
Nutrition and Frailty Status of Patients Undergoing Cardiovascular Surgery and Its Association With Postoperative Outcomes
More Info
Marion D.Patricio, MD | Bjorn Timothy A. Lagos, MD | Armand Delo A. Tan, MD | Christian John M. Tortosa, MD | Chito C. Permejo, MD
- White JV, Guenter P, Jensen G, Malone A, Schofield M, Academy Malnutrition Work Group; A.S.P.E.N. Malnutrition Task Force; A.S.P.E.N. Board of Directors. Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition. JPEN J Parenter Enteral Nutr 2012;36(3):275–283. doi:10.1177/0148607112440285.
- National Alliance for Infusion Therapy and the American Society for Parenteral and Enteral Nutrition Public Policy Committee and Board of Directors. Disease-related malnutrition and enteral nutrition therapy: A significant problem with a cost-effective solution. Nutr Clin Pract 2010;25:548–554.
- Hall R. Identification of inflammatory mediators and their modulation by strategies for the management of the systemic inflammatory response during cardiac surgery. J Cardiothorac Vasc Anesth 2013;27:983–1033.
- Polsinelli VB, Sinha A, Shah SJ. Visceral congestion in heart failure: Right ventricular dysfunction, splanchnic hemodynamics, and the intestinal microenvironment. Curr Heart Fail Rep 2017;14:519–528.
- Aziz NASA, Teng NIMF, Hamid MRA, Ismail NH. Assessing the nutritional status of hospitalized elderly. Clin Interv Aging 2017;12:1615–1625. doi:10.2147/cia.s140859.
- Bayir H, et al. Investigation of malnutrition rates and related risk factors in open heart surgery. J Cardiovasc Thorac Anaesth Intensive Care Soc 2014;20(4):209–214.
- Lomivorotov V, Efremov SM, Boboshko VA, et al. Prognostic value of nutritional screening tools for patients scheduled for cardiac surgery. Interact Cardiovasc Thorac Surg 2013;16:612–618.
- Correia, Waitzberg DL. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr 2003;22(3):235–239. doi:10.1016/s0261-5614(02)00215-7.
- Zhou J, Wang M, Wang H, Chi Q. Comparison of two nutrition assessment tools in surgical elderly inpatients in Northern China. Nutr J 2015;14:68.
- Lopez-Delgado JC, Muñoz-Del Rio G, Flordelís-Lasierra JL, Putzu A. Nutrition in adult cardiac surgery: Preoperative evaluation, management in the postoperative period, and clinical implications for outcomes. J Cardiothorac Vasc Anesth 2019;33(11):3143–3162. doi:10.1053/jjvca.2019.04.002
- Dominguez RJ. Burden of malnutrition in a tertiary care hospital in Baguio city. SAGE Open 2013;3(3):215824401350493.
- Cederholm T, Jensen GL, Correia MITD, et al. GLIM criteria for the diagnosis of malnutrition—A consensus report from the global clinical nutrition community [published online September 2, 2018]. Clin Nutr 2018. https://doi. org/10.1016/j.clnu.2018.08.002.
- Karupaiah T, Sahathevan S, Kaur H. Routine hospital screening tool (nrs-2002) is adequate for identifying malnourished dialysis patients in Malaysia. Kidney Res Clin Pract 2012;31(2):A44.
- Kondrup J. ESPEN Guidelines for Nutrition Screening 2002. Clin Nutr 2003;22(4):415–421. doi:10.1016/s0261- 5614(03)00098-0
- Soysal P, Stubbs B, Paola Lucato P, et al. Inflammation and frailty in the elderly: A systematic review and meta-analysis. Ageing Res Rev 2016;31:1–8.
- Robinson TN, Eiseman B, Wallace JI, et al. Redefining geriatric preoperative assessment using frailty, disability and co-morbidity. Ann Surg 2009;250:449–455.
- Unosawa S, Taoka M, Osaka S, et al. Is malnutrition associated with postoperative complications after cardiac surgery? J Card Surg 2019;34(10):908–912. doi:10.1111/ jocs.14155.
- Abdullahi YS, Athanasopoulos LV, Casula RP, et al. Systematic review on the predictive ability of frailty assessment measures in cardiac surgery. Interact Cardiovasc Thorac Surg 2017;24:619–624.
- de Vries NM, Staal JB, van Ravensberg CD, Hobbelen JSM, Rikkert MGMO, Nijhuis-van der Sanden MWG. Outcome instruments to measure frailty: A systematic review. Ageing Res Rev 2011;10:104–114.
