Analysis Of Nutritional Risk Screening And Clinical Outcomes In Elderly Hospitalized Patients In Gastrointestinal Surgery

Objective Application of nutritional risk screening tool(NRS2002) describe the nutritional status in elderly patients with gastrointestinal tumor. This survey descriptive the elderly hospitalized patients with nutritional risk in Xi Jing hospital gastrointestinal surgery, distribution of parenteral nutrition or enteral nutrition, the correlation between Clinical nutrition support and clinical outcomes.Methods The study has two parts. Part one, Selecting patients included in the standard for descriptive research, using NRS2002 to nutritional risk screening, Understand the nutrition status of elderly patients.Part two, Observe the patient’s nutrition type during the stay in hospital and the incidence of hospital total complications, Infectious complication, non-infectious complications. Observe the hospital stay and other clinical outcomes. analysis of the effect of nutritional risk screening and nutritional support to clinical outcome.Results 1.NRS 2002 is fit for hospitalized patients in the three departments of gastrointestinal surgery,with nutritional risk patients was 40.8%.The nutritional risk patients in department 1 of Gastroenterology(esophageal surgery) was 40.8%. The nutritional risk patients in department 2 of Gastroenterology(colo-rectal surgery) was 31.4%. The nutritional risk patients in department 3 of Gastroenterology(stomach surgery) was 48.4%. 60.5% of all patients is used nutritional support, but 39.5% is not. 44.9% of all patients with enteral nutrition during the hospital stay( including total enteral nutrition and part of enteral nutrition), total enteral nutrition support proportion about 19.7%. Application of combined nutrients(enteral nutrition and parenteral nutrition) is25.2%, the proportion of total parenteral nutrition support is 15.5%.The postoperative complications in the three departments of gastroenterology respectively were 15.7%,8.8%,14.7%.2.According to whether they have nutritional risk, nutritional support and surgery analyzed. Patients with nutritional risk after nutritional support, were statistical difference of the incidence of hospital total complications and non-infectious complications, but infectious complication was no difference.If no nutritional risk patients with nutritional support compared with no nutritional support, the incidence of infectious complications have significant difference, but total complications and non-infectious complications no statistical difference.Conclusion 1.NRS2002 applicability in hospitalized patients. 2.Through investigation to know patients with a certain proportion of the risk of nutrition in Xi Jing digestive disease hospital gastrointestinal surgery. During the stay in hospital, patients were given nutrition support, in particular, enteral nutrition proportion is higher. patients has obtained the good clinical outcomes. Researchers of gastrointestinal surgery bring the enteral nutrition into fast track surgery(FTS)and play an important role.3.Patients with nutritional risk given nutritional support can improve clinical outcomes, and no nutritional risk patients given nutritional support may increase adverse clinical outcomes.4.At present, there are part of clinical nutrition support is the application of empirical, lack of standardization of clinical nutrition support.