Evaluation of nutritional screening tools among patients scheduled for heart valve surgery

摘要: Background and aim of the study The was to detect most sensitive nutritional screening tool assess its prognostic value with regards an adverse clinical course in patients heart valve disease undergoing cardiopulmonary bypass (CPB). Methods This prospective cohort included 441 adult who were screened using four tools: Nutritional Risk Screening 2002 (NRS-2002); Malnutrition Universal Tool (MUST); Mini Assessment (MNA); Short Questionnaire (SNAQ). assessment performed a Subjective Global (SGA). In-hospital mortality, postoperative complications, duration hospital stay each analyzed. Results With detection malnutrition, sensitivities MUST, SNAQ, MNA NRS-2002 100%, 92%, 84.6% 43.6%, respectively. identified by MUST associated complications (OR 1.63, p = 0.033 OR 1.6, 0.035) prolonged hospitalization 1.57, 0.048 1.7, 0.02). According multivariate logistic regression analysis, along well-known age CPB, malnutrition risk development 0.049 0.04, respectively). 26.8%, 28.8%, 10%, 31.6%, Conclusion is preferable malnutrition. Both, independently predicted complications. SNAQ proved insensitive among scheduled for cardiothoracic surgery.