Nutritional status, prognostic nutritional index, and preoperative nutritional support as prognostic factors in clinical outcome of gastrointestinal cancer patients.

Autores/as

  • Nurpudji Astuti Taslim Department of Clinical Nutrition, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, 90245, Indonesia
  • Grace M Tombilayuk Clinical Nutrition Specialist Program, Department of Nutrition, Hasanuddin University School of Medicine, Makassar, Indonesia
  • Margaretha Dianasanti Clinical Nutrition Specialist Program, Department of Nutrition, Hasanuddin University School of Medicine, Makassar, Indonesia
  • Suryani As’ad
  • Agussalim Bukhari
  • Haerani A Rasyid
  • A Yasmin Syauki
  • Prihantono Prihantono

DOI:

https://doi.org/10.12873/431taslim

Palabras clave:

malnutrition, complication, length of stay, gastrointestinal cancer

Resumen

Cancer patients are at risk for malnutrition. Nutrition screening using Subjective Global Assessment and Prognostic Nutritional Index (PNI) was associated with postoperative outcomes. Preoperative nutrition support should be given before patient undergo elective surgery. This study aims to find the relationship between nutritional status, PNI, duration of preoperative nutritional support to clinical outcome of gastrointestinal cancer patients, which are postoperative complications and length of stay. This is a cross-sectional study of 72 eligible subjects of 132 participants with gastrointestinal cancer who underwent surgery and met the research criteria, using medical records data. Moderate malnutrition was observed to be higher with preoperative PNI values less than 35. There was no significant relationship between nutritional status, PNI, duration of preoperative nutritional support on the incidence of infection and surgical complications and total length of stay of postoperative gastrointestinal cancer patients. In conclusion, there was no significant correlation between 3 variables with the incidence postoperative complications and total length of hospital stay, but there was a significant relationship between the duration of preoperative nutritional support and the postoperative length of hospital stay in patients with gastrointestinal cancer.

Citas

Subagio HW. Malnutrition in Hospital. Majalah Gizi Medik Indonesia. 2019;

Xie, H., Tang, S., Wei, L., & Gan J. Geriatric nutritional risk index as a predictor of complications and long-term outcomes in patients with gastrointestinal malignancy: a systematic review and meta-analysis. Cancer Cell Int. 2020;20(1):1–12. Available from: https://doi.org/10.1186/s12935-020-01628-7

Marsella, C. P., Taslim, N. A., Syam, N., Syauki AY. Medical Nutrition Therapy in Hemodynamically Unstable Patients Due to Cardiogenic Shock with Infected Bronchiectasis and Severe Protein-Energy Malnutrition. Gac Sanit. 2021;35(S2):s506–9. Available from: https://doi.org/10.1016/j.gaceta.2021.10.081

Wahyuni, D., Taslim, N. A., Syam, N., Virani D. Medical Nutritional Therapy in Infected Bronchiectasis with Impending Respiratory Failure: A Case Report. Gac Sanit. 2021;35(S2):S515–8. Available from: https://doi.org/10.1016/j.gaceta.2021.10.083

Daud, N. A., Madjid, M., Rahardjo F. Nutritional Status, Hemoglobin, and Total Lymphocyte Count Factors Readmission in Head and Neck Cancer Patients. Clin Nutr ESPEN. 2020;40:563. Available from: https://doi.org/10.1016/j.clnesp.2020.09.470

Depkes RI. National Guidelines for Medical Services: Management of Adult Malnutrition. Perhimpun Dr Spes Gizi Klin (Vol 1, Issue 1) Kementeri Kesehat Republik Indones. 2017; Available from: https://doi.org/10.7454/jki.v1i1.7806

Bukhari, A., Taslim, N. A., As’ad, S., Rasyid, H., Aminuddin, Muchtar, F., Rosdiana, R., Umrayani, Rusli C. Comparison of Different Early Enteral Feeding Formulas on Critically Ill Patients. J Nutr Sci Vitaminol. 2020;66:S2–10. Available from: https://doi.org/10.3177/jnsv.66.s2

Luvián-Morales, J., González-Trejo, S., Carrillo, J. F., Herrera-Goepfert, R., Aiello-Crocifoglio, V., Gallardo-Rincón, D., Ochoa-Carrillo, F. J., & Oñate-Ocaña LF. Association of the prognostic nutritional index and overall survival in patients with colorectal cancer: A STROBE compliant retrospective cohort study. Cancer Med. 2019;8(7):3379–3388. Available from: https://doi.org/10.1002/cam4.2212

