Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/23088
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dc.contributor.authorNarendra, K-
dc.contributor.authorKiss, N-
dc.contributor.authorMargerison, C-
dc.contributor.authorJohnston, B-
dc.contributor.authorChapman, Brooke-
dc.date2020-05-04-
dc.date.accessioned2020-05-05T23:59:23Z-
dc.date.available2020-05-05T23:59:23Z-
dc.date.issued2020-08-
dc.identifier.citationJournal of Human Nutrition and Dietetics 2020; 33(4):587-597-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/23088-
dc.description.abstractMalnutrition is prevalent in patients undergoing gastrointestinal (GI) surgery and has been linked to adverse outcomes. The present study aimed to determine the association between early post-operative nutritional status/risk, post-operative nutritional management and clinical outcomes. A prospective observational study was conducted in GI surgical patients with a minimum 3-day post-operative length of stay (LOS). Data on patient demographics, nutritional status/risk, post-operative nutritional management and clinical outcomes were collected. Four markers of nutritional status and risk were assessed: preoperative weight loss, nutrition risk, malnutrition status and hand grip strength. Clinical outcomes included: post-operative LOS, complication and readmissions rates. Multivariate linear and logistic regression were used to test for associations with clinical outcomes. One hundred and fifteen patients (55% female) with mean (SD) age of 60.8 (16.2) years were included. Median (IQR) post-operative LOS was 8.0 days (4.5-11.5), 37% of participants developed at least one complication post-operatively and 24% were readmitted within 30-days of discharge. Mean number of nil-by mouth (NBM) days post-operatively was 0.7 (1.2) and the average time to commence feeding was 3.3 (2.2) days after surgery. Poor nutritional status/risk between days 3-5 post-operatively assessed through all four markers was associated with longer post-operative LOS (all P < 0.05). No association was found between number of NBM days, time to feeding and clinical outcomes. Poor early post-operative nutritional status/risk is associated with longer post-operative LOS in patients undergoing GI surgery, which may facilitate simple identification of patients at high priority for nutritional intervention. The present study highlights the heterogeneity in post-operative nutritional management practices.-
dc.language.isoeng-
dc.subjectcomplications-
dc.subjectgastrointestinal surgery-
dc.subjecthand grip strength-
dc.subjectlength of stay-
dc.subjectmalnutrition-
dc.titleImpact of nutritional status/risk and post-operative nutritional management on clinical outcomes in patients undergoing gastrointestinal surgery: a prospective observational study.-
dc.typeJournal Article-
dc.identifier.journaltitleJournal of Human Nutrition and Dietetics-
dc.identifier.affiliationInstitute for Physical Activity and Nutrition, Deakin University, Geelong, Australiaen
dc.identifier.affiliationDepartment of Nutrition and Dietetics, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.doi10.1111/jhn.12763-
dc.identifier.orcid0000-0002-9359-4519-
dc.identifier.orcid0000-0002-6476-9834-
dc.identifier.orcid0000-0002-2722-6128-
dc.identifier.pubmedid32364298-
dc.type.austinJournal Article-
local.name.researcherChapman, Brooke
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptNutrition and Dietetics-
crisitem.author.deptVictorian Liver Transplant Unit-
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