P326: Risk factors associated with nutritional status in geriatric patients in Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo - Jakarta

Objectives: To report the incidence and risk factors for prolonged hospitalization, discharge to a facility, and postoperative complications in geriatric patients who underwent surgery for patella fracture. Design: Retrospective database review. Setting: The American College of Surgeons—National Surgical Quality Improvement Program (NSQIP) collects data from 600 hospitals across the United States. Patients/Participants: NSQIP patients over 65 years of age with patella fractures. Intervention: Surgical fixation of patella fracture including extensor mechanism repair. Main Outcome Measurements: Prolonged hospitalization, discharge to a facility, and 30-day post-operative complications. Results: 1721 patients were included in the study. The average age was 74.9 years. 358 (20.8%) patients were male. 122 (7.1%) patients had a length of stay greater than 7 days. Factors associated with prolonged length of stay include pre-existing renal failure, need for emergent surgery, and time to surgery greater than 24 hours from admission. 640 patients (37.2%) of patients were discharged to a facility after surgery. Discharge to facility was associated with age >77 years, obesity, anemia, thrombocytopenia, pre-operative SIRS, and CCI > 0.5. Admission from home decreased the odds of discharge to a facility. The most common postoperative complications in this population were unplanned readmission (3.4%), unplanned reoperation (2.7%), surgical site infection (1.1%), mortality (1.0%), venous thromboembolism (0.8%), and wound dehiscence (0.2%). Complication rates increased with anemia and ASA class IV-V. Conclusions: Geriatric patients undergoing operative intervention for patella fractures are at high risk for prolonged hospitalization, discharge to facility, unplanned readmission or reoperation, and surgical site complications in the first 30 days following surgery. This study highlights modifiable and non-modifiable risk factors associated with adverse events. Early recognition of these factors can allow for close monitoring and multidisciplinary intervention in the perioperative period to improve outcomes. Level of Evidence: Prognostic level III.

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Risk factor for phlebitis in a patient with peripheral intravenous catheters: a cohort study

Proceedings Series on Health & Medical Sciences ◽

10.30595/pshms.v1i.28 ◽

2020 ◽

Vol 1 ◽

pp. 24-29

Author(s):

Eka Vivtin Agustiani ◽

Agus Santosa

Keyword(s):

Risk Factors ◽

Nutritional Status ◽

Preventive Measures ◽

Medical Personnel ◽

Dominant Factor ◽

Causal Factors ◽

Factors Associated ◽

Consecutive Sampling ◽

Catheter Size ◽

Intravenous Catheters

Phlebitis is one of nosocomial infections that frequently occurred in hospitals. Phlebitis is mainly related with infusion and therapy. Many risk factors can cause phlebitis. The purpose of this study was to predict the prevalence of phlebitis in patients based on the causal factors in Banyumas Regional Hospital. The design of this study was an analytic survey of cohort approach, with a sample of 218 by using consecutive sampling. The study was conducted from November to December 2019 using checklist of observation sheets. The results demonstrates 5 phlebitis risk factors associated with the occurrence of phlebitis, namely the type of fluid (P = 0.011), nutritional status (P = 0.001), catheter size (P = 0.002), injection therapy (P = 0.027) and comorbidities (P = 0.003). The probability of 5 risk factors for the occurrence of phlebitis (88.28%) with nutritional status being the dominant factor (b = 3.928) with probability of (13.48%). To minimize the prevalence of phlebitis, the medical personnel may conduct initial phlebitis screening to determine accurate and appropriate preventive measures.

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Nutritional Status and its Correlates in Equatorial Guinean Preschool Children: Results from a Nationally Representative Survey

Food and Nutrition Bulletin ◽

10.1177/156482650802900106 ◽

2008 ◽

Vol 29 (1) ◽

pp. 49-58 ◽

Cited By ~ 12

Author(s):

Estefanía Custodio ◽

Miguel Ángel Descalzo ◽

Jesús Roche ◽

Ignacio Sánchez ◽

Laura Molina ◽

...