Ucar, G., Ergun, Y., Acikgoz, Y., & Uncu D. The prognostic value of the prognostic nutritional index in patients with metastatic colorectal cancer. Asia Pac J Clin Oncol. 2020;16(5):e179–e184. Available from: https://doi.org/10.1111/ajco.13328

Weimann, A., Braga, M., Carli, F., Higashiguchi, T., Hübner, M., Klek, S., Laviano, A., Ljungqvist, O., Lobo, D. N., Martindale, R. G., Waitzberg, D., Bischoff, S. C., & Singer P. ESPEN practical guideline: Clinical nutrition in surgery. Clin Nutr ESPEN. 2021;40(7):4745–4761. Available from: https://doi.org/10.1016/j.clnu.2021.03.031

Leandro-Merhi V. A, Aquino J. L. B and OMR. Nutritional Status and Length of stay. In: Rajendram R, editor. Diet and Nutrition in Critical Care. New york: Springer Science; 2015. p. 279–92.

Said, S., A. Taslim, N., & Bahar B. Relationship between BMI and albumin levels with wound healing. J Keperawatan Padjadjaran [Internet]. 2016;v4(n1):60–69. Available from: https://doi.org/10.24198/jkp.v4n1.6

Fauzan, MR., Dahlan, CK., Taslim, NA., Syam A. The effect of giving fish extract (Pujimin Plus) on intake of protein and hemoglobin hypoalbuminemic patients. Enferm Clin. 2020;30(S4):452-455. Available from: https://doi.org/10.1016/j.enfcli.2020.03.009

Cao, X., Zhao, G., Yu, T., An, Q., Yang, H., & Xiao G. Preoperative Prognostic Nutritional Index Correlates with Severe Complications and Poor Survival in Patients with Colorectal Cancer Undergoing Curative Laparoscopic Surgery: A Retrospective Study in a Single Chinese Institution. Nutr Cancer. 2017;69(3):454–463. Available from: https://doi.org/10.1080/01635581.2017.1285038

Jie, B., Jiang, Z. M., Nolan, M. T., Zhu, S. N., Yu, K., & Kondrup J. Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk. Nutrition. 2012;28(10):1022–1027. Available from: https://doi.org/10.1016/j.nut.2012.01.017

Hafsah, T., Prawitasari, T., & Djais JTB. Hospital malnutrition and pediatric nutrition care at Hasan Sadikin Hospital Bandung. J Gizi Klin Indones. 2019;16(2):47. Available from: https://doi.org/10.22146/ijcn.43090

Hirahara, N., Tajima, Y., Fujii, Y., Kaji, S., Yamamoto, T., Hyakudomi, R., Taniura, T., & Kawabata Y. Prognostic nutritional index as a predictor of survival in resectable gastric cancer patients with normal preoperative serum carcinoembryonic antigen levels: A propensity score matching analysis. BMC Cancer. 2018;18(1):1–11. Available from: https://doi.org/10.1186/s12885-018-4201-4

Kabata, P., Jastrzębski, T., Kąkol, M., Król, K., Bobowicz, M., Kosowska, A., & Jaśkiewicz J. Preoperative nutritional support in cancer patients with no clinical signs of malnutrition—prospective randomized controlled trial. Support Care Cancer. 2015;23(2):365–370. Available from: https://doi.org/10.1007/s00520-014-2363-4

Descargas

Publicado

28-03-2023

Cómo citar

Taslim, N. A., Tombilayuk, G. M. ., Dianasanti, M., As’ad, S. ., Bukhari, A., Rasyid, H. A., … Prihantono, P. (2023). Nutritional status, prognostic nutritional index, and preoperative nutritional support as prognostic factors in clinical outcome of gastrointestinal cancer patients. Nutrición Clínica Y Dietética Hospitalaria, 43(1). https://doi.org/10.12873/431taslim

Número

Vol. 43 Núm. 1 (2023)

Sección

Artículos originales

Categorías

Licencia

Derechos de autor 2023 Nutrición Clínica y Dietética Hospitalaria

Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.

Los lectores pueden utilizar los textos publicados de acuerdo con la definición BOAI (Budapest Open Access Initiative) 

Artículos más leídos del mismo autor/a

1 2 > >>