Malnutrition universal screening tool predicts postoperative complications following major head and neck cancer surgery.

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Citation: Head & Neck. 45(3):604-611, 2023 Mar.PMID: 36541597Department: MedStar Georgetown University Hospital/MedStar Washington Hospital Center | Otolaryngology ResidencyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *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 FactorsYear: 2023ISSN:
  • 1043-3074
Name of journal: Head & neckAbstract: 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.All authors: Leonard JAFiscal year: FY2023Digital Object Identifier:
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Journal Article MedStar Authors Catalog Article 36541597 Available 36541597

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.

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