TÌNH TRẠNG DINH DƯỠNG CỦA NGƯỜI BỆNH TRƯỚC MỔ VÀ MỘT SỐ BIẾN CHỨNG SỚM SAU MỔ ĐƯỜNG TIÊU HÓA TẠI KHOA NGOẠI TỔNG HỢP BỆNH VIỆN ĐA KHOA TỈNH TRÀ VINH

Abstract

Objectives: To assess the nutritional status of the patients prior to surgery and some early complications after gastrointestinal surgery at Tra Vinh General Hospital's Department of General Surgery. Subjects and methods: A cross-sectional descriptive study was carried out on 197 patients with planned abdominal-gastrointestinal surgery at Tra Vinh General Hospital's Department of General Surgery from April 2022 to May 6, 2022. Results: The rate of patients with unwanted weight loss 1 month before surgery was 5,6% (> 10% of body weight); the rate of malnutrition according to BMI (BMI <18,5) was 33,2%, and there was no difference between men and women nor amongst the surgical sites. According to NRS standards, the malnutrition rate was 46,9%. Complications after gastrointestinal surgery occurred in 36,7% of 196 patients in the study; the rate of infections in surgical sites was 20,4%, the rate of ruptured anastomosis was 8,6%, the rate of ascites was 5,1%, and 2,6% had other complications such as intestinal obstruction. With p<0,05, there was a relationship between preoperative nutritional status and early post-operative complications. Conclusions: The research results showed that patients admitted to the hospital for gastrointestinal surgery need to be screened and assessed for their nutritional status to detect nutritional risks, through which treatment prescriptions and timely interventions regarding nutrition derived, to contribute to a favorable clinical outcome.