Malnutrition universal screening tool predicts postoperative complications following major head and neck cancer surgery.
Malnutrition universal screening tool predicts postoperative complications following major head and neck cancer surgery.
- 2023
BACKGROUND: Head and neck cancer patients are at risk for malnutrition, which can impact postoperative outcomes. This study evaluates the Malnutrition Universal Screening Tool (MUST) to predict outcomes in major head and neck surgeries. CONCLUSIONS: Malnutrition and comorbidities were associated with complications in our surgical cohort. MUST is a novel tool to identify patients who may benefit from nutritional interventions. Copyright © 2022 Wiley Periodicals LLC. METHODS: A retrospective chart review included 275 major surgical procedures performed on 242 patients over the age of 18 years between May 2015 and May 2020. RESULTS: The majority of patients had a MUST score of zero (68.7%). Just under 17% scored 2 or greater indicating malnourishment. Having a MUST score of 2 or higher was associated with occurrence of a postoperative complication (p < 0.001). Patients with alcohol use disorder or depression were 5.2 (CI: 2.0-13.7, p = 0.001) and 2.75 (CI 1.1-7.0; p = 0.033) times more likely to develop a postoperative complication, respectively.
English
1043-3074
10.1002/hed.27273 [doi]
*Head and Neck Neoplasms
*Malnutrition
Adult
Early Detection of Cancer
Head and Neck Neoplasms/co [Complications]
Head and Neck Neoplasms/su [Surgery]
Humans
Malnutrition/di [Diagnosis]
Malnutrition/ep [Epidemiology]
Middle Aged
Postoperative Complications/ep [Epidemiology]
Postoperative Complications/et [Etiology]
Retrospective Studies
Risk Factors
MedStar Georgetown University Hospital/MedStar Washington Hospital Center
Otolaryngology Residency
Journal Article
BACKGROUND: Head and neck cancer patients are at risk for malnutrition, which can impact postoperative outcomes. This study evaluates the Malnutrition Universal Screening Tool (MUST) to predict outcomes in major head and neck surgeries. CONCLUSIONS: Malnutrition and comorbidities were associated with complications in our surgical cohort. MUST is a novel tool to identify patients who may benefit from nutritional interventions. Copyright © 2022 Wiley Periodicals LLC. METHODS: A retrospective chart review included 275 major surgical procedures performed on 242 patients over the age of 18 years between May 2015 and May 2020. RESULTS: The majority of patients had a MUST score of zero (68.7%). Just under 17% scored 2 or greater indicating malnourishment. Having a MUST score of 2 or higher was associated with occurrence of a postoperative complication (p < 0.001). Patients with alcohol use disorder or depression were 5.2 (CI: 2.0-13.7, p = 0.001) and 2.75 (CI 1.1-7.0; p = 0.033) times more likely to develop a postoperative complication, respectively.
English
1043-3074
10.1002/hed.27273 [doi]
*Head and Neck Neoplasms
*Malnutrition
Adult
Early Detection of Cancer
Head and Neck Neoplasms/co [Complications]
Head and Neck Neoplasms/su [Surgery]
Humans
Malnutrition/di [Diagnosis]
Malnutrition/ep [Epidemiology]
Middle Aged
Postoperative Complications/ep [Epidemiology]
Postoperative Complications/et [Etiology]
Retrospective Studies
Risk Factors
MedStar Georgetown University Hospital/MedStar Washington Hospital Center
Otolaryngology Residency
Journal Article