Abstract
q h h b a o o a t n p x urgeons, more than most other types of physicians, are equired to have a thorough knowledge of the principles f nutrition because many of their interventions alter the ormal route of alimentation. Yet when surgeons are olled about the frequency with which they conduct a utritional assessment of their older patients, most repond “rarely.” This apparent disconnect between the nowledge of perioperative nutritional issues and the reoperative assessment of nutritional status is unfortuate because the prevalence of undernutrition and malutrition in older patients is considerable. Nine percent o 15% of persons over age 65 years are found to be alnourished in the outpatient clinics, 12% to 50% in he acute inpatient hospital, and 25% to 60% or more in he chronic institutional setting. Because adequate nurition is an important predictor of surgical outcomes, urgeons need to be more aware of the factors involved in etermining the nutritional state of their older patients. o facilitate this understanding we will discuss four uestions: Why do the elderly become malnourished? hy is nutrition important? How is nutritional status ssessed? What can be done once malnutrition is dentified?
Published Version
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