caa a22 4500 606247335 CHVBK 20210128101344.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-012-0780-5 doi (NATIONALLICENCE)springer-10.1007/s12262-012-0780-5 Preoperative Nutritional Assessment in Elderly Cancer Patients Undergoing Elective Surgery: MNA or PG-SGA? [Elektronische Daten] [S. Dubhashi, Akshat Kayal] This study aims to evaluate and compare the use of patient-generated subjective global assessment (PG-SGA) and mini nutritional assessment (MNA) as a preoperative nutritional assessment tool in elderly cancer patients. This was a prospective study carried out on 47 patients, 45years and above suffering from cancer and admitted to Padmashree Dr. D.Y. Patil Medical College and Hospital, Pune. The patients were evaluated with PG-SGA and MNA tools at the time of admission and baseline data were collected. All patients had undergone surgeries as per indications. Postoperatively, the surgical outcomes and adverse events were noted and statistically evaluated. The average age of the study sample was 61.46years and 29 patients were females. The patients classified by PG-SGA were ten in group A and 37 in group B and C. The patients classified by MNA were five in no risk group and 42 in group with patients at risk and malnourished. When evaluated with PG-SGA in group B and C, wound infections and requirement of change of antibiotic were seen in 86.4% patients and their average day of onset of infection was 5.6days. Antibiotics were administered to these patients for an average of 14.2days and their average duration of stay was 29days. On the other hand, the evaluation of patients with MNA, at risk and malnourished patients, wound infections, and requirement of change of antibiotic were seen in 81% of patients and their average day of onset of infection was 5.6days. Antibiotics were administered to these patients for an average of 13.8days and their average duration of stay was 27days. The results were statistically significant. The mini nutritional assessment is more exhaustive in identifying patients at risk and is useful in screening populations to identify frail elderly persons allowing us to intervene earlier, thereby improving the patient prognosis. The patient-generated subjective global assessment is a more comprehensive tool for elderly cancer patients, which identifies a more extensive range of nutrition impact symptoms and predicts the postoperative outcomes more accurately. Authors recommend its usage in evaluating the aforementioned subset of patients. Association of Surgeons of India, 2012 PG-SGA nationallicence MNA nationallicence Elderly cancer patients nationallicence Dubhashi S. Department of Surgery, Padmashree Dr. D.Y. Patil Medical College, Pimpri, Pune, India aut Kayal Akshat Department of Surgery, Padmashree Dr. D.Y. Patil Medical College, Pimpri, Pune, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 232-235 0972-2068 77<232 2015 77 12262 https://doi.org/10.1007/s12262-012-0780-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-012-0780-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dubhashi S. Department of Surgery, Padmashree Dr. D.Y. Patil Medical College, Pimpri, Pune, India aut NATIONALLICENCE 700 1- Kayal Akshat Department of Surgery, Padmashree Dr. D.Y. Patil Medical College, Pimpri, Pune, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 232-235 0972-2068 77<232 2015 77 12262