| 000 | 02541nam a2200253Ia 4500 | ||
|---|---|---|---|
| 008 | 200306s2019 xx 000 0 und d | ||
| 100 | _aThomas, Jolene. | ||
| 245 | 0 |
_aNutritional status of patients admitted to a metropolitan tertiary care vascular surgery unit / _cJolene Thomas, Christopher Delaney, Jenni Suen, Michelle Miller |
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| 260 | _cMarch 2019 | ||
| 336 | _atext | ||
| 337 | _aunmediated | ||
| 338 | _avolume | ||
| 440 |
_n28 : 1, page 64-71 _aAsia Pacific Journal of Clinical Nutrition |
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| 520 | _aBackground and Objectives: Undernutrition in vascular surgery patients has a significant impact on clinical outcomes. This observational study aimed to investigate the nutritional status of a heterogeneous sample of vascular surgery inpatients and to determine the prevalence of nutritional risk, malnutrition (including nutrient deficiencies) and sarcopenia. Methods and Study Design: All participants were screened for risk of malnutrition using the Malnutrition Universal Screening Tool (MUST) and assessed using the Patient-Generated Subjective Global Assessment (PG-SGA). Micronutrient status was examined via plasma/serum samples. The presence of sarcopenia was explored using an accepted algorithm incorporating gait speed, muscle mass (DEXA) and grip strength. Results: 323 participants (69% male, mean age 67.6±14.1y) consented to the study. 12.5% were identified as at risk of malnutrition by the MUST while 15.8% were deemed malnourished by the PG-SGA. Only 5% were diagnosed as sarcopenic. Prevalence of malnutrition was much higher when micronutrients were examined with 79% showing low vitamin C levels, 56% low vitamin D and over 40% having low zinc, vitamin B-12 and folate levels. A smaller proportion were also low in selenium (19%). Conclusions: Patients with vascular disease are a nutritionally vulnerable group. The MUST and PG-SGA did not identify the full extent of nutritional deficiencies. Further investigation is warranted to assess tool validity in this group. A number of micronutrients are crucial in these patients and hence a more comprehensive assessment that encompasses a wider range of parameters, including micronutrient status appears warranted. | ||
| 521 | _aNutrition. | ||
| 650 | _aMalnutrition universal screening tool (MUST). | ||
| 650 | _aMicronutrient. | ||
| 650 | _aNutritional status. | ||
| 650 | _aPatient-generated subjective global assessment (PG-SGA). | ||
| 650 | _aSarcopenia. | ||
| 650 | _aVascular disease. | ||
| 942 |
_2lcc _cA |
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| 998 |
_c84372 _d142735 |
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| 999 |
_c80872 _d80872 |
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