Fonseca-Lazcano JA, Herrera-Gómez Á

Language: Spanish
References: 25
Page: 154-158
PDF size: 64.18 Kb.

ABSTRACT

Background: Malnutrition is very frequent in oncologic patients and has an important impact on morbility and mortality. From many years ago, lack of nutritional condition is related with the increase of complications and with mortality of surgical patients. The oncologic patient is sometimes submitted to bloody surgical procedures when their nutritional condition is unfavorable. That is why it is indispensable to create a prognostic index for this kind of patient. Methods: This protocol was carried out in two phases: in the first, 16 variables in 240 surgical patients were registered at hospital admission. Using the three that showed the greatest statistical significance in logistic regression analysis, the following equation was constructed:

0.1817 (CMB) x 0.1920 (PT)
Surgical factor

where CMB is the biceps half circumference, PT is the serum total level protein, and the surgical factor is the risk of death in agreement with the surgical intervention carried out. In the second phase, this equation was applied to 210 surgical patients when they entered intensive care. Results: The lowest value achieved was 0.66 and the highest, 7.966. The average in the survivor group (n = 256) was 3.3262 ± 1.697 and in the nonsurvivor group (n = 34) was 1.8516 ± 0.795 p ‹ 0.001 (CI 95% - 2.307 – 0.642). In conclusion, it was observed that at lowest values, mortality is greater in accordance with the nutrition condition.

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