%, respectively. CONCLUSION: The MUST tool is preferable with regards to the detection of malnutrition. Both, MUST and MNA independently predicted postoperative complications. SNAQ and NRS-2002 proved insensitive with regards to the postoperative course among patients with heart valve disease who were scheduled for cardiothoracic surgery.
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Authors | Vladimir V Lomivorotov, Sergey M Efremov, Vladimir A Boboshko, Dmitry A Nikolaev, Pavel E Vedernikov, Anna N Shilova, Vladimir N Lomivorotov, Alexander M Karaskov |
Journal | The Journal of heart valve disease
(J Heart Valve Dis)
Vol. 22
Issue 2
Pg. 239-47
(Mar 2013)
ISSN: 0966-8519 [Print] England |
PMID | 23798215
(Publication Type: Evaluation Study, Journal Article)
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Topics |
- Aged
- Cardiopulmonary Bypass
- Cohort Studies
- Female
- Heart Valve Diseases
(complications, surgery)
- Hospital Mortality
- Humans
- Length of Stay
(statistics & numerical data)
- Male
- Malnutrition
(complications, diagnosis)
- Mass Screening
(methods)
- Middle Aged
- Nutrition Assessment
- Postoperative Complications
- Preoperative Care
- Prospective Studies
- Risk Assessment
- Sensitivity and Specificity
- Surveys and Questionnaires
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