The prospective investigation of nutritional risk and undernutrition and the nutrition support in stage I-III gastro-colorectal cancer patients in a tertiary hospital in Ningbo

Abstract

Objective To investigate the prevalence of nutritional risk and undernutrition and the nutrition support in stage Ⅰ-Ⅲ gastro-colorectal cancer patients in a tertiary hospital in Ningbo,Zhejiang province.Methods The clinical data of all patients in the wards of general surgery and gastrointestinal surgery were consecutively recorded into the electronic data collection system from January 2012 to December 2012,during which the prevalence of nutritional risk was analyzed based on 3513 consecutive cases.For 277 patients with stage Ⅰ-Ⅲ gastro-colorectal cancer,the prevalence of nutritional risk and undernutrition were analyzed.Both the accurate amount and duration of nutritional support ingredients (calories,amino acids,carbohydrates,and fat intake) were recorded until patients' discharge.The recorded electronic data were then statistically analyzed.Results The total nutritional risk rate was 17.28％ in the consecutively sampled 3513 cases.In 277 patients meeting the diagnostic criteria,the nutritional risk rate was 45.49％.The undernutrition rate was 13.36％ by multi-item standard (based on Nutritional Risk Screening 2002 nutrition disorder score) and 9.03％ by one item standard (with body mass index ＜ 18.5 kg/m2 and poor generally condition),respectively.The difference gap was 4.33％.The nutrition support rate was 93.65％ in patients with nutrition risk and 61.59％ in patients without nutrition risk.The average ratio between parenteral nutrition and enteral nutrition was 2.67:1.The total amounts of parenteral calorie intake and nitrogen intake were insufficient.Conclusions The rate of nutritional risk in the stage Ⅰ ～ Ⅲ gastro-colorectal cancer patients is relatively high in this tertiary hospital.The application of nutrition support has not been standardized.More reasonable nutrition support should be promoted in this hospital in accordance with the Enteral and Parenteral Nutrition Clinical Practice Guidelines of the Chinese Medical Association. Key words: Nutritional Risk Screening 2002; Nutritional risk; Undernutrition; Nutrition support