Protein Status of General Surgical Patients

Bistrian, Bruce R.

doi:10.1001/jama.1974.03240060028025

Cited by 822Nutrition and Health in AgingClinical Nutrition and GastroenterologyBody Composition Measurement Techniques

Protein Status of General Surgical Patients

Bistrian, Bruce R.·1974·JAMA: The Journal of the American Medical Association

DOI 10.1001/jama.1974.03240060028025

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Abstract

In a survey of the protein nutritional status of all patients on the surgical wards of an urban municipal hospital, accepted standards indicated moderate to severe protein-calorie malnutrition (PCM) in one half of these patients as judged by triceps skin fold and arm muscle circumference measurements. Weight for height was less severely affected. Although serum albumin levels were recorded in only 43% during the perisurvey periods, the correlation between arm muscle circumference and serum albumin level was highly significant, suggesting that this measurement would substantiate a rate of approximately 50% malnutrition. (JAMA230:858-860, 1974)

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The paper 'The Skeleton in the Hospital Closet' by Butterworth along with several other works demonstrated a high prevalence of malnutrition in hospitalized patients.
“In 1974 (Figure 1), the well-known paper “The Skeleton in the Hospital Closet” by Butterworth (30) along with several other works demonstrated a high prevalence of malnutrition in hospitalized patients (31, 32).”
From Evolution of the diagnosis of malnutrition in adults: a primer for clinicians (2024) · cites this paper as [31]

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Background

Authors: Bistrian, B. R.
Corresponding author: Bistrian, Bruce R.
ORCID: Bistrian, Bruce R.
Venue: JAMA: The Journal of the American Medical Association
Publisher: American Medical Association (AMA)
Published: 1974-11-11
Volume: 230
Issue: 6
Pages: 858
ISSN: 0002-9955 (ISSN-L)
0098-7484
DOI: 10.1001/jama.1974.03240060028025
OpenAlex: W2012496813
Cited by: 822
References: 0
Citations by year: 2026: 1 · 2024: 5 · 2023: 12 · 2022: 5 · 2021: 9 · 2020: 5 · 2019: 12 · 2018: 13 · 2017: 10 · 2016: 7 · 2015: 10 · 2014: 6 · 2013: 17 · 2012: 12
FWCI: 13.93
Type: journal article
Language: en
Open access: closed
Locations: JAMA (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
Keywords: protein-energy malnutrition, nutritional status, surgical patients, arm muscle circumference, triceps skinfold thickness, serum albumin, weight-for-height, hospital wards
MeSH terms: Adult, Age Factors, Anthropometry, Arm, Body Height, Body Weight, Hospitals, Humans, Medicine, Muscles, Protein-Energy Malnutrition, Serum Albumin, Skinfold Thickness, Specialization, Surgical Procedures, Operative

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Protein Status of General Surgical Patients

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