Preoperative Investigation of Malnutrition in Elective Surgery Cases and Relationship with Serum Magnesium Level

Year 2022, Volume: 44 Issue: 1, 85 - 92, 14.01.2022

Canan Çam Gönen , İlkay Ceylan , Ebru Karakoç , Serdar Ekemen

https://doi.org/10.20515/otd.947019

Abstract

Presence of hypomagnesemia in the perioperative period can significantly increase morbidity (1). Preoperative nutritional deficiency may accompany magnesium deficiency. The aim of this study is; To investigate malnutrition by mini nutritional assessment-short form (MNA-sf) in patients scheduled for elective surgery and to examine the relationship between magnesium level, age, gender, surgical departments, BMI and ASA classification. Patients over the age of 18 who were scheduled for elective surgery were included in the study. The study was conducted with 387 patients according to statistical power analysis. In our study, magnesium level was found to be significantly lower in inverse proportion to age only in preoperative patients hospitalized in the general surgery department. It was found that the magnesium level of preoperative male patients hospitalized in the general surgery department was significantly higher than that of female patients. It was determined that the mini nutritional screening and evaluation tests showed statistically significant correlation in all surgical departments. Malnutrition is thought to have adverse effects on morbidity in the perioperative period. It may be very useful to detect malnutrition that can be detected by hypomagnesemia with a simple test beforehand.

Keywords

Magnesium, MNA, Malnutrition, MNA-SF

Elektif Cerrahi Olgularda Malnutrisyonun Preoperatif Araştırılması ve Serum Magnezyum Seviyesi ile İlişkisi

Abstract

Perioperatif dönemde hipomagnezemi varlığı morbiditeyi önemli ölçüde artırabilir (1). Preoperatif beslenme eksikliği magnezyum eksikliğine eşlik edebilir.:Bu çalışmanın amacı; Elektif cerrahi planlanan hastalarda mini nütrisyonel değerlendirme-kısa form (MNA-sf) ile malnütrisyonun araştırılması ve magnezyum düzeyi, yaş, cinsiyet, cerrahi bölümler, BMI ve ASA sınıflaması arasındaki ilişkinin incelenmesi. Çalışmaya elektif cerrahi planlanan 18 yaş üstü hastalar dahil edildi. Çalışma istatistiksel güç analizine göre 387 hasta ile yapılmıştır. Çalışmamızda sadece genel cerrahi bölümünde yatan preoperatif hastalarda magnezyum düzeyi yaşla ters orantılı olarak anlamlı derecede düşük bulundu. Genel cerrahi servisine yatırılan ameliyat öncesi erkek hastaların magnezyum düzeylerinin kadın hastalara göre anlamlı derecede yüksek olduğu saptandı. Mini beslenme tarama ve değerlendirme testlerinin tüm cerrahi bölümlerde istatistiksel olarak anlamlı korelasyon gösterdiği belirlendi. Malnütrisyonun perioperatif dönemde morbidite üzerine olumsuz etkileri olduğu düşünülmektedir. Hipomagnezemi ile tespit edilebilecek malnütrisyonun önceden basit bir test ile tespit edilmesi çok faydalı olabilir.

Keywords

magnezyum, MNA, malnutrisyon, MNA-SF

References

• 1. Do SH. Magnesium: A versatile drug for anesthesiologists [Internet]. Vol. 65, Korean Journal of Anesthesiology. Korean Society of Anesthesiologists; 2013 [cited 2021 Mar 7]. p. 4–8.
• 2. Parotto M, Djaiani G. Perioperative Hypomagnesemia and Increased Postoperative Morbidity and Mortality: Myth or Reality? [Internet]. Vol. 33, Journal of Cardiothoracic and Vascular Anesthesia. W.B. Saunders; 2019 [cited 2021 Mar 5]. p. 480–1.
• 3. Carli F, Gillis C. Surgical patients and the risk of malnutrition: preoperative screening requires assessment and optimization [Internet]. Canadian Journal of Anesthesia. Springer; 2021 [cited 2021 Mar 5]. p. 1–5.
• 4. Salah D. Perioperative nutrition to enhance recovery after surgery. Ain-Shams J Anaesthesiol [Internet]. 2016 [cited 2021 Mar 2];9(4):469.
• 5. Asiimwe SB, Muzoora C, Wilson LA, Moore CC. Bedside measures of malnutrition and association with mortality in hospitalized adults. Clin Nutr [Internet]. 2015;34(2):252–6.
• 6. Whittaker JD, Downes F, Becker H, Garnham A, Wall M. Influence of Perioperative Serum Magnesium for Cardiac and Noncardiac Morbidity and Mortality Following Emergency Peripheral Vascular Surgery. J Cardiothorac Vasc Anesth [Internet]. 2019 Feb 1 [cited 2021 Apr 15];33(2):474–9.
• 7. Benoist S, Brouquet A. Nutritional assessment and screening for malnutrition. J Visc Surg [Internet]. 2015;152: S3–7.
• 8. TAŞ GÜLEN, Şule, et al. KOAH’da Nutrisyonel Durumun Değerlendirmesinde Mini Nutrisyonel Anketin Kullanılabilirliği ve Solunum Fonksiyon Parametreleriyle İlişkisi. Kocaeli Tıp Dergisi, 2017, 6.2: 38-42.
• 9. Holvoet E, Vanden Wyngaert K, Van Craenenbroeck AH, Van Biesen W, Eloot S. The screening score of Mini Nutritional Assessment (MNA) is a useful routine screening tool for malnutrition risk in patients on maintenance dialysis. Bulduk S, editor. PLoS One [Internet]. 2020 Mar 4 [cited 2021 Apr 13];15(3): e0229722.
• 10. Soave P, Conti G, Costa R, Arcangeli A. Magnesium and Anaesthesia. Curr Drug Targets. 2009;10(8):734–43.
• 11. Parotto M, Djaiani G. Perioperative Hypomagnesemia and Increased Postoperative Morbidity and Mortality: Myth or Reality? [Internet]. Vol. 33, Journal of Cardiothoracic and Vascular Anesthesia. W.B. Saunders; 2019 [cited 2021 Mar 7]. p. 480–1.
• 12. Djagbletey R, Boni F, Phillips B, Adu-Gyamfi Y, Aniteye E, Owoo C, et al. Prevalence and predictive factors of preoperative hypomagnesaemia among adult surgical patients in a large tertiary hospital in Ghana. BMC Anesthesiol [Internet]. 2015 Oct 6 [cited 2021 Mar 5];15(1).
• 13. Jannati M, Shahbazi S, Eshaghi L. Comparison of the efficacy of oral versus intravascular magnesium in the prevention of hypomagnesemia and arrhythmia after CABG. Brazilian J Cardiovasc Surg. 2018;33(5):448–53.