Preoperative evaluation of malnutrition using malnutrition universal screening tool(MUST),Malnutrition assessment short form(MNA-SF) and Calf Circumference(CC) in predicting postoperative problems in head and neck and gastrointestinal cancer patients

Phase 2/3

Completed

Brief Summary: Preoperative poor nutritional state and weight loss are a major cause of postoperative morbidity.Reduced food intake,pain,decreased mouth opening,age ,vomiting,dysphagia,gastrointestinal obstruction,radiation are factors that influence perioperative nutrition in these patients Definition of the Problem: There is a need for detailed assessement of nutrition in the pre anesthetic clinic and to identify undernourished patients.We retrospectively analysed 37 patients who underwent major GI and head and neck cancer surgeries in the month of january 2020 .The prevelance of malnutrition was 13% amongst 37 patients.50% of the malnourished patients had surgical site infection.The main objective of the study is to identify which amongst the three tools are effective in predicting malnutrition and the secondary objective if malnutrition is a major cause of postoperative infection

Materials and Methods:This will be a prospective observational study in which all patients will undergo the three screening tests at the pre anesthetic check up after obtaining consent from them.They will be followed up until discharge to know the length of hospital stay ,infection any type,antibiotic escalation,30 day mortality and readmission

Recruitment & Eligibility

Inclusion Criteria

All head and Neck Gastrointestinal Cancer patients.

Exclusion Criteria

Patients below 18 years Patients undergoing Emergency surgeries.

Primary Outcome Measures

Name	Time	Method
To compare MUST,MNA-SF and Calf Circumference and to identify which amongst the three is better preoperative screening tool for assessment of malnutrition in our cohort of patients against the gold standard European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines for malnutrition	Until day of surgery

Secondary Outcome Measures

Name	Time	Method
Secondary outcome:Which of the nutritional screening tools reflected on the postoperative morbidity	To be followed until discharge to identify the length of stay and thirty day readmission

Locations (1): Cancer institute(WIA)
🇮🇳
Chennai, TAMIL NADU, India
Cancer institute(WIA)
🇮🇳Chennai, TAMIL NADU, India
Nivedhyaa S
Principal investigator
9597423654
nivedhyaa@gmail.com