P265 - ASSESSMENT OF MALNUTRITION RISK IN SURGICAL PATIENTS: ONE CENTER AUDIT IN UKRAINE

P265

ASSESSMENT OF MALNUTRITION RISK IN SURGICAL PATIENTS: ONE CENTER AUDIT IN UKRAINE

O. Khomenko^1,2,*, R. Zatsarynnyi¹, M. Borovyk¹, V. Kostyk¹

¹Anaesthesiology and Intensive Care, National Scientific Center of Surgery and Transplantation, ²Surgery, Anaesthesiology and Intensive Care, Bogomolets National Medical University, Kyiv, Ukraine

Rationale: Malnutrition is underestimated in surgical and oncology patients (pts). Early detection is essential for timely nutritional support and complications prevention.^1,2

Methods: Audit was conducted in National Scientific Center of Surgery and Transplantation, from Feb.3 to Mar.31, 2025. A customized questionnaire was developed, incorporating elements from validated screening tools (tools): MST,NRS 2002,MUST,SNAQ,MNA-SF. We included pts before elective surgery. Biochemical markers were assessed. Pts were asked if they received nutritional recommendations (NR) and whether they followed NR “completely,” “partially,” “not”. Improvement in nutritional status (NS) at discharge or Day30 (whichever came first) (D30) in pts who had risk of malnutrition by 3 or more tools. We checked prevalence of malnutrition among elective surgical pts, compliance with NR,and D30 survival. Exclusion criteria: emergency surgery, age <18, refusal to sign informed consent. Data was analyzed with Excel descriptive statistics and Social Science Statistics.

Results: 89 pts participated (29% women), average age - 55±13 years and mean BMI 28.0±6.3. Weight loss was reported in 47% pts (mean 6.6±3.4kg for women, 8.9±9.0kg in men). Malnutrition risk by tools:MST: 38%,NRS 2002:15%,MUST:8%,SNAQ: 11%,MNA-SF:15%. 14 pts (16%) were at risk according to ≥3 tools. 12 of them received NR, with 92% partial adherence. By D30, 33% maintained and 58% improved their NS.

Statistical analysis revealed weak correlations between NR, adherence, discharge by D30, and survival.This may reflect the small sample size and short follow-up period.

Conclusion: Even partial adherence to nutritional guidance was associated with improved NS. Larger studies with longer follow-up are needed to confirm correlations with clinical outcomes.

References: 1.Leij-Halfwerk, S. et al.(2019).https://doi.org/10.1016/j.maturitas.2019.05.006

2.Cederholm, T. et al.(2017).https://doi.org/10.1016/j.clnu.2016.09.004

Disclosure of Interest: None declared