Weight loss and BMI criteria in GLIM's definition of malnutrition is associated with postoperative complications following abdominal resections – Results from a National Quality Registry
AuthorSkeie, Eli; Tangvik, Randi Julie; Nymo, Linn Såve; Harthug, Stig; Lassen, Kristoffer; Viste, Asgaut
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.