- Arai Y, Kimura T, Takahashi Y, Hashimoto T, Arakawa M, Okamura H. Preoperative frailty is associated with progression of postoperative cardiac rehabilitation in patients undergoing cardiovascular surgery [published online April 5, 2019]. Gen Thorac Cardiovasc Surg 2019;67(11):917–924. doi: 10.1007/s11748-019-01121-7. PMID: 30953315.
- Afilalo J. Frailty in patients with cardiovascular disease: Why, when, and how to measure. Curr Cardiovasc Risk Rep 2011;5:467–472.
- Church S, Rogers E, Rockwood K, Theou O. A scoping review of the Clinical Frailty Scale. BMC Geriatr 2020;20(1):393. doi:10.1186/s12877-020-01801-7.
- Moreno-Ariño M, Jiménez IS, Gutiérrez AC, Morera JCO, Comet R. Assessing the strengths and weaknesses of the Clinical Frailty Scale through correlation with a frailty index. Aging Clin Exp Res 2020;32(11):2225–2232. doi: 10.1007/s40520-019-01450-w.
- Muscedere J, Waters B, Varambally A, et al. The impact of frailty on intensive care unit outcomes: A systematic review and meta-analysis. Intensive Care Med 2017;43(8):1105– 1122. doi:10.1007/s00134-017-4867-0.
- Sepehri A, Beggs T, Hassan A, et al. The impact of frailty on outcomes after cardiac surgery: A systematic review. J Thorac Cardiovasc Surg 2014;148(6):3110–3117. doi:10.1016/j.jtcvs.2014.07.087.
- Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine [e-book]. 11th ed. Philadelphia, PA, Elsevier, 2018.
- Panchangam, C. et al. Translation of the frailty paradigm from older adults to children with cardiac disease. https:// scholarlyexchange.childrensmercy.org/papers/1892/. Accessed August 6, 2020.
- Peacock JL, Peacock PJ. Research design. In Oxford Handbook of Medical Statistics. New York: Oxford University Press, 2011; pp. 60–61.
- Amare H, Hamza L, Asefa H. Malnutrition and associated factors among heart failure patients on follow up at Jimma University Specialized Hospital, Ethiopia. BMC Cardiovasc Disord 2015;15:128. doi: 10.1186/s12872-015-0111-4. PMID: 26471898; PMCID: PMC4608297.
- Bayir H, Yildiz I. Malnutrition and adverse effects in cardiac surgery [published online May 4, 2015]. Thorac Cardiovasc Surg 2015;63(4):349–350. doi: 10.1055/s-0035-1548999. PMID: 25938269.
- Lee DH, Buth KJ, Martin BJ, Yip AM, Hirsch GM. Frail patients are at increased risk for mortality and prolonged institutional care after cardiac surgery [published online February 16, 2010]. Circulation 2010;121(8):973–978. doi: 10.1161/CIRCULATIONAHA.108.841437. PMID: 20159833.
- Afilalo J, Mottillo S, Eisenberg MJ, et al. Addition of frailty and disability to cardiac surgery risk scores identifies elderly patients at high risk of mortality or major morbidity [published online March 6, 2012]. Circ Cardiovasc Qual Outcomes 2012;5(2):222–228. doi: 10.1161/ CIRCOUTCOMES.111.963157. PMID: 22396586.
- Drudi LM, Tat J, Ades M, et al. Preoperative exercise rehabilitation in cardiac and vascular interventions [published online January 9, 2019]. J Surg Res 2019;237:3–11. doi: 10.1016/j.jss.2018.11.042. PMID: 30694788.
Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0
International License, which permits use, share — copy and redistribute the material in any medium or format,
adapt — remix, transform, and build upon the material, as long as you give appropriate credit,
provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner,
but not in any way that suggests the licensor endorses you or your use. You may not use the material for
commercial purposes. If you remix, transform, or build upon the material, you must distribute your
contributions under the same license as the original. You may not apply legal terms or technological
measures that legally restrict others from doing anything the license permits. The images or other
third party material in this article are included in the article’s Creative Commons license, unless indicated
otherwise in a credit line to the material. If material is not included in the article’s Creative Commons
license and your intended use is not permitted by statutory regulation or exceeds the permitted use,
you will need to obtain permission directly from the copyright holder. To view a copy of this license,
visit https://creativecommons.org/licenses/by-nc-sa/4.0/.