Key result
Low preoperative lean body mass was an independent risk factor for perioperative weight loss >5% at 30 days postoperatively (OR 3.2; 95% CI 1.2-8.9; p=0.023).
Cohort (n=146)
Odds Ratio: 3.2 (95% CI 1.2–8.9)
p-value: p=0.023
Nutritional status significantly deteriorates up to 30 days postoperatively, highlighting the need for continued nutritional follow-up after hospital discharge.
May support preoperative lean mass screening for risk stratification; leaves open whether interventions reduce postoperative weight loss.
BACKGROUND/AIMS: The aim of the current study was to assess the postoperative evolution of nutritional status and to relate it with postoperative outcomes. METHODS: Demographic, surgical and nutritional parameters were assessed 10 days preoperatively (d-10) and 30 days postoperatively (d30) in 146 patients. Risk factors responsible for perioperative (>5% between d-10 and d30) weight loss were identified. Overall, severe (Clavien 3-5) and infectious complications were compared in patients with and without perioperative weight loss (>5%). RESULTS: Nutritional status worsened beyond the postoperative period as reflected by decreasing weight (67 ± 13 kg at d-10 vs. 63 ± 13 kg at d30, p < 0.001), body mass index (23.4 ± 4 vs. 22.2 ± 4 kg/m2, p < 0.001) and mid upper-arm muscle circumference (MAMC, 241 ± 32 vs. 232 ± 30 mm, p < 0.001). Fifty-two patients (46%) lost >5% of their body weight between d-10 and d30. Patients who presented overall (63 vs. 36%, p = 0.004) and major (27 vs. 10%, p = 0.016) postoperative complications were at significantly higher risk to deteriorate postoperative nutritional status. Multivariate analysis identified low preoperative lean body mass (OR 3.2; 95% CI 1.2-8.9, p = 0.023) and low preoperative MAMC (OR 2.5; 95% CI 0.9-6.8, p = 0.066) as independent risk factors for perioperative weight loss. CONCLUSIONS: These data suggest continuing nutritional follow-up after the index hospitalization.
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Grass et al. (2016) conducted a cohort in Surgical patients (n=146). Low preoperative lean body mass was evaluated on Perioperative weight loss (>5% between 10 days preoperatively and 30 days postoperatively) (OR 3.2, 95% CI 1.2-8.9, p=0.023). Low preoperative lean body mass was an independent risk factor for perioperative weight loss >5% at 30 days postoperatively (OR 3.2; 95% CI 1.2-8.9; p=0.023).
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