The American Journal of Surgery
Volume 192, Issue 5 , Pages e22-e27 , November 2006

Malnutrition after vascular surgery: are patients with chronic renal failure at increased risk?

Presented at the 30th Annual Surgical Symposium of the Association of VA Surgeons, Cincinnati, Ohio, May 7–9, 2006

  • Tormod S. Westvik, M.D.

      Affiliations

    • Department of Surgery, Veterans Affairs Connecticut Health Care Systems, West Haven, CT, USA
    • Yale University School of Medicine, New Haven, CT, USA
    • ,
  • Lauren K. Krause, B.A.

      Affiliations

    • Yale University School of Medicine, New Haven, CT, USA
    • ,
  • Sanjeev Pradhan, M.D.

      Affiliations

    • Department of Surgery, Veterans Affairs Connecticut Health Care Systems, West Haven, CT, USA
    • Yale University School of Medicine, New Haven, CT, USA
    • ,
  • Hilde H. Westvik, M.D.

      Affiliations

    • Yale University School of Medicine, New Haven, CT, USA
    • ,
  • Stephen P. Maloney, M.D.

      Affiliations

    • Yale University School of Medicine, New Haven, CT, USA
    • ,
  • Reuben Rutland, M.D.

      Affiliations

    • Yale University School of Medicine, New Haven, CT, USA
    • ,
  • Fabio A. Kudo, M.D., Ph.D.

      Affiliations

    • Yale University School of Medicine, New Haven, CT, USA
    • ,
  • Akihito Muto, M.D., Ph.D.

      Affiliations

    • Yale University School of Medicine, New Haven, CT, USA
    • ,
  • Jose O.M. Leite, M.D.

      Affiliations

    • Yale University School of Medicine, New Haven, CT, USA
    • ,
  • Charles Cha, M.D.

      Affiliations

    • Department of Surgery, Veterans Affairs Connecticut Health Care Systems, West Haven, CT, USA
    • Yale University School of Medicine, New Haven, CT, USA
    • ,
  • Richard J. Gusberg, M.D.

      Affiliations

    • Department of Surgery, Veterans Affairs Connecticut Health Care Systems, West Haven, CT, USA
    • Yale University School of Medicine, New Haven, CT, USA
    • ,
  • Alan Dardik, M.D., Ph.D

      Affiliations

    • Department of Surgery, Veterans Affairs Connecticut Health Care Systems, West Haven, CT, USA
    • Yale University School of Medicine, New Haven, CT, USA
    • Corresponding Author InformationCorresponding author. VA Connecticut Health Care Systems, Department of Surgery, 950 Campbell Ave, Building 1, Room 4-220, West Haven, CT 06516. Tel.: +1-203-932-5711; fax: +1-203-937-3868.

