Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Perioperative Spine: Preoperative Nutritional Assessment.
Publication/Presentation Date
10-13-2021
Abstract
BACKGROUND: Preoperative malnutrition has been implicated in adverse events after elective surgery, potentially impacting patient outcomes.
OBJECTIVE: As a potentially modifiable risk factor, we sought to determine which assessments of nutritional status were associated with specific adverse events after spine surgery. In addition, we explored if a preoperative nutritional improvement intervention may be beneficial in lowering the rates of these adverse events.
METHODS: The literature search yielded 115 abstracts relevant to the PICO (patient/population, intervention, comparison, and outcomes) questions included in this chapter. The task force selected 105 articles for full text review, and 13 met criteria for inclusion in this systematic review.
RESULTS: Malnutrition, assessed preoperatively by a serum albumin < 3.5 g/dL or a serum prealbumin < 20 mg/dL, is associated with a higher rate of surgical site infections (SSIs), other wound complications, nonunions, hospital readmissions, and other medical complications after spine surgery. A multimodal nutrition management protocol decreases albumin and electrolyte deficiencies in patients with normal preoperative nutritional status. It also improves overall complication rates but does not specifically impact SSIs.
CONCLUSION: It is recommended to assess nutritional status using either serum albumin or prealbumin preoperatively in patients undergoing spine surgery.The full guidelines can be accessed at https://www.cns.org/guidelines/browse-guidelines-detail/4-preoperative-nutritional-assessment.
Volume
89
Issue
Suppl 1
First Page
26
Last Page
26
ISSN
1524-4040
Published In/Presented At
Bisson, E. F., Dimar, J., Harrop, J. S., Hoh, D. J., Mohamed, B., Mummaneni, P. V., Wang, M. C., & Dhall, S. (2021). Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Perioperative Spine: Preoperative Nutritional Assessment. Neurosurgery, 89(Suppl 1), S26–S32. https://doi.org/10.1093/neuros/nyab318
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
34490884
Department(s)
Administration and Leadership
Document Type
Article