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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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Adejumo, A., Adejumo, K. L., Adegbala, O., Enwerem, N., Ofosu, A., Akanbi, O., Fijabi, D., Ogundipe, O., Pani, L., & Adeboye, A. (2020) · JPEN - Journal of Parenteral and Enteral Nutrition · doi:10.1002/jpen.1680 · Cited by 12
Gómez-Candela, C., Labajos, R. S., García-Vázquez, N., Pérez, M. V., Martínez, M. M., Fontecha, C. S., Madroño, A. G., & Palma-Milla, S. (2013) · doi:10.3305/nh.2013.28.6.7063 · Cited by 12
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“What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr 1987; 11(1):8-13.”
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“Surgical patients who have minimal stores of fat and skeletal muscle have increased morbidity and mortality (Bistrian et al., 1974).”
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Protein-calorie malnutrition in patients with colorectal cancer
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Comment évaluer l'état nutritionnel préopératoire ?
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The nutritional effects of cancer and its therapy
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Nutritional Support in Critically Ill Patients
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Self-citationNutritional assessment and surgical infections in patients with gastric cancer or peptic ulcer.
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Marketing strategy: a key leverage point for dietitians.
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Evaluation and management of nutritional status before surgery.
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Changes in Nutrient Intake in Patients at Nutritional Risk
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Transthyretin and the Systemic Inflammatory Response
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“in 1974 [1], although the high risk of preoperative weight loss on surgical outcome was already known [2] since 1936.”
BackgroundComparison of an Institutional Nutrition Screen With 4 Validated Nutrition Screening Tools
Brown, B., Heeg, A., Turek, J., & Maillet, J. (2006) · doi:10.1097/00008486-200604000-00008 · Cited by 8
“Information obtained from completing the HCMC nutrition screen and the 4 validated nutrition screening tools were compared to determine whether (1) they properly identify patients at nutritional risk, (2) each nutrition screening tool identifies the same patients at similar nutrition risk levels, and (3) an existing v…”
InfluentialTube feeding: complications among the elderly.
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Interaction of protein and zinc malnutrition with the murine response to infection.
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Fletcher, J. P., & Muodie, J. M. (1989) · Australian and New Zealand Journal of Surgery · doi:10.1111/j.1445-2197.1989.tb01505.x · Cited by 8
Malnutrition in patients with gastrointestinal malignancy significance and management
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“(2), 44% of general medical patient admissions were malnourished, a similar percentage to that seen in a general surgical ward (3).”
ResultNutritional parameters in homebound persons of greatly advanced age.
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“vere protein calorie malnutrition [34, 35].”
BackgroundDietary management of intractable diarrhea in malnourished patients.
Coale, M., & Robson, J. R. (1980) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(21)05213-5 · Cited by 8
Preoperative Measures to Promote Wound Healing
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CHAPTER 6 – Evaluation of Protein Status in Humans
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Nutritional support of the hospitalized child.
Merritt, R., Sinatra, F., & Smith, G. A. (1983) · Advances in Nutritional Research · doi:10.1007/978-1-4613-9937-7_5 · Cited by 8
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“0001 (1-3) (1-3) Mid arm circumference (cm) 25.”
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“Despite such prescience, only 30 years ago, attention was drawn to the high incidence of protein energy malnutrition to be found among adult medical and surgical patients in the US and Europe [ , ,”
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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
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