medical decision support medical decision support
Sign In

Impact of Malnutrition on a General Surgical Patient Admitted to the ICU After Emergency Surgery

Description

Havens et al evaluated the impact of malnutrition on outcomes for a general surgery patient admitted to the intensive care unit after emergency surgery. This can help to identify a patient who may benefit from more aggressive management. The authors are from Brigham and Women's Hospital in Boston.


Patient selection: general surgery patient having emergency surgery and admitted to the ICU

 

The assessment of malnutrition was conducted by a dietician within 48 hours of ICU admission.

 

Malnutrition

Odds Ratio for 90 Day Mortality

90 Day Mortality

180 Day Mortality

none

1.0

13.1%

19%

nonspecific

1.5

18.6%

24%

protein-energy

3.1

31.8%

44%

 

Impact of protein-energy malnutrition:

(1) higher inpatient mortality

(2) higher readmission rate

(3) higher 90 and 180 day mortality rates


To read more or access our algorithms and calculators, please log in or register.

Specialty