Received 17 May 2006 ,Revised 31 July 2006

References 

  1. Studley HO. Percentage of weight loss: a basic indicator of surgical risk in patients with chronic peptic ulcer. 1936. Nutr Hosp. 2001;16:141–143
  2. Chandra RK, Kumari S. Nutrition and immunity: an overview. J Nutr. 1994;124(suppl):1433S–1435S
  3. Edington J, Boorman J, Durrant ER, et al. Prevalence of malnutrition on admission to four hospitals in England (The Malnutrition Prevalence Group). Clin Nutr. 2000;19:191–195
  4. Herrmann FR, Safran C, Levkoff SE, et al. Serum albumin level on admission as a predictor of death, length of stay, and readmission. Arch Intern Med. 1992;152:125–130
  5. Sungurtekin H, Sungurtekin U, Balci C, et al. The influence of nutritional status on complications after major intraabdominal surgery. J Am Coll Nutr. 2004;23:227–232
  6. Windsor JA, Hill GL. Risk factors for postoperative pneumonia (The importance of protein depletion). Ann Surg. 1988;208:209–214
  7. Bistrian BR, Blackburn GL, Vitale J, et al. Prevalence of malnutrition in general medical patients. JAMA. 1976;235:1567–1570
  8. Butterworth CE. The skeleton in the hospital closet. 1974. Nutrition. 1994;10:435–441
  9. McWhirter JP, Pennington CR. Incidence and recognition of malnutrition in hospital. BMJ. 1994;308:945–948
  10. Waitzberg DL, Caiaffa WT, Correia MI. Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients. Nutrition. 2001;17:573–580
  11. Weinsier RL, Hunker EM, Krumdieck CL, et al. Hospital malnutrition (A prospective evaluation of general medical patients during the course of hospitalization). Am J Clin Nutr. 1979;32:418–426
  12. Warnold I, Lundholm K. Clinical significance of preoperative nutritional status in 215 noncancer patients. Ann Surg. 1984;199:299–305
  13. Durkin MT, Mercer KG, McNulty MF, et al. Vascular surgical society of Great Britain and Ireland: contribution of malnutrition to postoperative morbidity in vascular surgical patients. [abstract] Br J Surg. 1999;86:702
  14. Shoji T, Nishizawa Y. Chronic kidney disease as a metabolic syndrome with malnutrition—need for strict control of risk factors. Intern Med. 2005;44:179–187
  15. Honda H, Qureshi AR, Heimburger O, et al. Serum albumin, C-reactive protein, interleukin 6, and fetuin a as predictors of malnutrition, cardiovascular disease, and mortality in patients with ESRD. Am J Kidney Dis. 2006;47:139–148
  16. Pecoits-Filho R, Lindholm B, Stenvinkel P. The malnutrition, inflammation, and atherosclerosis (MIA) syndrome—the heart of the matter. Nephrol Dial Transplant. 2002;17(suppl 11):28–31
  17. Galvan O, Joannidis M, Widschwendter A, et al. Comparison of different scoring methods for assessing the nutritional status of hospitalised patients. Wien Klin Wochenschr. 2004;116:596–602
  18. Corish CA. Pre-operative nutritional assessment. Proc Nutr Soc. 1999;58:821–829
  19. Kuzu MA, Terzioglu H, Genc V, et al. Preoperative nutritional risk assessment in predicting postoperative outcome in patients undergoing major surgery. World J Surg. 2006;30:378–390
  20. Klidjian AM, Foster KJ, Kammerling RM, et al. Relation of anthropometric and dynamometric variables to serious postoperative complications. Br Med J. 1980;281:899–901
  21. Detsky AS, Baker JP, O’Rourke K, et al. Predicting nutrition-associated complications for patients undergoing gastrointestinal surgery. JPEN J Parenter Enteral Nutr. 1987;11:440–446
  22. Mullen JL, Buzby GP, Matthews DC, et al. Reduction of operative morbidity and mortality by combined preoperative and postoperative nutritional support. Ann Surg. 1980;192:604–613
  23. Reinhardt GF, Myscofski JW, Wilkens DB, et al. Incidence and mortality of hypoalbuminemic patients in hospitalized veterans. JPEN J Parenter Enteral Nutr. 1980;4:357–359
  24. Gibbs J, Cull W, Henderson W, et al. Preoperative serum albumin level as a predictor of operative mortality and morbidity: results from the National VA Surgical Risk Study. Arch Surg. 1999;134:36–42
  25. Rapp-Kesek D, Stahle E, Karlsson TT. Body mass index and albumin in the preoperative evaluation of cardiac surgery patients. Clin Nutr. 2004;23:1398–1404
  26. Delgado-Rodriguez M, Medina-Cuadros M, Gomez-Ortega A, et al. Cholesterol and serum albumin levels as predictors of cross infection, death, and length of hospital stay. Arch Surg. 2002;137:805–812
  27. Buzby GP, Mullen JL, Matthews DC, et al. Prognostic nutritional index in gastrointestinal surgery. Am J Surg. 1980;139:160–167
  28. Dempsey DT, Mullen JL, Buzby GP. The link between nutritional status and clinical outcome: can nutritional intervention modify it?. Am J Clin Nutr. 1988;47(suppl):352–356
  29. Klein S, Kinney J, Jeejeebhoy K, et al. Nutrition support in clinical practice: review of published data and recommendations for future research directions (Summary of a conference sponsored by the National Institutes of Health, American Society for Parenteral and Enteral Nutrition, and American Society for Clinical Nutrition). Am J Clin Nutr. 1997;66:683–706
  30. Prendergast JM, Coe RM, Chavez MN, et al. Clinical validation of a nutritional risk index. J Commun Health. 1989;14:125–135
  31. The Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. Perioperative total parenteral nutrition in surgical patients. N Engl J Med. 1991;325:525–532
  32. Weiss JS, Dumas P, Cha C, et al. Safety of carotid endarterectomy in a high risk population: lessons from the VA and Connecticut. J Am Coll Surg. 2006;203:277–282

PII: S0002-9610(06)00509-5

doi: 10.1016/j.amjsurg.2006.07.004

The American Journal of Surgery
Volume 192, Issue 5 , Pages e22-e27 , November 2006

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