ABSTRACT
PICTURE OF PRE AND POSTPERATIVE NUTRITIONAL STATUS OF PATIENTS UNDERGOING NON-EMERGENCY MAJOR DIGESTIVE SURGERY AT SURGICAL WARD OF RSMH PALEMBANG
(B Ronaldoe, 2011, 48 Pages)
Background: Patients post non-emergency major surgery usually have a significant weight loss or malnutrition. Malnourished patients lose more weight and sustain longer length of stay in hospital. They also have a higher risk of postoperative complications such as interrupted wound healing and sepsis that increase the morbidity and mortality.
Objective: The aim of this study is to describe pre and postoperative nutritional status in patients who underwent non-emergency major digestive surgery at Surgical Ward of RSMH Palembang. Knowing the patient's nutritional status before surgery is important to design the attempts to reduce complication, so that in the future it can be used to choose a better nutritional administration and type of surgery without delaying the schedule of surgery which sometimes adversely affects the patients.
Methods: Prospective descriptive observational study was performed on 21 patients who underwent non-emergency major digestive surgery in November-December 2010. Every patient was measured his/her body weight and height and BMI 1 day before and 5 days after surgery. Operation duration, albumin level, and length of stay in hospital were also obtained (from medical records). The collected data was processed and presented in a frequency distribution table.
Results: The results of this study showed a mean age of 37.09 years, mean of operation duration 2.47 hours, mean of body weight (16 patients) 1 day preoperative and 5 days postoperative each is 51.25 kg and 49.00 kg with a mean of change -2.25 kg, mean of IMT (16 patients) 1 day preoperative and 5 days postoperative each is 20.13 kg/m2 and 19.25 kg/m2 with a mean of change -0.88 kg/m2, mean of change of pre and postoperative albumin levels can’t be assessed, mean of postoperative length of stay (21 patients) was 4.95 days.
Conclusion: There was a decrease in mean of body weight and BMI respectively of 2.25 kg (4.4%) and 0.88 kg/m2 (4.4%) in patients 5 days postoperative. There were 4 (66.66%) malnourished patients in 5 days postoperative underwent surgery more than 120 minutes. There were 6 (100%) malnourished patients in 5 day postoperative have a length of stay longer than average (> 4.95 days), namely ≥ 5 days (average 5.33 days).
Keywords: non-emergency digestive surgery, nutritional status, body weight.
Title : PICTURE OF PRE AND POSTPERATIVE NUTRITIONAL STATUS OF PATIENTS UNDERGOING NON-EMERGENCY MAJOR DIGESTIVE SURGERY AT SURGICAL WARD OF RSMH PALEMBANG
Description : ABSTRACT PICTURE OF PRE AND POSTPERATIVE NUTRITIONAL STATUS OF PATIENTS UNDERGOING NON-EMERGENCY MAJOR DIGESTIVE SURGERY AT SURGICAL WARD OF...
