[Preoperative nutritional assessment: a 1-year experience].
A study was made of 443 surgical patients using a standard protocol for nutritional evaluation based on anthropometrical, analytical and immunological tests. The main criteria used for considering the presence of malnutrition was a weight loss of 10% and/or seric albumin level of less than 3.5 g/dl., by which method four nutritional groups were established. The average age of the sample was 56 +/- 15 years and 35% of patients had neoplasias, 9.25% of patients were classified as belonging to Group A (weight loss and low albumin levels), 10.15% as group B (low albumin levels), 14.44% as group C (weight loss), and 66.16% as group D (normal), so that the global malnutrition percentage was 33.84%. The Body Mass Index (BMI) and Ideal Weight Percentage (% IWP) were of similar importance, and there was a significant alteration in the Triceps Skin Fold (% TSF) and Muscular Area Percentage of the arm (% MAP) when malnutrition was in evidence. In the study of the Delayed Hypersensitivity Skin Tests (DSST) 21.4% showed anergia, 15.8% hypoergia and 62.8% were reactive, with a reduction in reactivity in the case of malnutrition. This was the parameter that most affected the albumen level.
Larrea
J
J
Servicio de Cirugía General y Digestiva, Hospital Insular, Las Palmas de Gran Canaria.
Torrent
J M
JM
Vega
V
V
Martínez
T
T
Santana
J R
JR
Núñez
V
V
D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D000886:Anthropometry; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D009748:Nutrition Disorders / Q000175:diagnosis / Q000453:epidemiology; D009752:Nutritional Status; D011300:Preoperative Care / Q000379:methods*
Valoración nutricional preoperatoria: experiencia de un año.