Development of a Universal Nutritional Screening Platform for Plastic Surgery Patients
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TL;DR: Screening patients with both the CNST and the SGA is an effective way to identify patients before surgery to improve outcomes, indicating that a universal screening protocol is needed to effectively screen a diverse plastic surgery population for malnutrition.
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Abstract: Plastic surgeons routinely see patients with complex or chronic wounds of all etiology. In a previous study, we found that up to 1 in 4 of these patients is at risk for malnutrition, which may be influencing their ability to heal. The goal of this study was to develop and validate a universal screening protocol that would be fast and accurate and allow for effective intervention and optimization of nutrition before plastic surgery. METHODS To accomplish these goals, we adopted a 2-part screening algorithm using the Canadian Nutritional Screening Tool (CNST) to triage patients in our outpatient clinics and then further screened those identified as being at risk using the Subjective Global Assessment (SGA) tool and blood work. RESULTS We screened 111 patients with diagnoses related to breast cancer (n = 10; 9.01%), elective surgery (n = 38; 34.23%), emergency surgery (n = 8; 7.21%), fractures (n = 15; 13.51%), and wounds (n = 40; 36.04%). Of the screened subjects, 15.32% (n = 17) were found to be at nutritional risk using the CNST, and 13 were confirmed to be moderately or severely malnourished using the SGA. Importantly, there were no positive correlations between nutritional status and smoking, diabetes, body mass index, or age, indicating that a universal screening protocol is needed to effectively screen a diverse plastic surgery population for malnutrition. CONCLUSIONS Screening patients with both the CNST and the SGA is an effective way to identify patients before surgery to improve outcomes.
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Citations
Preparing Patients for Cosmetic Surgery and Aesthetic Procedures: Ensuring an Optimal Nutritional Status for Successful Results
Tiziana Vitagliano,Pietro Garieri,Lidia Lascala,Yvelise Ferro,Patrizia Doldo,Roberta Pujia,Arturo Pujia,Tiziana Montalcini,Manfredi Greco,Elisa Mazza +9 more
TL;DR: In this paper , the authors identify the nutritional deficits or excesses associated with the major complications of reconstructive surgery, aesthetic surgery, and mini-invasive aesthetic procedures, and provide a bundle of actions for professionals working in the industry in order to reduce the risks of aesthetic procedures and improve clinical outcomes.
Nutrition and the Plastic Surgeon: Possible Interventions and Practice Considerations.
TL;DR: The objective of this article is to convey the importance of nutrition in plastic surgery, to offer possible outpatient nutritional interventions within the surgical care setting, and to guide the plastic surgeon in integrating nutrition as a key practice enhancement strategy for the care of wound patients and beyond.
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Aging and Cancer Prognosis
Arvin Haj-Mirzaian,Khashayar Afshari,Amir Hossein Abdolghaffari +2 more
- 01 Jan 2021
TL;DR: It is suggested that enhancement of the immune system in aged individuals would lead to significant decline in incidence, morbidity, and mortality of cancer.
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Triagem Nutricional por NRS 2002 em Pacientes Indicados a Cirurgias Abdominais Eletivas no Ambulatório de Pré-operatório / Nutritional screening by NRS 2002 in Patients Indicated for Elective Abdominal Surgery in the Preoperative Ambulatory
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