Application and outlook of nutritional screening in enhanced recovery after joint surgery

doi:10.3877/cma.j.issn.1674-134X.2023.02.014

Abstract

Abstract:

As a part of the multi-disciplinary treatment (MDT) in enhanced recovery after surgery (ERAS), the nutritional status of a patient affects ERAS after knee and hip arthroplasties. However, there are limited tools available to assess the nutritional status of patients as most studies only tested only albumin counts, lymphcyte counts and transferrin as markers of malnutrition, or even directly replaced the assessment tests with screening, which makes it difficult to accurately identify the patients who are at a nutritional risk. The aims of this paper were to review the current use of nutritional screening in joint surgery, analyse the factors that could benefit from nutritional screening, put forward the importance of nutritional screening for joint surgeons in ERAS, and provide evidences to the development of precision nutrition in accelerated rehabilitation in joint surgery.

Key words: Orthopedics, Joints, Nutritional assement

Ying Pan, Ke Xu, Chao Lu, Peng Xu. Application and outlook of nutritional screening in enhanced recovery after joint surgery[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(02): 248-252.

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References 39

[1]	Kamath AF, McAuliffe CL, Kosseim LM, et al. Malnutrition in joint arthroplasty: prospective study indicates risk of unplanned ICU admission[J]. Arch Bone Jt Surg, 2016, 4(2): 128-131.
[2]	Ihle C, Freude T, Bahrs C, et al. Malnutrition-an underestimated factor in the inpatient treatment of traumatology and orthopedic patients：aprospective evaluation of 1 055 patients[J]. Injury, 2017, 48(3): 628-636.
[3]	Wischmeyer PE, Carli F, Evans DC, et al. American society for enhanced recovery andperioperative quality initiative joint consensus statement on nutrition screening and therapy within a surgical enhanced recovery pathway[J]. AnesthAnalg, 2018, 126(6): 1883-1895.
[4]	Kehlet H． Multimodal approach to control postoperative pathophysiology and rehabilitation[J]. Br J Anaesth, 1997, 78: 606-617.
[5]	Zhu S, Qian W, Jiang C, et al. Enhanced recovery after surgery for hip and knee arthroplasty: asystematic review and meta-analysis[J]. PostgradMedJ, 2017, 93(1106): 736-742.
[6]	Elias KM, Stone AB, McGinigle K, et al. The reporting on ERAS compliance, outcomes, and elements research (RECOvER) checklist: a joint statement by the ERAS® and ERAS® USA societies[J]. World J Surg, 2019, 43(1): 1-8.
[7]	徐兴全，闫文强，姚尧，等. 低蛋白血症延长髋膝关节置换患者住院日[J/CD]. 中华关节外科杂志(电子版), 2021, 15(1): 39-44.
[8]	Hardy A, Courgeon M, Pellei K, et al. Improved clinical outcomes of outpatient enhanced recovery hip and knee replacements in comparison to standard inpatient procedures: astudy of patients who experienced both[J/OL]. Orthop Traumatol Surg Res，2022, 108(6): 103236. DOI：10.1016/j.otsr.2022.103236.
[9]	沈彬，翁习生，廖刃，等. 中国髋、膝关节置换术加速康复——围术期疼痛与睡眠管理专家共识[J]. 中华骨与关节外科杂志，2016, 9(2): 91-97.
[10]	Frank R, Noyes. Critical rehabilitation for partial and total knee arthroplasty[M]. Berlin Heidelberg Springer，2021: 1-124
[11]	Alfargieny R, Bodalal Z, Bendardaf R, et al. Nutritional status as a predictive marker for surgical site infection in total joint arthroplasty[J]. Avicenna J Med, 2015, 5(4): 117-122.
[12]	Nelson C, Elkassabany N, Guo Z, et al. Low albumin is a risk factor for complications after revision total knee arthroplasty[J]. J Knee Surg, 2016, 30(3): 269-275.
[13]	Bohl DD, Shen MR, Kayupov E, et al. Hypoalbuminemia independently predicts surgical site infection, pneumonia, length of stay, and readmission after total joint arthroplasty[J]. J Arthroplasty, 2016, 31(1): 15-21.
[14]	D'Almeida CA, Peres WAF, de Pinho NB, et al. Prevalence of malnutrition in older hospitalized cancer patients: amulticenter and multiregional study[J]. J Nutr Health Aging, 2020, 24(2): 166-171.
[15]	吕振邦，李庭，吴新宝. 加速康复外科理念下老年髋部骨折围手术期管理的研究进展[J]. 中华创伤骨科杂志，2018, 20(5): 451-455.
[16]	Yi PH, Frank RM, Vann E, et al. Is potential malnutrition associated with septic failure and acute infection after revision total joint arthroplasty？[J]. Clin Orthop Relat Res, 2015, 473(1): 175-182.
