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Protein Status of General Surgical Patients
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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“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
Metadata
- 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
- 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 (medical) › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Physiology (medical) › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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