ASSESSMENT OF THE NUTRITIONAL STATUS OF UROLOGY PATIENTS WITH MALIGNANCIES.

Introduction. Identifying patients with nutritional risk, nutritive assessment, and individual nutritional support are essential factors for the quality of treatment. Showing the importance of nutritional and clinical parameters as the essential indicators of the need for perioperative nutritional support. Differences in albumin and protein concentrations in the preoperative and postoperative periods of urology patients are directly related to the patients’ age. Material and Methods. In 130 urological patients with malignancies, nutritional status was evaluated based on preoperative appetite reduction, unintentional body mass loss in the preoperative period, body mass index, the thickness of skin folds, percentage of fat tissue, the difference between normal and measured body weight, the level of albumins and total serum proteins preoperatively and postoperatively and other clinical parameters such as the presence of cardiovascular diseases and according to the classification of the American Society of Anesthesiologists patients status. Interviews, medical history, and anthropometric measurements were used in the research. Results. Of the total number of respondents, 81.5% did not have a decreased appetite, and 69.2% did not lose body weight. According to the body mass index, the highest percentage (50.77%) was normally nourished, while the malnourished group only comprised of 0.77%. A decrease in albumin and protein concentration was proven throughout the perioperative period. Older patients had lower concentrations of albumin and protein in this period. Conclusion. It is necessary to use several parameters, including body mass index and percentage fat percentage measurement to assess the nutritional status. Adequate perioperative protein nutritional support should be primarily be administered to elderly patients. [ABSTRACT FROM AUTHOR]

Uvod. Prepoznavanje bolesnika sa nutritivnim rizikom, nutritivna procena i individualna nutritivna potpora značajni su činioci kvaliteta bolničkog lečenja. Prikazivanje značaja nutritivnih i kliničkih parametra kao glavnih pokazatelja potrebe za adekvatnom perioperativnom nutritivnom potporom. Razlike u koncentraciji albumina i proteina u preoperativnom i postoperativnom periodu lečenja uroloških bolesnika direktno su povezane sa starošću bolesnika. Materijal i metode. Kod 130 uroloških onkoloških bolesnika procenjivan je nutritivni status na osnovu: preoperativnog smanjenja apetita, nenamernog gubitka telesne mase preoperativno, indeksa telesne mase, debljine kožnih nabora, procenta masnog tkiva, razlika između uobičajene i izmerene telesne mase, nivoa albumina i ukupnih proteina u serumu preoperativno i postoperativno, prisustva kardiovaskularnih oboljenja i procena statusa bolesnika prema klasifikaciji Američkog udruženja anesteziologa. U istraživanju su korišćeni intervju, podaci iz istorije bolesti i antropometrijska merenja. Rezultati. Od ukupnog broja ispitanika 81,5% nije imalo smanjenje apetita, gubitak u telesnoj masi nije imalo 69,2%. Prema indeksu telesne mase najveći procenat su činili normalno uhranjeni 50,77%, dok je grupa pothranjenih činila tek 0,77%. Dokazano je smanjenje koncentracije albumina i proteina u čitavom perioperativnom periodu. Stariji bolesnici su imali u ovom periodu niže koncentracije albumina i proteina. Zaključak. Za procenu nutritivnog statusa potrebno je koristiti više parametara uključujući indeks telesne mase i merenje procenta masnog tkiva. Starijim bolesnicima potrebno je prevashodno ordinirati adekvatnu perioperativnu proteinsku nutritivnu potporu. [ABSTRACT FROM AUTHOR]