Keyword(s):

Public Health ◽

Risk Factors ◽

Nutritional Status ◽

Health Problems ◽

World Health ◽

Equatorial Guinea ◽

Severe Anemia ◽

Factors Associated ◽

Who Standards ◽

Nationally Representative

Background In Equatorial Guinea, as a result of the recent growth of the oil industry, there is an opportunity to address important public health problems through public and private initiatives. To propose effective nutrition and public health strategies, it is important first to have reliable information on the nutritional status of the population and the underlying factors affecting it. Objective To assess the nutritional status and the prevalence of anemia among Equatoguinean children in a nationally representative sample and to identify the risk factors associated with the nutritional problems detected. Methods The study was a cross-sectional survey using a multistaged, stratified, cluster-selected sample. The survey included a sociodemographic, health, and dietary questionnaire and measurement of hematocrit and anthropometric features, from which nutritional indicators based on the National Center for Health Statistics (NCHS) reference and the World Health Organization (WHO) standards were calculated. Logistic regression models were used for the multivariate analysis. A total of 552 children aged 0 to 60 months were surveyed. Results The overall prevalence of stunting (< −2 height-for-age z-scores [HAZ]) was 29.7% based on the NCHS reference and 35.2% based on WHO standards; the risk factors associated with stunting were age ( p < .0001), low socioeconomic status ( p = .01), and fishing by a member of the household ( p = .003) The prevalence of mild anemia (hemoglobin < 110 g/L) was 69.3%, and that of moderate or severe anemia (hemoglobin < 80 g/L) was 8.3%. The only significant risk factor associated with moderate to severe anemia was low household socioeducational level ( p = .01). Conclusions Stunting and anemia are public health problems in Equatorial Guinea. Integrated strategies, including fighting poverty and improving maternal education, should be undertaken.

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Risk Factors Relating Blood Markers of Inflammation and Nutritional Status to Survival in Cachectic Geriatric Patients in a Randomized Clinical Trial

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.2004.52465.x ◽

2004 ◽

Vol 52 (10) ◽

pp. 1708-1712 ◽

Cited By ~ 22

Author(s):

Shing-shing Yeh ◽

Alice Hafner ◽

Chin-Kuo Chang ◽

Daniel M. Levine ◽

Thomas S. Parker ◽

...

Keyword(s):

Risk Factors ◽

Clinical Trial ◽

Nutritional Status ◽

Randomized Clinical Trial ◽

Geriatric Patients ◽

Markers Of Inflammation

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Factors affecting colistin nephrotoxicity: Advanced age and/or other factors?

10.22541/au.161846965.57392699/v1 ◽

2021 ◽

Author(s):

Tugba Arslan Gülen ◽

Ayfer Imre ◽

Uner Kayabas

Keyword(s):

Risk Factors ◽

General Population ◽

Serum Creatinine ◽

Serum Creatinine Level ◽

Creatinine Level ◽

Geriatric Patients ◽

Advanced Age ◽

Factors Affecting ◽

Factors Associated ◽

Independent Risk Factors

Introduction: The population is aging and older adults comprise the majority of patients in intensive care units. Colistin (COL) has been reintroduced to treat increasingly common resistant Gram-negative bacterial infections. Our study aims to investigate the factors affecting colistin nephrotoxicity in the general population and geriatric age group. Materials and Method: This retrospective study included 170 patients, 116 (68.2%) of which were in the geriatric group (age ≥65). Acute renal failure was evaluated using the RIFLE score. Firstly, factors associated with COL nephrotoxicity in the general population were investigated. Then, risk factors for COL nephrotoxicity were evaluated in the geriatric patient group. Results: Advanced age (odds ratio [OR]=1.043; 95% confidence interval [CI]: 1.018-1.068; p=0.001) and initial serum creatinine level (OR=23.122; 95% CI: 3.123-171.217; p=0.002) were found to be independent risk factors associated with nephrotoxicity. In the evaluation of the geriatric population-based on nephrotoxicity, the initial serum urea and creatinine levels, immunosuppression, and overall mortality rates were found to be statistically significant in the group with nephrotoxicity (p<0.05). Initial serum creatinine level (OR=22.48; 95% CI: 2.835-178.426; p=0.003) and concomitant nephrotoxic agent use (OR=2.516; 95% CI: 1.275-4.963; p=0.008) were independent risk factors associated with nephrotoxicity in geriatric patients. Conclusion: Advanced age was found to be a risk factor for COL nephrotoxicity. Caution should be exercised especially in geriatric patients who have initial serum creatinine levels close to the upper limit, concomitant use of nephrotoxic drugs should be avoided and if possible, evaluation should be made in terms of non-COL treatment options in these patients.

