Tình trạng dinh dưỡng của người bệnh trước khi phẫu thuật tuyến giáp tại Bệnh viện Nội tiết Trung ương năm 2022
Mục tiêu: Đánh giá tình trạng dinh dưỡng của người bệnh trước khi phẫu thuật tuyến giáp tại Bệnh viện Nội tiết Trung ương năm 2022.
Phương pháp: Nghiên cứu cắt ngang trên 163 người bệnh trước khi phẫu thuật tuyến giáp. Tình trạng dinh dưỡng của người bệnh đước đánh giá qua chỉ số khối cơ thể (BMI), số đo vòng cánh tay (MUAC) và phương pháp đánh...
Tóm tắt tiếng Việt: Mục tiêu: Đánh giá tình trạng dinh dưỡng của người bệnh trước khi phẫu thuật tuyến giáp tại Bệnh viện Nội tiết Trung ương năm 2022. Phương pháp: Nghiên cứu cắt ngang trên 163 người bệnh trước khi phẫu thuật tuyến giáp. Tình trạng dinh dưỡng của người bệnh đước đánh giá qua chỉ số khối cơ thể (BMI), số đo vòng cánh tay (MUAC) và phương pháp đánh giá dinh dưỡng toàn diện chủ quan (SGA). Kết quả: Tỷ lệ suy dinh dưỡng theo SGA và BMI lần lượt là 31,3% và 7,4%. Tỷ lệ thừa cân là 10,4% và béo phì là 1,8% theo BMI. trong khi không có người bệnh nào bị thừa cân theo MUAC. Kết luận: Có tỷ lệ cao bị suy dinh dưỡng ở người bệnh trước khi phẫu thuật tuyến giáp. Cần sử dụng phương pháp SGA để đánh giá tình trạng dinh dưỡng và có biện pháp can thiệp dinh dưỡng phù hợp cho người bệnh để dự phòng ảnh hưởng xấu của suy dinh dưỡng đối với bệnh nhân phẫu thuật. Tài liệu tham khảo 1. Nguyen Lan Viet, Nguyen Dat Anh, Pham Quang Vinh. Internal pathology, volume 2, Medical publisher House; 2017. 2. Mignini EV, Scarpellini E, Rinninella E, et al. Impact of patients nutritional status on major surgery outcome. Eur Rev Med Pharmacol Sci. 2018;22(11):3524-3533.doi: 10.26355/eurrev_201806_15179. Bài báo gốc DOI 3. Norman K, Pichard C, Lochs H, Pirlich M. Prognostic impact of disease-related malnutrition. Clin Nutr. 2008;27(1):5-15. doi: 10.1016/j.clnu.2007.10.007. Bài báo gốc DOI 4. Liang X, Jiang ZM, Nolan MT, et al. Nutritional risk, malnutrition (undernutrition), overweight, obesity and nutrition support among hospitalized patients in Beijing teaching hospitals. Asia Pac J Clin Nutr. 2009;18(1):54-62. 5. Pham NV, Coxreijven P, Greve J, Soeters P. Application of subjective global assessment as a screening tool for malnutrition in surgical patients in Vietnam. Clinical Nutrition. 2006;25(1):102-108. doi:10.1016/j.clnu.2005.09.002. Bài báo gốc DOI 6. WHO Global InfoBase team. The SuRF Report 2. Surveillance ofchronic disease Risk Factors: Country-level data and comparable estimates.Geneva, World Health Organization, 2005. p.22. 7. MUAC cut-offs for malnutrition were determined at < 23 cm for women and < 24 cm for men 8. Detsky A, McLaughlin, Baker J, et al. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr. 1987;11(1):8-13. doi:10.1177/014860718701100108 Bài báo gốc DOI 9. Shirodkar M, Mohandas KM. Subjective global assessment: a simple and reliable screening tool for malnutrition among Indians. Indian J Gastroenterol. 2005;24(6):246-250. 10. Efremidou EI, Papageorgiou MS, Liratzopoulos N, Manolas KJ. The efficacy and safety of total thyroidectomy in the management of benign thyroid disease: a review of 932 cases. Can J Surg. 2009;52(1):39-44. 11. Johnson JL. Diabetes Control in Thyroid Disease. Diabetes Spectrum. 2006;19(3):148-153. doi:10.2337/diaspect.19.3.148 Bài báo gốc DOI 12. Duntas LH, Brenta G. The effect of thyroid disorders on lipid levels and metabolism. Med Clin North Am. 2012;96(2):269-281. doi:10.1016/j.mcna.2012.01.012 Bài báo gốc DOI 13. Dang Tran Khiem, Luu Ngam Tam, Nguyen Tan Cuong. Preoperative nutritional status and early outcomes of inpatients at Department of Hepato Biliary and Pancreatic Surgery, Cho Ray Hospital. Medical journal of Ho Chi Minh City. 2013;17(1): 328-334. 14. Chu Thi Tuyet. Comprehensive nutritional effects for patients undergoing abdominoplasty - open gastrointestinal preparation at the Department of Surgery, Bach Mai Hospital 2013. PhD Dissertation, National Institute of Hygiene and Epidemiology, 2015
