The nutritional risk and the relation to length of hospital stay among patients with retroperitoneal tumor

Huang Jing; Liu Li; Liu Lihui; Zhang Lin; Zhang Jie; He Ying; Liu Xiaoyan

doi:10.16689/j.cnki.cn11-9349/r.2020.02.008

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Electronic Journal of Metabolism and Nutrition of Cancer ›› 2020, Vol. 7 ›› Issue (2) : 178-182. DOI: 10.16689/j.cnki.cn11-9349/r.2020.02.008

The nutritional risk and the relation to length of hospital stay among patients with retroperitoneal tumor

Huang Jing， Liu Li， Liu Lihui， Zhang Lin， Zhang Jie， He Ying， Liu Xiaoyan

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Abstract

Objective This study aimed to explore the relationship between nutrition risks and length of hospital stay in patients with retroperitoneal tumor， and to provide the strategy of clinical nutritional support therapy. Methods 60 patients with retroperitoneal tumor were recruited from a tertiary academic hospital in Chengdu. Nutritional risk was assessed by the European nutritional risk screening scale （NRS 2002） in a retrospective study．In addition， some data on admission and discharge were collected， such as body mass index （BMI）， blood albumin， blood hemoglobin， length of hospital stay （LOS）， postoperative nausea and vomiting （PONV）， exhaust time， defecation time， and time for dieting after surgery. One-way ANOVA were used to compare the length of hospital stay of patients between two groups and three groups， respectively. Multiple linear stepwise regression analysis was used to analyze the influence factors of length of hospital stay of patients. Results Among all patients with retroperitoneal tumor （n=60）， the prevalence of nutritional risk before and after operation were 66.7% and 86.7%. Univariate analysis of the factors influencing the LOS of patients showed that patients with nutritional risks were more likely to stay longer in hospital compared to those without （P<0.001， P=0.043）. Others factors associated with prolonged LOS were low blood albumin level （P=0.019， P=0.025） during perioperative period， low blood hemoglobin level （P=0.019） after surgery， and PONV （P=0.001）. A positive correlation between exhaust time， defecation time， time for dieting after surgery and LOS was observed， and the strength of the association was strong （r=0.759-0.770； P<0.001）.Multiple linear stepwise regression analysis indicated that the NRS 2002 of patients with retroperitoneal tumor was significantly predict LOS among the participants （β=0.399）. Conclusion Nutritional risk assessed by NRS 2002 on admission predicts LOS for patients with retroperitoneal tumor. A large scaled prospective study is needed to confirm whether supplementing nutritional deficits reduces LOS.

Key words

Retroperitoneal tumor / Nutrition risk / Length of hospital stay

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Huang Jing， Liu Li， Liu Lihui， Zhang Lin， Zhang Jie， He Ying， Liu Xiaoyan. The nutritional risk and the relation to length of hospital stay among patients with retroperitoneal tumor[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2020, 7(2): 178-182 https://doi.org/10.16689/j.cnki.cn11-9349/r.2020.02.008

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