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Preoperative Nutritional Status and Risk Factors Associated with Delayed Discharge in Geriatric Patients Undergoing Gastrectomy: A Single-Center Retrospective Study

10.21203/rs.3.rs-1008430/v1 ◽

2021 ◽

Author(s):

Xining Zhao ◽

Jie Liu ◽

Ying Wang ◽

Yuying Yang ◽

Yan Pan ◽

...

Keyword(s):

Risk Factors ◽

Retrospective Study ◽

Postoperative Complications ◽

Geriatric Patients ◽

Cox Regression ◽

Significant Risk ◽

Related Factors ◽

Factors Associated ◽

Delayed Discharge ◽

Significant Difference

Abstract Background Preoperative malnutrition is an independent risk factor for postoperative complications and survival for gastric cancer (GC) patients. This study aimed to investigate the prevalence of malnutrition and the risk factors associated with the delayed discharge of geriatric patients undergoing gastrectomy. Material and Methods A retrospective study of GC patients (age ≥ 65) who underwent gastrectomy at Zhongshan Hospital from January 2018 to May 2020 was conducted. Clinical data, including demographic information, medical history, surgery-related factors, and perioperative nutritional management were collected and analyzed. Results A total of 783 patients were reviewed. The overall frequency of malnutrition was 31.3% (249/783). The levels of albumin, prealbumin, and hemoglobin were lower in the malnutrition group compared with the well-nourished group. Moreover, 51 (6.5%) patients received preoperative total parenteral nutritional support. All patients received postoperative parenteral nutrition; 194 (77.9%) patients in the malnutrition group received an infusion of carbohydrates with composite amino acid and 55 (22.1%) received total nutrient admixture. No significant difference was found in the duration of postoperative nutrition between the groups (P>0.05). The malnutrition group was associated with a higher rate of surgical site infections (SSIs) (P<0.001). Multivariate cox regression revealed that age >70 years, length of surgery >180 min, and postoperative complications were significant risk factors associated with delayed discharge. Conclusion Malnutrition is relatively common in elderly patients undergoing gastrectomy. Age, length of surgery, and postoperative complications are important risk factors associated with delayed discharge. Elderly GC patients with risk factors urgently require specific attention to shorten hospital stays.

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Factors Associated with the Occurrence of Cyanotic Spells in Tetralogy of Fallot Patients

Paediatrica Indonesiana ◽

10.14238/pi35.9-10.1995.227-30 ◽

2018 ◽

Vol 35 (9-10) ◽

pp. 227-30

Author(s):

Teddy Ontoseno

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Child Health ◽

Nutritional Status ◽

Medical School ◽

Tetralogy Of Fallot ◽

Conventional Treatment ◽

Factors Associated ◽

Brain Abscesses

A study was carried out on 114 tetralogy of Fallot patients attending the Department of Child Health, Medical School, University of Airlangga/Dr. Soetomo Hospital between 1 January 1988 to 31 December 1992. Only 81 patients fulfilled our study criteria where 52 (64.2'%) were cases with complications such as cyanotic spells, 4 (4 .93%) among them had brain abscesses. Twenty-nine individuals without complications acted as controls. Age, sex, nutritional status, hematocrit, MCHC and onset of symptoms between the two groups were analyzed using the multiple regression logistic. It has been shown that relative anemia, polycythemia and the age of 2-5 years contributed to the onset of cyanotic spells, respectively, R = 0.3171 and p = 0 .0004; R = 0.2220 and p = 0 .0073; R = 0.1363 and p = 0.00465. Therefore, in conventional treatment of tetralogy of Fallot patients it is essential to observe these risk factors in order to avoid complications and to improve the quality of life in these patients who are on the waiting list for surgery.

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