MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN NGƯỜI BỆNH UNG THƯ ĐẠI TRỰC TRÀNG TRƯỚC PHẪU THUẬT TẠI BỆNH VIỆN K NĂM 2024 – 2025

Abstract

The nutritional status of colorectal cancer (CRC) patients before surgery is always a critical issue, as it directly impacts the recovery process and treatment response in subsequent regimens. It's essential to identify factors influencing patients' nutritional status for optimal Objective: To describe factors associated with nutritional status in CRC patients at K Hospital. Subjects and Methods: A cross-sectional descriptive study was conducted on 126 colorectal cancer patients before surgery at K Hospital from June 2024 to March 2025. Results: The malnutrition rates according to BMI and PG-SGA were 17.46% and 91.27%, respectively. Based on BMI, females (28%) had a higher risk of malnutrition than males (10.5%) with p = 0.011 (OR = 0.303; 95% CI = 0.12–0.79). Hemoglobin levels indicated a higher anemia rate in colon cancer patients (35.1%) compared to rectal cancer patients (15.4%) with p = 0.014 (OR = 2.979; 95% CI = 1.22–7.27). Similarly, according to PG-SGA, the malnutrition rate in colon cancer patients (95.95%) was higher than in rectal cancer patients (84.62%) with p = 0.049; 95% CI = 1.08–17.09). Conclusion: The risk of malnutrition in colorectal cancer patients before surgery remains high. Age and tumor location are two factors directly associated with nutritional status. Specifically, males have only 0.3 times the risk of malnutrition based on BMI compared to females (OR = 0.303; 95% CI = 0.12 – 0.79). According to the PG-SGA, patients with colon cancer have a fourfold higher risk of malnutrition compared to those with rectal cancer (OR = 4.303; 95% CI = 1.08 – 17.09).