營養支持對營養不良的心臟手術患者之營養狀況與預後的影響

Huey-Ling Liou, 邱艷芬, Li-Fen Liu, Chun-Che Shih

Research output: Contribution to journalArticle

Abstract

Objective: The purpose of this study was to investigate the relationship between changes in nutritional status and postoperative outcome among cardiac surgery patients following nutritional support. Patients and Methods: The study used a follow-up method. Twenty-six Malnourished subjects who underwent cardiac surgery at medical centers in Taipei were recruited by purposive sampling. These patients were evaluated periodically with respect to their nutritional index and prognostic index during the post-operative hospitalization period. Results: Major findings of this study were as follows: 1. The percentage of patients with ideal body weight among patients showed a marked increase during post-nutritional support weeks 1 and 2 (p<0.01). 2. The patient's mid-arm circumferences decreased during post-nutritional support weeks 1 and 2 compared with pre-op averages, but a rebound was observed from week 1 to week 2 (p<0.05). 3. Serum albumin, hematocrit and total lymphocytes at 2 weeks after the initiation of nutritional support were significantly higher in surviving than in deceased patients. 4. The average caloric intake during post-op week 1 was not significantly correlated with the post-operative prognostic indices, while that of post-op week 2 was negatively correlated with the number of post-op hospitalization days (p<0.01) as well as length of post-op bed-ridden time )p<0.01). Conculsions: These results indicate that untritional support can improve the outcome of malnourished cardiac surgery patients and significantly increase the survival rate in the early post-operative period. This study can serve as a useful reference in clinical practice.
Original languageTraditional Chinese
Pages (from-to)177-185
Number of pages9
JournalTzu Chi Medical Journal
Volume13
Issue number3
DOIs
Publication statusPublished - 2001
Externally publishedYes

Cite this

營養支持對營養不良的心臟手術患者之營養狀況與預後的影響. / Liou, Huey-Ling; 邱艷芬; Liu, Li-Fen; Shih, Chun-Che.

In: Tzu Chi Medical Journal, Vol. 13, No. 3, 2001, p. 177-185.

Research output: Contribution to journalArticle

Liou, Huey-Ling ; 邱艷芬 ; Liu, Li-Fen ; Shih, Chun-Che. / 營養支持對營養不良的心臟手術患者之營養狀況與預後的影響. In: Tzu Chi Medical Journal. 2001 ; Vol. 13, No. 3. pp. 177-185.
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T1 - 營養支持對營養不良的心臟手術患者之營養狀況與預後的影響

AU - Liou, Huey-Ling

AU - 邱艷芬, null

AU - Liu, Li-Fen

AU - Shih, Chun-Che

PY - 2001

Y1 - 2001

N2 - Objective: The purpose of this study was to investigate the relationship between changes in nutritional status and postoperative outcome among cardiac surgery patients following nutritional support. Patients and Methods: The study used a follow-up method. Twenty-six Malnourished subjects who underwent cardiac surgery at medical centers in Taipei were recruited by purposive sampling. These patients were evaluated periodically with respect to their nutritional index and prognostic index during the post-operative hospitalization period. Results: Major findings of this study were as follows: 1. The percentage of patients with ideal body weight among patients showed a marked increase during post-nutritional support weeks 1 and 2 (p<0.01). 2. The patient's mid-arm circumferences decreased during post-nutritional support weeks 1 and 2 compared with pre-op averages, but a rebound was observed from week 1 to week 2 (p<0.05). 3. Serum albumin, hematocrit and total lymphocytes at 2 weeks after the initiation of nutritional support were significantly higher in surviving than in deceased patients. 4. The average caloric intake during post-op week 1 was not significantly correlated with the post-operative prognostic indices, while that of post-op week 2 was negatively correlated with the number of post-op hospitalization days (p<0.01) as well as length of post-op bed-ridden time )p<0.01). Conculsions: These results indicate that untritional support can improve the outcome of malnourished cardiac surgery patients and significantly increase the survival rate in the early post-operative period. This study can serve as a useful reference in clinical practice.

AB - Objective: The purpose of this study was to investigate the relationship between changes in nutritional status and postoperative outcome among cardiac surgery patients following nutritional support. Patients and Methods: The study used a follow-up method. Twenty-six Malnourished subjects who underwent cardiac surgery at medical centers in Taipei were recruited by purposive sampling. These patients were evaluated periodically with respect to their nutritional index and prognostic index during the post-operative hospitalization period. Results: Major findings of this study were as follows: 1. The percentage of patients with ideal body weight among patients showed a marked increase during post-nutritional support weeks 1 and 2 (p<0.01). 2. The patient's mid-arm circumferences decreased during post-nutritional support weeks 1 and 2 compared with pre-op averages, but a rebound was observed from week 1 to week 2 (p<0.05). 3. Serum albumin, hematocrit and total lymphocytes at 2 weeks after the initiation of nutritional support were significantly higher in surviving than in deceased patients. 4. The average caloric intake during post-op week 1 was not significantly correlated with the post-operative prognostic indices, while that of post-op week 2 was negatively correlated with the number of post-op hospitalization days (p<0.01) as well as length of post-op bed-ridden time )p<0.01). Conculsions: These results indicate that untritional support can improve the outcome of malnourished cardiac surgery patients and significantly increase the survival rate in the early post-operative period. This study can serve as a useful reference in clinical practice.

KW - 心臟手術

KW - 營養支持

KW - 營養狀況

KW - 手術預後

KW - cardiac surgery

KW - nutritional support

KW - nutritional status

KW - post-operative prognosis

U2 - 10.6440/TZUCMJ.200109.0177

DO - 10.6440/TZUCMJ.200109.0177

M3 - 文章

VL - 13

SP - 177

EP - 185

JO - Tzu Chi Medical Journal

JF - Tzu Chi Medical Journal

SN - 1016-3190

IS - 3

ER -