The Evaluation of Nutritional Status of 100 Consecutive Patients at the Time of Admission to Surgical Clinic of Oncology Hospital

INTRODUCTION: In this study, the nutritional status of 100 consecutive patients with a diagnosis of malignancy at theadmission to general surgery clinic of a tertiary oncology reference center was evaluated.
METHODS: The diagnosis, gender, body mass index (BMI), nutritional risk screening (NRS 2002), and subjective global assessment of nutritional status (SGA) were evaluated.. Patients in terms of malnutritiion were grouped as normal (score 0), mild impairment (score 1), moderate impairment (score 2), and severe impairment (score 3). In terms of body mass index, the patients were grouped as underweight (<20), normal weight (20-25), overweight (25-30), obese (30-40) and morbidly obese (>40). In terms of subjective global assessment, the patients grouped as well-nourished (A), mild -to-moderate malnutrished (B) and severely malnourished (C ).
RESULTS: In terms of BMI, 46 patients were normal in weight, 34 patients were overweight, 12 patients were obese, 7 patients were underweight and one patient was morbidly obese. In terms of nutritional status, 42 patients were normal, severe impairment was present in 40 patients, moderate impairment in 12 patients and mild impairment in 6 patients..In terms of subjective global assessment, 50 patients were considered well nourished, 40 patients had mild-to-moderate malnutrition and severe malnutrition was found in 10 patients.Malnutrition was much more prevalent in patients with gastrointestinal tumors, as expected.
DISCUSSION AND CONCLUSION: Malnutrition is much more common than expected in patients admitted to oncology clinics. This impairment varies according to the location of primary disease. Malnutrition should be treated and possible new challenges should be avoided.

Onkoloji Hastanesi Genel Cerrahi Kliðine Yatan 100 Ardýþýk Hastanýn Yatýþ Anýndaki Nütrisyonel Durumunun Deðerlendirilmesi

GÝRÝÞ ve AMAÇ: Bu çalýþmada tersiyer bir referans merkezi olan Onkoloji Hastanesi genel cerrahi kliniðinde malignite tanýsý ile yatarak tedavi edilmiþ 100 ardýþýk hastanýn yatýþ anýndaki nütrisyonel durumunun deðerlendirilmesi amaçlanmýþtýr.
YÖNTEM ve GEREÇLER: Hastalarýn tanýlarý, cinsiyetleri, vücut kitle indeksleri (VKÝ), nütrisyonel risk taramasý (NRS 2002) ve nütrisyon durumunun subjektif global deðerlendirmesi (SGD) yapýlmýþtýr. Nütrisyon durumunda bozulma açýsýndan hastalar normal (skor 0), hafif bozulma(skor 1), orta bozulma (skor 2) ve þiddetli bozulma (skor 3) olarak gruplandýrýlmýþtýr. VKÝ açýsýndan; <20 zayýf, 20-25 arasý normal kilolu, 25-30 arasý kilolu, 30-40 arasý þiþman ve >40 morbid obez olarak deðerlendirilmiþtir. SGD açýsýndan; A iyi beslenmiþ, B hafif-orta beslenme bozukluðu ve C ise þiddetli beslenme bozukluðu olarak deðerlendirilmiþtir.
BULGULAR: VKÝ açýsýndan deðerlendirildiðinde; 46 hasta normal kilolu, 34 hasta kilolu, 12 hasta þiþman, 7 hasta zayýf ve bir hasta da morbid obez olarak saptanmýþtýr. Nütrisyon durumunda bozulma açýsýndan deðerlendirildiðinde; hastalarýn 42’si normal bulunurken, 40’ýnda þiddetli bozulma, 12’sinde orta bozulma ve 6’sýnda hafif bozulma saptanmýþtýr. SGD açýsýndan deðerlendirildiðinde; 50 hasta iyi beslenmiþ olarak deðerlendirilirken, 40 hastada hafif-orta derecede beslenme bozukluðu ve 10 hastada ise þiddetli beslenme bozukluðu saptanmýþtýr.
Hastalar taný sýklýðýna göre deðerlendirildiðinde; 34 hastanýn meme kanseri, 24 hastanýn mide kanseri, 16 hastanýn kolon kanseri ve 8 hastanýn da rektum kanseri tanýsý ile kliniðe yatýrýldýklarý saptanmýþtýr.

TARTIÞMA ve SONUÇ: Onkoloji kliniklerine yatan hastalarda beslenme bozukluklarý sanýlandan daha sýktýr. Bu bozulma hastalýðýn primer olarak yerleþtiði organa göre de deðiþiklik göstermektedir. Bu hastalarýn tümü yatýþ sýrasýnda beslenme durumu açýsýndan deðerlendirilmeli ve geliþmiþ olan bozukluklar tedavi edilmeli ve geliþebilecek yeni sorunlar engellenmelidir.