
노인 환자의 수술 전 영양상태가 수술 후 임상경과에 미치는 영향
The Effect of Preoperative Nutritional Status on Postoperative Outcome in Elderly Patients
- 김민영(Kim, Min Young)
- 한국기초간호학회
- Journal of Korean Biological Nursing Science
- 제21권 제4호
- 등재여부 : KCI등재
- 2019.11
- 292 - 299 (8 pages)
Purpose: The purpose of this study was to determine whether poor preoperative nutritional status in elderly patients exhibited a negative influence on postoperative clinical outcomes. Methods: The medical records of 645 elderly patients were examined retrospectively. The patients had undergone major surgery between January 2017 and January 2018. Their nutritional status was measured using the Nutritional Risk Screening 2002. The data were analyzed using the chi-squared test, the Mann-Whitney U test, logistic regression, linear regression, Cox proportional hazards regression, and the Kaplan-Meier analysis. Results: Preoperative malnutrition was found in 73 patients (11.3%). Poor preoperative nutritional status was significantly associated with pressure ulcers, length of hospitalization, discharge to patient care facilities rather than home, and mortality rate at three months. Conclusion: Preoperative malnutrition in elderly patients was associated with negative postoperative clinical outcomes. These results indicate that an effective nutritional program before surgery can lead to a more rapid postoperative recovery.
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