scholarly journals TOTAL LYMPHOCYTE COUNT AND SERUM ALBUMIN AS PREDICTORS OF NUTRITIONAL RISK IN SURGICAL PATIENTS

2015 ◽  
Vol 28 (3) ◽  
pp. 193-196 ◽  
Author(s):  
Naruna Pereira ROCHA ◽  
Renata Costa FORTES
Keyword(s):  
Postoperative Complications ◽  
Nutritional Status ◽  
Lymphocyte Count ◽  
Global Assessment ◽  
Total Lymphocyte Count ◽  
Nutritional Risk ◽  
Surgical Patients ◽  
Subjective Global Assessment ◽  
Total Lymphocyte ◽  
High Prevalence

Background: Early detection of changes in nutritional status is important for a better approach to the surgical patient. There are several nutritional measures in clinical practice, but there is not a complete method for determining the nutritional status, so, health professionals should only choose the best method to use. Aim: To evaluate the total lymphocyte count and albumin as predictors of identification of nutritional risk in surgical patients. Methods: Prospective longitudinal study was conducted with 69 patients undergoing surgery of the gastrointestinal tract. The assessment of nutritional status was evaluated by objective methods (anthropometry and biochemical tests) and subjective methods (subjective global assessment). Results: All parameters used in the nutritional assessment detected a high prevalence of malnutrition, with the exception of BMI which detected only 7.2% (n=5). The albumin (p=0.01), the total lymphocytes count (p=0.02), the percentage of adequacy of skinfolds (p<0.002) and the subjective global assessment (p<0.001) proved to be useful as predictors of risk of postoperative complications, since the smaller the values of albumin and lymphocyte count and higher the score the subjective global assessment were higher risks of surgical complications. Conclusions: A high prevalence of malnutrition was found, except for BMI. The use of albumin and total lymphocyte count were good predictor for the risk of postoperative complications and when used with other methods of assessing the nutritional status, such as the subjective global assessment and the percentage of adequacy of skinfolds, can be useful for identification of nutritional risk and postoperative complications.

PP227-SUN EFFECT OF PARENTERAL GLUTAMINE SUPPLEMENT ON TOTAL LYMPHOCYTE COUNT IN BLOOD IN SURGICAL PATIENTS

2011 ◽  
Vol 6 (1) ◽  
pp. 110
Author(s):  
I. Yeste Gomez ◽  
R.M. Romero Jimenez ◽  
V. Escudero Vilaplana ◽  
B. Marzal Alfaro ◽  
A. De Lorenzo Pinto ◽  
...  
Keyword(s):  
Lymphocyte Count ◽  
Total Lymphocyte Count ◽  
Surgical Patients ◽  
Total Lymphocyte

Patient-generated subjective global assessment versus nutritional risk screening 2002 for gastric cancer in Chinese patients

2020 ◽  
Vol 16 (3) ◽  
pp. 4475-4483 ◽  
Author(s):  
Dong Yang ◽  
Zhichao Zheng ◽  
Yan Zhao ◽  
Tao Zhang ◽  
Yong Liu ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Nutritional Status ◽  
Cancer Patients ◽  
Global Assessment ◽  
Nutritional Risk ◽  
Subjective Global Assessment ◽  
Pyloric Obstruction ◽  
Gastric Cancer Patients ◽  
Nutritional Risk Screening 2002 ◽  
Nutritional Risk Screening

Aim: Patient-Generated Subjective Global Assessment (PG-SGA) and Nutritional Risk Screening 2002 (NRS2002) are used to evaluate patients’ nutritional status. Materials & methods: The data of 114 gastric cancer patients with pyloric obstruction treated between July 2016 and July 2017 were assessed retrospectively. Results: Based on clinical evaluation, 70.1% had malnutrition, with 61.4% at nutritional risk by NRS2002 and 66.7% by PG-SGA. The area under the receiver operating characteristic curve was 0.858 for PG-SGA and 0.706 for NRS2002. Sensitivity and specificity were 89 and 85% for PG-SGA and 78 and 76% for NRS2002. In both assessments, patients at risk showed more postoperative complications. Conclusion: PG-SGA was more suitable for evaluating the preoperative nutritional status of gastric cancer patients with pyloric obstruction, with higher diagnostic efficacy.

scholarly journals Is total lymphocyte count related to nutritional markers in hospitalized older adults?

