| Objective CSPEN recommend to use Nutritional Risk Screening tool (NRS2002) in hospitalized patients, and give nutritional support to the patients with nutritional risk. There is few descriptive studies about the using of NRS2002in general surgery patients, and analyze the effect in clinical outcomes of nutritional support. The purpose of this study is to observe the nutrition risk status of general surgery hospitalized patients, the application of nutritional support and impaction of nutritional support on clinical outcomes in patients with nutritional risk.ContentThere are two parts of this study. Part one, NRS2002is used to screen nutritional risk of general surgery patients, and then analyze the reasons. Part two, observe and analyze the effect of nutritional support on clinical outcomes such as complications and length of stay (LOS) in hospital. MethodIn this descriptive study:A total of641patients were admitted to general surgery unit. Nutritional risk was determined by NRS2002on admission. The information with respect to nutritional support and complications was monitored and recorded.Result1. The applicable rate of NRS2002in NanKai hospital general surgery inpatients is97.5%. The prevalence of nutritional risk is26.6%. Nutritional risk of patients with malignant tumors incidence of42.4%,24.9%compared to benign disease are significantly different. The highest incidence nutritional risk of patients with colon cancer81.8%, and lowest5.5%compared to patients with chronic cholecystitis stones and polyps. The main reason of the occurrence of nutritional risk in patients is acutely exacerbation of chronic diseases and the reduction of recent diet. Overweight and obesity incidence more than before, the risk of malnutrition incidence rate is lower than in patients with normal body weight, low body weight decrease the incidence. Non-surgical patients with nutritional risk was higher than in surgical patients. 2. Clinical nutrition nutritious risk patients (68.7%) to give the relative importance of nearly a week of eating less, and patients with low body weight, can be targeted nutritional support for patients with nutritional risk for overweight and obesity assessment of disease severity score attention a bit weak. The recent diet reduced in patients given a valid nutritional support at least. No nutritional risk, tumor end-stage patients and emergency surgery nutritional support to excessive use. PN overused EN use.3. The clinical nutritional risk patients regulate the use of nutritional support only4.3%, the vast majority of non-standard and highly irregular nutritional support. Nutritional support could’t decrease hospital stay in hospitalized patients with or without nutritional risk.and reduce total or non-infectious complication in patients with nutritional risk, on the contrary increase total complications, infectious and non-infectious complications in patients without nutritional risk. ConclusionApplicable rate of97.5%in the patients of NanKai hospital general surgery residency NRS2002the nutritional risk incidence of25.6%. Patients with malignant nutritional risk was higher than in patients with benign disease. Nutritional risk in non-surgical patients is higher than in surgical patients. PN use of excessive EN. Patients at risk for nutritional deficiencies nutritional support for patients at risk of non-nutritional nutritional support excessive. Nutritional support may not be sufficient to improve the clinical outcome. |
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