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KMID : 1161220210640090473
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Clinical and Experimental Pediatrics
2021 Volume.64 No. 9 p.473 ~ p.479
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Impact of preoperative nutritional status on surgical outcomes in patients with pediatric gastrointestinal surgery
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El Koofy Nehal Mohamed
Eldin Hadeer Mohamed Nasr
Mohamed Wesam
Gad Mostafa
Tarek Sara
El Tagy Gamal
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Abstract
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Purpose: The present study aimed to determine the influence of preoperative nutritional status on the postoperative outcomes of pediatric patients who underwent elective gastrointestinal (GI) surgery.
Methods: This prospective observational study was conducted at Cairo University Specialized Pediatric Hospital. According to the designated inclusion criteria, 75 surgical cases of both sexes were included. A structured questionnaire was developed and administered. This questionnaire included 3 main sections: demographic data and nutritional status parameters at admission and discharge. Pre- and postoperative nutritional statuses were compared.
Results: According to both the subjective global nutritional assessment and STRONGKIDS score Questioner, more than 60% of patients in the upper GI patient group were at risk of malnutrition. Wasting status was most common in the upper GI patient group (67%; vs. 39.1% in the lower GI group). Underweight status was more common in the hepatobiliary and upper GI patient groups (nearly 50% for each group) than in the lower GI group (30.4%). On the other hand, stunted patients had a higher incidence of complications and a prolonged hospital stay (P=0.003 and P=0.037, respectively), while underweight lower GI patients experienced a prolonged hospital stay (P=0.02). A higher proportion of patients with preoperative anemia than those without preoperative anemia required a blood transfusion (P=0.003).
Conclusion: Nutritional assessment is a crucial component of pediatric surgical patient management. Both underweight and wasting statuses were more common among hepatobiliary and upper GI patients. Postoperative complications and a long hospital stay were more common among stunted patients.
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KEYWORD
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Nutritional assessment, Anthropometric measures, STRONGKIDS score, Postoperative complications, Pediatric gastrointestinal surgical patients
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