2017 ◽  
Vol 54 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Vânia Aparecida LEANDRO-MERHI ◽  
Vitória Negri BRÁZ ◽  
José Luis Braga de AQUINO
Keyword(s):  
Older Adults ◽  
Lymphocyte Count ◽  
Skinfold Thickness ◽  
Total Lymphocyte Count ◽  
Nutritional Risk ◽  
Total Lymphocyte ◽  
Arm Circumference ◽  
Hospitalized Older Adults ◽  
Mid Upper Arm Circumference ◽  
Triceps Skinfold Thickness

ABSTRACT BACKGROUND Older patients are commonly malnourished during hospital stay, and a high prevalence of malnutrition is found in hospitalized patients aged more than 65 years. OBJECTIVE To investigate whether total lymphocyte count is related to other nutritional markers in hospitalized older adults. METHODS Hospitalized older adults (N=131) were recruited for a cross-sectional study. Their nutritional status was assessed by the Nutritional Risk Screening (NRS), anthropometry, and total lymphocyte count. The statistical analyses included the chi-square test, Fisher's exact test, and Mann-Whitney test. Spearman's linear correlation coefficient determined whether total lymphocyte count was correlated with the nutritional markers. Multiple linear regression determined the parameters associated with lymphocyte count. The significance level was set at 5%. RESULTS According to the NRS, 41.2% of the patients were at nutritional risk, and 36% had mild or moderate depletion according to total lymphocyte count. Total lymphocyte count was weakly correlated with mid-upper arm circumference (r=0.20507); triceps skinfold thickness (r=0.29036), and length of hospital stay (r= -0.21518). Total lymphocyte count in different NRS categories differed significantly: older adults who were not at nutritional risk had higher mean and median total lymphocyte count ( P =0.0245). Multiple regression analysis showed that higher lymphocyte counts were associated with higher triceps skinfold thicknesses and no nutritional risk according to the NRS. CONCLUSION Total lymphocyte count was correlated with mid-upper arm circumference, triceps skinfold thickness, and nutritional risk according to the NRS. In multiple regression the combined factors that remained associated with lymphocyte count were NRS and triceps skinfold thickness. Therefore, total lymphocyte count may be considered a nutritional marker. Other studies should confirm these findings.

Correlation of Preoperative Nutritional Status and Postoperative Wound Infection in Children

2020 ◽  
Vol 23 (2) ◽  
pp. 48-53
Author(s):  
Partha Sarathy Majumder ◽  
Anuradha Karmaker ◽  
Md Nooruzzaman ◽  
Zahidur Rahman ◽  
Syed Abdul Adil ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Serum Albumin ◽  
Wound Infection ◽  
Lymphocyte Count ◽  
Total Lymphocyte Count ◽  
Postoperative Wound Infection ◽  
Postoperative Wound ◽  
Malnourished Children ◽  
Total Lymphocyte ◽  
Low Bmi

Background: Despite improvements in antimicrobial therapy, surgical technique and postoperative care, wound infection is still a major concern in pediatric surgical practice particularly in developing countries like Bangladesh. Objective: This study was conducted to ascertain the relationship between the preoperative nutritional status and postoperative wound infection in children as malnutrition is very prevalent among them. It was also decided to estimate the rate of wound infection in children and to identify the indicator of malnutrition that best predicts wound infection. Methods: This prospective study was carried out in the Department of Pediatric Surgery, BSMMU, Dhaka during the period of January 2009 to September 2010 and included consecutive 100 children undergoing routine surgery. Nutritional status was assessed by measuring BMI, serum albumin, haemoglobin and total lymphocyte count and thus children were categorized preoperatively. The children were assessed during the first 30 postoperative days for the evidence of wound infection that were confirmed by culture and sensitivity. Results: We found most of the wound infections among the malnourished children with low BMI and low serum albumin. Conclusion: Preoperative good nutritional status is associated with less postoperative wound infection and BMI and serum albumin are good indicators but total lymphocyte count and haemoglobin are not good indicators of protein calorie malnutrition and serum albumin is the best predictor of wound infection. Journal of Surgical Sciences (2019) Vol. 23(2): 48-53

scholarly journals Nutritional assessment and hand grip strength of candidates for surgery of the gastrointestinal tract

