The Use of the Perioperative Nutrition Score in Postoperative Pediatric Inflammatory Bowel Disease Patients |
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Affiliation: | 1. Emory-Children''s Pediatric Institute, Division of Pediatric Surgery, Department of Surgery, Emory University, Atlanta, GA, USA;2. Division of Pediatric Surgery, Department of Surgery, Children''s Healthcare of Atlanta, Atlanta, GA, USA;3. Department of Surgery, University of Tennessee Medical Center, Knoxville, TN, USA;4. Emory-Children''s Pediatric Institute, Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, And Nutrition, Emory University, Atlanta, GA, USA |
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Abstract: | Background and objectivesPreoperative malnutrition is associated with increased postoperative morbidity. The perioperative nutrition score (PONS) was developed to identify patients at risk of malnutrition. We sought to assess the correlation between preoperative PONS and postoperative outcomes in pediatric inflammatory bowel disease (IBD) patients.MethodsWe performed a retrospective cohort study of IBD patients, less than 21 years of age, who underwent elective bowel resection between June 2018 and November 2021. Patients were divided based upon whether they met PONS criteria. The primary outcome was postoperative surgical site infections.Results96 patients were included. Sixty-one patients (64%) met at least one PONS criteria, while 35 patients (36%) met none. PONS positive patients more frequently received preoperative TPN supplementation (p < .001). There was no difference in preoperative oral nutritional supplementation between groups. Patients that screened positive for PONS had a longer hospital stay (p = .002), more readmissions (p = .029), and more surgical site infections (p = .002).ConclusionsOur data highlight the prevalence of malnutrition in the pediatric IBD population. Patients who screened positive had worse postoperative outcomes. Further, very few of these patients received preoperative optimization with oral nutritional supplementation. There is a need for standardization of nutritional evaluation to improve preoperative nutritional status and postoperative outcomes.Level of EvidenceIII.Type of StudyRetrospective Cohort. |
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Keywords: | Inflammatory bowel disease Nutrition PONS (Perioperative nutrition score) PONS" },{" #name" :" keyword" ," $" :{" id" :" kwrd0030" }," $$" :[{" #name" :" text" ," _" :" perioperative nutrition score IBD" },{" #name" :" keyword" ," $" :{" id" :" kwrd0040" }," $$" :[{" #name" :" text" ," _" :" inflammatory bowel disease BMI" },{" #name" :" keyword" ," $" :{" id" :" kwrd0050" }," $$" :[{" #name" :" text" ," _" :" body mass index PYMS" },{" #name" :" keyword" ," $" :{" id" :" kwrd0060" }," $$" :[{" #name" :" text" ," _" :" The Pediatric Yorkhill Malnutrition Score STAMP" },{" #name" :" keyword" ," $" :{" id" :" kwrd0070" }," $$" :[{" #name" :" text" ," _" :" Screening Tool for the Assessment of Malnutrition in Pediatrics STRONGKids" },{" #name" :" keyword" ," $" :{" id" :" kwrd0080" }," $$" :[{" #name" :" text" ," _" :" Screening Tool for Risk of Impaired Nutritional Status and Growth |
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