Prognostic role of preoperative nutritional and immunological assessment in the surgical patient

M. Braga, P. Baccari, S. Scaccabarozzi, E. Fiacco, G. Radaelli, G. Gallus, S. DiPalo, V. DiCarlo, M. Cristallo

Research output: Contribution to journalArticle

Abstract

The utilization of delayed hypersensitivity response (DHR) for the identification of high-risk patients with regard to postoperative septic complications is still discussed. The aim of this study was to clarify how much DHR may improve the prognostic capacity of nutritional assessment (NA). Nutritional and immunological evaluations were performed at admission on 405 patients undergoing elective general surgical procedures. Subject with serum albumin ≤3.0 g/dl or total iron-binding capacity ≤220 μg/dl or weight loss ≥10% with respect to usual body weight were classified as malnourished. DHR was assessed by performing skintests with four recall antigens: PPD, candida, trichophyton, sk-sd. The incidence of postoperative complications resulted higher among the 187 malnourished patients (31.0%) than in the 218 well-nourished ones (14.2%) (p

Original languageEnglish
Pages (from-to)138-142
Number of pages5
JournalJournal of Parenteral and Enteral Nutrition
Volume12
Issue number2
Publication statusPublished - 1988

ASJC Scopus subject areas

  • Food Science
  • Medicine (miscellaneous)

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    Braga, M., Baccari, P., Scaccabarozzi, S., Fiacco, E., Radaelli, G., Gallus, G., DiPalo, S., DiCarlo, V., & Cristallo, M. (1988). Prognostic role of preoperative nutritional and immunological assessment in the surgical patient. Journal of Parenteral and Enteral Nutrition, 12(2), 138-142.