|Table of Contents|

Investigation of nutritional status of patients undergoing surgery for gastrointestinal malignancies under GLIM standard and analysis of influencing factors of malnutrition

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 17
Page:
3216-3221
Research Field:
Publishing date:

Info

Title:
Investigation of nutritional status of patients undergoing surgery for gastrointestinal malignancies under GLIM standard and analysis of influencing factors of malnutrition
Author(s):
WANG Jiacheng1; 2; SUN Lin3; ZHANG Xianna4; ZONG Lu3; GU KaiLi3; WANG Juan3; HU Lei3; REN Chunxia1; 2
1.School of Nursing,Anhui Medical University,Anhui Hefei 230022,China;2.The First Affiliated Hospital of Anhui Medical University,Anhui Hefei 230022,China;3.Department of General Surgery,the First Affiliated Hospital of USTC(Anhui Provincial Hospital),Anhui Hefei 230001,China;4.Department of Pancreatic Surgery,Union Hospital,Tongji Medical College Huazhong University of Science and Technology,Hubei Wuhan 430022,China.
Keywords:
gastrointestinal cancer; malnutrition; cross-sectional study; GLIM; root cause analysis
PACS:
R735.2
DOI:
10.3969/j.issn.1672-4992.2023.17.013
Abstract:
Objective:To investigate the nutritional status of patients undergoing surgery for gastrointestinal malignancies by GLIM standard and its influencing factors.Methods:Using the method of cross-sectional investigation,we investigated the relevant data of 560 patients admitted to the gastrointestinal surgery department of a Grade-III hospital in Hefei City from January 2021 to May 2022 who underwent radical resection of gastrointestinal malignancies.Results:The results showed that the incidence of malnutrition was 28.93%(162/560) in 560 patients who underwent radical resection of gastrointestinal malignancies,and the incidence of severe malnutrition was 7.68%(43/560).The incidence of malnutrition in gastric cancer patients was 39.09%(95/243),and the incidence of malnutrition in colorectal cancer patients was 21.14%(67/317).Logistic regression analysis showed that tumor type(OR=3.192),tumor stage,diet education(OR=2.821),body mass index(BMI)(OR=0.709),serum albumin concentration(OR=0.491),and hemoglobin concentration(OR=0.190) were influencing factors for malnutrition in patients undergoing surgery for gastrointestinal malignancies(P＜0.05).Conclusion:Therefore,patients undergoing surgery for gastrointestinal malignancies are more prone to malnutrition,and the incidence of gastric cancer is higher than that of colorectal cancer.Patients with poorly differentiated tumors and no formal dietary education had a higher incidence of malnutrition.Decreased BMI and serum albumin and hemoglobin concentrations on admission are risk factors for malnutrition in patients undergoing surgery for gastrointestinal malignancies.It is suggested that clinical medical staff should pay attention to surgical patients with gastric cancer,low tumor differentiation,hypoproteinemia,andanemia,and provide timely individualized nutritional intervention to improve preoperative nutritional status and clinical outcome.

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Memo

Memo:
National Natural Science Foundation of China（No.81802329）;国家自然科学基金项目（编号：81802329）
Last Update: 2023-07-31