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Kartika Marola, Agussalim Bukhari, Nurpudji Astuti Daud, Warsinggih Warsinggih, Aminuddin Aminuddin, Marniar Marniar
Introduction: The prevalence of hospital malnutrition inIndonesian 23.9% - 60.5%. It is important to evaluate nutritional status of patients at admission to prevent malnutritionand to identify the need for nutritional therapy. Nutrition, immunity, and the gastrointestinal tract are closely interrelated. Malnutrition is widely reported in surgical patients, especially those who have undergone major surgery, and is a particularrisk in patients under going surgery for upper gastrointestinal cancer or colorectal cancer. Studies show a high prevalence of malnutrition or high nutritional risk during hospital admission, but this is rarely assessed in the clinical setting, especially for patients undergoing elective surgery. There has been nostudy on digestive surgery patients receiving medical nutritional therapy (MNT).
Method: A retrospective cohort study was conducted, including 353 digestive surgery patients who were admitted between January 2022 and January 2024. This study used medical record data with a total sample of digestive surgery patients. Nutritional status was assessed using the Malnutrition Universal Screening Tool (MUST). This study identified the MUST modified scores of digestive surgery patients, with albumin, Neutrophil-to-Lymphocyte Ratio (NLR), and Total Lymphocyte Count (TLC) values. Statistical analyses were performed using chi-squaretests for categorical variables and t-tests or Mann-Whitney Utests for continuous variables, with a p-value of <0.05 considered statistically significant.
Result:The most common diagnosis is rectal cancer. Moderate MUST score in 144 patients (40.7%), low MUSTscore in 140 patients (39.6%) and high MUST scores in 69 patients (19.5%). 96 patients (27%) received medical nutrition therapy, 71% with severe protein energy malnutrition diagnosis, 29% with moderate protein energy malnutrition diagnosis.
Conclusion: Malnutrition is common among digestive surgery patients and is associated with impaired immune function, as evidenced by hypoalbuminemia and higher NLRin malnourished patients. MUST modified score directly correlated with hypoalbuminemia, increased of NLR, and patient mortality in RSUP. Dr. Wahidin Sudirohusodo Makassar, SouthSulawesi.
