| Autor: |
A., Mohamed Arsath, R., Vignesh, C., Balamurugan |
| Předmět: |
|
| Zdroj: |
International Journal of Medicine & Public Health; Oct-Dec2024, Vol. 14 Issue 4, p719-722, 4p |
| Abstrakt: |
Background: Malnourishment is the scourge of the developing countries like India. Nutrition is important in many physiological processes like wound healing. In patients posted for surgery, their nutritional status plays an important part in the post-operative wound healing and prevention of complications like wound gaping and leakage from anastomosis. In this study we try to establish the relation between four nutritional indices and their effect on the postoperative wound healing and there by the duration of hospital stay. To study the nutritional factors affecting wound healing. Materials and Methods: This prospective study was conducted by selection of random 35 cases posted for major elective surgery during the period from March 2022 to March 2024 in Department of General Surgery, SRM. Results: The analysis subsequently concentrated on handgrip strength across each SGA category. The study revealed a significant correlation between handgrip strength and SGA classification. Notably, class A exhibited a higher median handgrip strength than classes B and C, both preoperatively and postoperatively. The preoperative handgrip strength for class A was 33 kg (27.26 - 42), while for class B it ranged from 23.56 to 36, and for class C from 17 to 23. The postoperative handgrip strength for class A was 17.44 - 41, for class B 19.58 - 29.58, and for class C 13 - 17. The disparities in handgrip strength among the classes were statistically significant (p<0.0001 preoperatively and p=0.0003 postoperatively). The hospital food provided significantly lower total energy (1268.8 kcal) and protein (32.6 g) than the predicted requirements (1560 kcal (1488 - 1809) and 72 g (61.67 - 80) respectively) (p<0.0001). Conclusion: Our study concludes that the preoperative nutritional state of the patient significantly influences postoperative wound healing. An inadequate preoperative condition predisposes individuals to several problems, including as wound dehiscence and leakage. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