2014 ◽  
Vol 27 (2) ◽  
pp. 104-108 ◽  
Author(s):  
Thalita Morgana Guimarães SILVEIRA ◽  
Juliana Barbosa de SOUSA ◽  
Maria Luiza Ferreira STRINGHINI ◽  
Ana Tereza Vaz de Souza FREITAS ◽  
Paulla Guimarães MELO
Keyword(s):  
Gastrointestinal Tract ◽  
Nutritional Status ◽  
Global Assessment ◽  
Nutritional Assessment ◽  
Low Cost ◽  
Subjective Assessment ◽  
Nutritional Risk ◽  
Dominant Hand ◽  
Subjective Global Assessment ◽  
Cross Sectional

BACKGROUND: The assessment of nutritional status in clinical practice must be done with simple, reliable, low cost and easy performance methods. The power of handshake is recognized as a useful tool to evaluate muscle strength, and therefore, it is suggested that can detect malnutrition. AIM: To evaluate the nutritional status by subjective global assessment and power of handshake preoperatively in patients going to gastrointestinal surgeries and to compare the diagnosis obtained by subjective global assessment with traditional anthropometric methods and power of handshake. METHODS: A cross-sectional study was conducted with patients for surgery in the gastrointestinal tract and related organs. Socioeconomic and anthropometric data, applied to subjective global assessment and checked the power of handshake, were collected. The force was obtained by the average of three measurements of the dominant and non-dominant hand and thus compared with reference values of the population by sex and age, for the classification of nutritional risk. RESULTS: The sample consisted of 40 patients, 24-83 years, and most women (52.5%) housewives (37,5%) and diagnosed with cancer (45%). According to subjective global assessment, 37.5% were classified as moderately malnourished; 15% were underweight by BMI measurements; 25% had arm circumference at risk for malnutrition (<percentil 5); 60% reported recent weight loss; and 37.5% low clamping force in power of handshake on non-dominant hand (left). CONCLUSION: A significant association was observed for the diagnosis of nutritional subjective assessment with anthropometric methods and strength of the handshake only at the non-dominant limb.

scholarly journals Prognostic value of total lymphocyte count in cardiac surgery

2015 ◽  
Vol 17 (2) ◽  
pp. 41
Author(s):  
V. V. Lomivorotov ◽  
S. M. Yefremov ◽  
V. A. Boboshko ◽  
V. A. Shmyrev
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Postoperative Complications ◽  
Hospital Stay ◽  
Peripheral Blood ◽  
Lymphocyte Count ◽  
Prognostic Value ◽  
Total Lymphocyte Count ◽  
Total Lymphocyte

The aim of this study retrospective cohort was to investigate the prognostic value of preoperative total lymphocyte count in peripheral blood as a predictor of postoperative complications and mortality in cardiac surgery. All adults undergoing cardiopulmonary bypass in 2009. The cohort size was 1 368 patients. Patient characteristics, hospital mortality, postoperative complications, ventilation period, intensive care unit and hospital stay were analysed. Preoperative total lymphocyte count <1 611 cells/L was assotiated with significantly higher mortality by univariate (p<0,0001) and multivariate (p<0,022) analisys. Low preoperative total lymphocyte count was associated with more frequent inotropic support (p<0,001); postoperative heart arrhythmia (p<0,001); hemodialysis-dependent acute renal failure (p<0,001); and a prolonged ventilation period (p=0,001), intensive care unit stay (p<0,001), and hospital stay (p=0,007). Low preoperative total lymphocyte count in peripheral blood is a useful prognostic criterion for evaluation of a complicated postoperative period in cardiosurgical patients.

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