Ortopedik cerrahi hastalarında preoperatif beslenme durumunun postoperatif komplikasyonlar ve hastanede kalış süresine etkisi

Year 2021, Volume: 14 Issue: 3, 432 - 443, 15.12.2021

Mevra Aydın Çil Ayşegül Yayla

https://doi.org/10.26559/mersinsbd.866672

Abstract

Amaç: Bu çalışma, ortopedik cerrahi hastalarında preoperatif dönemde hipoalbunemi ve NRS-2002 kullanılarak belirlenen malnutrisyon durumu ile çeşitli faktörler (sosyo-demografik, BKİ) ve klinik sonuçlar (hastanede kalış süresi ve postoperatif komplikasyon gelişme durumu) arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı-ilişki arayıcı nitelikte tasarlanan araştırma, Haziran- Aralık 2019 tarihleri arasında bir üniversitenin Sağlık Araştırma ve Uygulama Merkezinde yürütülmüştür. Veriler, araştırmacılar tarafından anket formu ve Nütrisyonel Risk Taraması-2002 kullanılarak yüz yüze görüşme yöntemiyle toplanmıştır. Albümin seviyelerine hasta dosyalarından erişilmiştir. Verilerin değerlendirilmesinde tanımlayıcı istatistikler ve Ki-Kare analizi kullanılmıştır. Bulgular: Ortopedik cerrahi hastalarının malnutrisyon risk prevalansı NRS 2002 puanına göre %35.10’unda, albümin düzeyine göre %43.90 bulunmuştur. Hastalarda NRS 2002’ ye göre malnutrisyon riski olma durumu ile kronik hastalık (p<0.001), hastaneye tekrar yatma (p=0.012), ameliyat sonrası yatış süresi (p=0.001) ve yaş ortalaması (p<0.001) arasında istatistiksel olarak anlamlı bir fark varken; albümin düzeyine göre ameliyat öncesi (p=0,008) ve ameliyat sonrası (p<0.001) yatış süresi arasında anlamlılık vardı. NRS 2002’ye ve albümin düzeyine göre malnutrisyon riski olan hastalarda postoperatif komplikasyon görülme durumunun arttığı saptanmıştır (her biri, p<0.001). Sonuç: Çalışmada, ortopedik cerrahi hastalarında, malnutrisyon prevalansının yüksek olduğu bulunmuştur. Preoperatif dönemde malnutrisyon, yaş ve kronik hastalıkların varlığı ile ilişkilidir. Malnutrisyon riski olan hastalarda hastanede kalış süresi ve postoperatif komplikasyon görülme durumu artmaktadır.

Keywords

Malnutrisyon, NRS-2002, ortopedik cerrahi, postoperatif komplikasyon, hastanede kalış süresi

Supporting Institution

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Project Number

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Effects of preoperative nutrition status on postoperative complications and length of hospital stay in orthopedic surgery patients

Abstract

Aim: This study was conducted to determine the relationship between malnutrition status, determined by using hypoalbunemia and NRS-2002, and various factors (socio-demographic, BMI) and clinical outcomes (length of hospital stay and postoperative complication development) during preoperative period in orthopedic surgery patients. Method: The study that designed in a descriptive-correlational model, was performed at a university hospital Health Research and Application Center between June and December 2019. Data were collected by face-to-face interview method using a questionnaire and Nutritional Risk Screening-2002 by researchers. Albumin levels obtained from patient files. Descriptive statistics and Chi-Square analysis were used to evaluate the data. Results: The prevalence of malnutrition risk in orthopedic surgical patients was 35.10% and 43.90% according to NRS 2002 score and the albumin level, respectively. There were statistically significant differences between the risk of malnutrition and chronic disease (p<0.001), re-hospitalization (p=0.012), postoperative length of hospital stay (p=0.001) and age (p<0.001) according to NRS 2002. There were statistically significant differences between preoperative (p=0.008) and postoperative length of hospital stay (p<0.001) according to albumin level. According to NRS 2002 and albumin level, it was found that the incidence of postoperative complications increased in patients with malnutrition risk (p<0.001 for each). Conclusion: In this study, the prevalence of malnutrition was found high in orthopedic surgery patients. In the preoperative period, malnutrition risk associated with age and the presence of chronic diseases. The length of hospital stay and post-operative complications increased in patients with malnutrition risk.

Keywords

Malnutrition, orthopedics surgery, postoperative complication, NRS-2002, length of hospital stay

Project Number

yok

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