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dc.contributor.authorSkeie, Eli
dc.contributor.authorTangvik, Randi Julie
dc.contributor.authorNymo, Linn Såve
dc.contributor.authorHarthug, Stig
dc.contributor.authorLassen, Kristoffer
dc.contributor.authorViste, Asgaut
dc.date.accessioned2021-04-13T11:07:43Z
dc.date.available2021-04-13T11:07:43Z
dc.date.issued2020
dc.identifier.issn0261-5614
dc.identifier.urihttps://hdl.handle.net/11250/2737536
dc.description.abstractBackground & aims: Although malnutrition is thought to be common among patients with intraabdominal diseases and is recognized as a risk factor for postoperative complications, diagnostic criteria for malnutrition have not been consistent. Thus, the Global Leadership Initiative in Malnutrition (GLIM) has recently published new criteria for malnutrition. The aims of this study were to investigate the prevalence of malnutrition according to weight loss and BMI criteria in GLIM's second step for the diagnosis and their association with severe postoperative complications in patients undergoing gastrointestinal resections. Method: The current study includes adult patients who were prospectively included in the Norwegian Registry for Gastrointestinal Surgery in the period between 2015 and 2018. Exclusion criteria were acute surgery and lack of information regarding preoperative weight and/or postoperative complications. Severe surgical complications were classified according to the Revised Accordion Classification system and malnutrition with the GLIM criteria. Associations were assessed by logistic regression analyses, and the adjusted odds ratio included age (continuous), gender (male/female) and scores from the American Society of Anesthesiologists Physical Status Classification System and the Eastern Cooperative Oncology Group. Results: Out of 6110 patients, 2161 (35.4%) were classified as with malnutrition, 1206 (19.7%) with moderate and 955 (15.6%) with severe malnutrition. Malnourished patients were 1.29 (95% CI: 1.13–1.47) times more likely to develop severe surgical complications, and 2.15 (95% CI: 1.27–3.65) times more likely to die within 30 days, as compared to those who were not. Conclusion: Preoperative malnutrition is common among patients having gastrointestinal resections and is associated with an increased risk of severe surgical complications.en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.no*
dc.titleWeight loss and BMI criteria in GLIM's definition of malnutrition is associated with postoperative complications following abdominal resections - Results from a National Quality Registryen_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2019 The Authors.en_US
dc.identifier.doihttps://doi.org/10.1016/j.clnu.2019.07.003
dc.identifier.cristin1719977
dc.source.journalClinical Nutritionen_US
dc.source.pagenumber1593-1599en_US
dc.identifier.citationClinical Nutrition. 2020, 39 (5), 1593-1599.en_US
dc.source.volume39en_US
dc.source.issue5en_US


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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
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