Perioperative managements and construction of risk assessment system based on the preoperative risk factors

1YuDingye,2YuZhen,1CaiWei

Electronic Journal of Metabolism and Nutrition of Cancer ›› 2021, Vol. 8 ›› Issue (5) : 468-474.

PDF(1012 KB)
PDF(1012 KB)
Electronic Journal of Metabolism and Nutrition of Cancer ›› 2021, Vol. 8 ›› Issue (5) : 468-474.

Perioperative managements and construction of risk assessment system based on the preoperative risk factors

  • 1YuDingye,2YuZhen,1CaiWei
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Abstract

Complications can occur after any abdominal surgery. Complications include incision infection, pneumonia, urinary tract infection, enteroplegia and so on, which may increase the length of hospital stay and mortality. How to prevent surgical complications has become a difficult problem for surgeons. Through a large number of literature studies and the research results of our team, we integrated and classified the risk factors that may affect the prognosis of patients preoperatively, and then screened out the independent risk factors which correlated with postoperative complications, postoperative fatigue syndrome postoperative ileus and so on, including sarcopenia, visceral fat area/total abdominal muscle area, old age, anemia, hypoproteinemia, NRS 2002 score≥3, ASA grade≥3, gastrectomy, open surgery, duration of operation≥4 hours, TNM stage≥ stage Ⅲ and postoperative opioids use≥0.3 mg/kg. From the multi⁃dimensional integration of medical treatment, nursing, anesthesia, and education, we concluded that the five major factors such as sarcopenia diagnosis, nutritional risk, anesthesia, past medical history and surgery are the key points to prevent postoperative complications, and constructed a multi⁃dimensional model diagram of the postoperative complication prevention system in order to take effective preventive measures earlier and provide a basis for clinical prediction of the risk of surgical complications, which is significantly important for avoiding postoperative complications.

Key words

Complication / Preoperative risk factors / Postoperative fatigue syndrome / Postoperative ileus / Prognosis

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1YuDingye,2YuZhen,1CaiWei. Perioperative managements and construction of risk assessment system based on the preoperative risk factors[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2021, 8(5): 468-474
PDF(1012 KB)

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