English summary: Aims: To evaluate the nutritional status of patients before thyroid surgery at the Thyroid Surgery Department, National Hospital of Endocrinology in 2022. Methods: This was a cross-sectional study on 163 patients before thyroid surgery. Nutritional status of the patients was investigated using body mass index (BMI), mid-upper arm circumference (MUAC), and subjective global assessment (SGA). Results: The rates of malnutrition according to SGA and BMI were 31.3 and 7.4%, respectively. The rate of overweight according to BMI was 10.4%. The rate of obesity was 1.8% according to BMI, while it was 0% by MUAC classification.Conclusion: High rate of malnutrition was presented in the patients before thyroid surgery. It is important to use SGA to evaluate the patients and give an approptiate intervention of nutrition to prevent severe effects of malnutrition on surgical patients. References 1. Nguyen Lan Viet, Nguyen Dat Anh, Pham Quang Vinh. Internal pathology, volume 2, Medical publisher House; 2017. 2. Mignini EV, Scarpellini E, Rinninella E, et al. Impact of patients nutritional status on major surgery outcome. Eur Rev Med Pharmacol Sci. 2018;22(11):3524-3533.doi: 10.26355/eurrev_201806_15179. Original Paper DOI 3. Norman K, Pichard C, Lochs H, Pirlich M. Prognostic impact of disease-related malnutrition. Clin Nutr. 2008;27(1):5-15. doi: 10.1016/j.clnu.2007.10.007. Original Paper DOI 4. Liang X, Jiang ZM, Nolan MT, et al. Nutritional risk, malnutrition (undernutrition), overweight, obesity and nutrition support among hospitalized patients in Beijing teaching hospitals. Asia Pac J Clin Nutr. 2009;18(1):54-62. 5. Pham NV, Coxreijven P, Greve J, Soeters P. Application of subjective global assessment as a screening tool for malnutrition in surgical patients in Vietnam. Clinical Nutrition. 2006;25(1):102-108. doi:10.1016/j.clnu.2005.09.002. Original Paper DOI 6. WHO Global InfoBase team. The SuRF Report 2. Surveillance ofchronic disease Risk Factors: Country-level data and comparable estimates.Geneva, World Health Organization, 2005. p.22. 7. MUAC cut-offs for malnutrition were determined at < 23 cm for women and < 24 cm for men 8. Detsky A, McLaughlin, Baker J, et al. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr. 1987;11(1):8-13. doi:10.1177/014860718701100108 Original Paper DOI 9. Shirodkar M, Mohandas KM. Subjective global assessment: a simple and reliable screening tool for malnutrition among Indians. Indian J Gastroenterol. 2005;24(6):246-250. 10. Efremidou EI, Papageorgiou MS, Liratzopoulos N, Manolas KJ. The efficacy and safety of total thyroidectomy in the management of benign thyroid disease: a review of 932 cases. Can J Surg. 2009;52(1):39-44. 11. Johnson JL. Diabetes Control in Thyroid Disease. Diabetes Spectrum. 2006;19(3):148-153. doi:10.2337/diaspect.19.3.148 Original Paper DOI 12. Duntas LH, Brenta G. The effect of thyroid disorders on lipid levels and metabolism. Med Clin North Am. 2012;96(2):269-281. doi:10.1016/j.mcna.2012.01.012 Original Paper DOI 13. Dang Tran Khiem, Luu Ngam Tam, Nguyen Tan Cuong. Preoperative nutritional status and early outcomes of inpatients at Department of Hepato Biliary and Pancreatic Surgery, Cho Ray Hospital. Medical journal of Ho Chi Minh City. 2013;17(1): 328-334. 14. Chu Thi Tuyet. Comprehensive nutritional effects for patients undergoing abdominoplasty - open gastrointestinal preparation at the Department of Surgery, Bach Mai Hospital 2013. PhD Dissertation, National Institute of Hygiene and Epidemiology, 2015.
