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

Öz

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.

Anahtar Kelimeler

• Magnesium
• MNA
• Malnutrition
• MNA-SF

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

Öz

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.

Anahtar Kelimeler

• magnezyum
• MNA
• malnutrisyon
• MNA-SF

Kaynakça

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