[17]	Vanderwee K, Clays E, Bocquaert I, et al. Malnutrition and nutritional care practices in hospital wards for older people[J]. J Adv Nurs, 2011, 67(4): 736-746.
[18]	Riaz O, Arshad R, Nisar S, et al. Serum albumin and fixation failure with cannulated hip screws in undisplaced intracapsular femoral neck fracture[J]. Ann R Coll Surg Engl, 2016, 98(6): 376-379.
[19]	Xu YC, Vincent JI. Clinical measurement properties of malnutrition assessment tools for use with patients in hospitals: a systematic review[J/OL]. Nutr J, 2020, 19(1): 106. DOI：10.1186/S12937-020-00613-0.
[20]	Golladay GJ, Satpathy J, Jiranek WA. Patient optimization-strategies that work: malnutrition[J]. J Arthroplasty, 2016, 31(8): 1631-1634.
[21]	Kaluźniak-Szymanowska A, Krzymińska-Siemaszko R, Wieczo-rowska-Tobis K, et al. Optimal assessment of nutritional status in older subjects with the chronic obstructive pulmonary disease-acomparison of three screeningtools used in the GLIM diagnostic algorithm[J/OL]. Int J Environ Res Public Health, 2022, 19(3): 1025. DOI：10.3390/ijerph19031025.
[22]	石汉平，李薇，齐玉梅. 营养筛查与评估[M]. 北京：人民卫生出版社，2014.
[23]	Kondrup J, Rasmussen HH, Hamberg O, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials[J]. ClinNutr, 2003, 22(3): 321-336.
[24]	Zhang Z, Wan Z, Zhu Y, et al. Prevalence of malnutrition comparing NRS2002, MUST, and PG-SGA with the GLIM criteria in adults with cancer: a multi-center study[J/OL]. Nutrition, 2021, 83: 111072. DOI：10.1016/j.nut.2022.111072.
[25]	Leandro-Merhi VA, de Aquino JLB, ReisLO. Predictors of nutritional risk according to NRS-2002 and calf circumference in hospitalized older adults with neoplasms[J]. Nutr Cancer, 2017, 69(8): 1219-1226.
[26]	Kroc , Fife E, Piechocka-Wochniak E, et al. Comparison of nutrition risk screening 2002 and subjective global assessment form as short nutrition assessment tools in older hospitalized adults[J/OL]. Nutrients, 2021, 13(1): 225. DOI：10.3390/nu13010225.
[27]	Cross MB, Yi PH, Thomas CF, et al. Evaluation of malnutrition in orthopaedic surgery[J]. J Am Acad Orthop Surg, 2014, 22(3): 193-199.
[28]	Soffin EM, YaDeau JT. Enhanced recovery after surgery for primary hip and knee arthroplasty: a review of the evidence[J]. Br J Anaesth, 2016, 117(suppl 3): iii62-iii72.
[29]	Vellas B, Guigoz Y, Garry PJ, et al. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients[J]. Nutrition, 1999, 5(2):116-122.
[30]	Abd Aziz NAS, Mohd Fahmi Teng NI, Ab Hamid MR, et al. Assessing the nutritional status of hospitalized elderly[J]. Clin Interv Aging, 2017, 12: 1615-1625.
[31]	Morey VM, Song YD, Whang JS, et al. Can serum albumin level andtotal lymphocyte count be surrogates for malnutrition to predict woundcomplications after total knee arthroplasty？[J]. Arthroplasty, 2016, 31(6): 1317-1321.
[32]	Ellsworth B, Kamath AF. Malnutrition and total joint arthroplasty[J/OL]. J Nat Sci, 2016, 2(3): e179. URL
[33]	Jang I S, Kim M Y. Preoperative nutritional status in elderly orthopedic surgery patients: evaluation and related factors [J].J Muscle Jt Health, 2017, 24(2): 67-76.
[34]	白求恩·骨科加速康复联盟，白求恩公益基金会创伤骨科专业委员会，白求恩公益基金会关节外科专业委员会，等. 加速康复外科理念下胫骨平台骨折诊疗方案优化的专家共识[J]. 中华创伤骨科杂志，2020, 22(10): 829-840.
[35]	Chen Z, Wu H, Jiang J，et al.Nutritional risk screening score as an independent predictor of nonventilator hospital-acquired pneumonia: a cohort study of 67，280 patients[J]. BMC Infect Dis, 2021, 21(1):313.
[36]	Ljunggren S, Hahn RG, Nyström T. Insulin sensitivity and beta-cell function after carbohydrate oral loading in hip replacement surgery: a double-blind, randomised controlled clinical trial[J]. Clin Nutr, 2014, 33(3): 392-398
[37]	Kim JY, Wie GA, Cho YA, et al. Diet modification based on the enhanced recovery after surgery program (ERAS) in patients undergoing laparoscopic colorectal resection[J]. Clin Nutr Res, 2018, 7(4): 297-302.
[38]	姜洪池，徐亚男. ERAS深入开展的今日外科医师还需做什么[J]. 中华外科杂志，2021, 59(1): 2-5.
[39]	Kehlet H, Memtsoudis SG. ERAS guidelines for hip and knee replacement -need for reanalysis of evidence and recommendations？[J]. Acta Orthop, 2020, 91(3): 243-245.

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