English summary: Aims: To evaluate the nutritional status of patients before thyroid surgery at the Thyroid Surgery Department, National Hospital of Endocrinology in 2022. Methods: This was a cross-sectional study on 163 patients before thyroid surgery. Nutritional status of the patients was investigated using body mass index (BMI), mid-upper arm circumference (MUAC), and subjective global assessment (SGA). Results: The rates of malnutrition according to SGA and BMI were 31.3 and 7.4%, respectively. The rate of overweight according to BMI was 10.4%. The rate of obesity was 1.8% according to BMI, while it was 0% by MUAC classification.Conclusion: High rate of malnutrition was presented in the patients before thyroid surgery. It is important to use SGA to evaluate the patients and give an approptiate intervention of nutrition to prevent severe effects of malnutrition on surgical patients. References 1. Nguyen Lan Viet, Nguyen Dat Anh, Pham Quang Vinh. Internal pathology, volume 2, Medical publisher House; 2017. 2. Mignini EV, Scarpellini E, Rinninella E, et al. Impact of patients nutritional status on major surgery outcome. Eur Rev Med Pharmacol Sci. 2018;22(11):3524-3533.doi: 10.26355/eurrev_201806_15179. Original Paper DOI 3. Norman K, Pichard C, Lochs H, Pirlich M. Prognostic impact of disease-related malnutrition. Clin Nutr. 2008;27(1):5-15. doi: 10.1016/j.clnu.2007.10.007. Original Paper DOI 4. Liang X, Jiang ZM, Nolan MT, et al. Nutritional risk, malnutrition (undernutrition), overweight, obesity and nutrition support among hospitalized patients in Beijing teaching hospitals. Asia Pac J Clin Nutr. 2009;18(1):54-62. 5. Pham NV, Coxreijven P, Greve J, Soeters P. Application of subjective global assessment as a screening tool for malnutrition in surgical patients in Vietnam. Clinical Nutrition. 2006;25(1):102-108. doi:10.1016/j.clnu.2005.09.002. Original Paper DOI 6. WHO Global InfoBase team. The SuRF Report 2. Surveillance ofchronic disease Risk Factors: Country-level data and comparable estimates.Geneva, World Health Organization, 2005. p.22. 7. MUAC cut-offs for malnutrition were determined at < 23 cm for women and < 24 cm for men 8. Detsky A, McLaughlin, Baker J, et al. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr. 1987;11(1):8-13. doi:10.1177/014860718701100108 Original Paper DOI 9. Shirodkar M, Mohandas KM. Subjective global assessment: a simple and reliable screening tool for malnutrition among Indians. Indian J Gastroenterol. 2005;24(6):246-250. 10. Efremidou EI, Papageorgiou MS, Liratzopoulos N, Manolas KJ. The efficacy and safety of total thyroidectomy in the management of benign thyroid disease: a review of 932 cases. Can J Surg. 2009;52(1):39-44. 11. Johnson JL. Diabetes Control in Thyroid Disease. Diabetes Spectrum. 2006;19(3):148-153. doi:10.2337/diaspect.19.3.148 Original Paper DOI 12. Duntas LH, Brenta G. The effect of thyroid disorders on lipid levels and metabolism. Med Clin North Am. 2012;96(2):269-281. doi:10.1016/j.mcna.2012.01.012 Original Paper DOI 13. Dang Tran Khiem, Luu Ngam Tam, Nguyen Tan Cuong. Preoperative nutritional status and early outcomes of inpatients at Department of Hepato Biliary and Pancreatic Surgery, Cho Ray Hospital. Medical journal of Ho Chi Minh City. 2013;17(1): 328-334. 14. Chu Thi Tuyet. Comprehensive nutritional effects for patients undergoing abdominoplasty - open gastrointestinal preparation at the Department of Surgery, Bach Mai Hospital 2013. PhD Dissertation, National Institute of Hygiene and Epidemiology, 2015.
