Prospective study to evaluate the prognostic value of different nutritional assessment scores in liver surgery

• Verfasst von: Probst, Pascal [VerfasserIn]
• Verfasst von: Fuchs, Juri [VerfasserIn]
• Verfasst von: Schön, Michael [VerfasserIn]
• Verfasst von: Polychronidis, Georgios [VerfasserIn]
• Verfasst von: Stravodimos, Christos [VerfasserIn]
• Verfasst von: Mehrabi, Arianeb [VerfasserIn]
• Verfasst von: Diener, Markus K. [VerfasserIn]
• Verfasst von: Knebel, Phillip [VerfasserIn]
• Verfasst von: Büchler, Markus W. [VerfasserIn]
• Verfasst von: Hoffmann, Katrin [VerfasserIn]
• Titel: Prospective study to evaluate the prognostic value of different nutritional assessment scores in liver surgery
• Titelzusatz: NURIMAS Liver (DRKS00006340)
• Verf.angabe: Pascal Probst, Juri Fuchs, Michael R. Schön, Georgios Polychronidis, Christos Stravodimos, Arianeb Mehrabi, Markus K. Diener, Philipp Knebel, Markus W. Büchler, Katrin Hoffmann
• E-Jahr: 2020
• Jahr: August 2020
• Umfang: 14 S.
• Fussnoten: PDF: Accepted for publication Jun 11, 2019 ; 11 July 2019 ; Gesehen am 17.09.2020
• Titel Quelle: Enthalten in: Hepatobiliary surgery and nutrition
• Ort Quelle: Hong Kong : AME Publishing Co., 2012
• Jahr Quelle: 2020
• Band/Heft Quelle: 9(2020), 4, Seite 400-413
• ISSN Quelle: 2304-389X
• DOI: doi:10.21037/hbsn.2019.06.11
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: hepatic resection
• Sach-SW: liver surgery
• Sach-SW: Malnutrition
• Sach-SW: nutritional assessment
• K10plus-PPN: 1733208801

Abstract

Background: Malnutrition is recognised as a preoperative risk factor for patients undergoing hepatic resection. It is important to identify malnourished patients and take preventive therapeutic action before surgery. However, there is no evidence regarding which existing nutritional assessment score (NAS) is best suited to predict outcomes of liver surgery. - Methods: All patients scheduled for elective liver resection at the surgical department of the University Hospital of Heidelberg and the Municipal Hospital of Karlsruhe were screened for eligibility. Twelve NASs were calculated before operation, and patients were categorised according to each score as being either at risk or not at risk for malnutrition. The association of malnutrition according to each score and occurrence of at least one major complication was the primary endpoint, which was achieved using a multivariate logistic regression analysis including established risk factors in liver surgery as covariates. - Results: The population consisted of 182 patients. The percentage of patients deemed malnourished by the NAS varied among the different scores, with the lowest being 2.20% (Mini Nutritional Assessment) and the highest 52.20% (Nutritional Risk Classification). Forty patients (22.0%) had a major complication. None of the scores were significantly associated with major complications. - Conclusions: None of the twelve investigated NAS defined a state of malnutrition that was independently associated with postoperative complications. Other means of measuring malnutrition in liver surgery should be investigated prospectively.