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| Analysis of the nutrition - related risk factors in unplanned reoperation related to abdominal and pelvic cavity and
digestive tract |
| Zhang Hongmei, Han Xiaoyun, Xu Xiaoqing |
| Medical Administration of the Affiliated Cancer Hospital of Shandong First Medical University Jinan 250117 Shandong China |
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Abstract Objective To explore risk factors of unplanned reoperations in patients with malignant tumors of abdominal pelvic cavity
and digestive tract based on controlled nutritional status score. Method The clinical data of patients underwent unplanned reoperation
who treated in Medical Administration of the Affiliated Cancer Hospital of Shandong First Medical University from January 2020 to
December 2021 were retrospectively collected and each operation was matched in a ratio of 1 ∶ 1 as a case -control study object.
Univariate analysis was done by
χ
2
or t test and multivariate analysis was performed by conditional logistic regression. Result The
incidence of unplanned reoperation in our hospital from 2020 to 2021 was 0. 68% . The results of Univariate analysis showed that
COUNT≥4 anemia and hypo-albuminemia before operation weight loss ≥2 kg in 1 month before operation operation duration ≥5 h
blood loss ≥250 ml during surgery were risk factors P < 0. 05 . Conditional logistic regression multivariate analysis showed that
CONUT score blood loss ≥250 ml during surgery and weight loss ≥2 kg in 1 month before operation were independent risk factors for
unplanned reoperation. Conclusion Poor immunonutrition status before operation is a independent risk factor for unplanned reoperation
of abdominal pelvic and gastrointestinal tract. Effective intervention on independent risk factors can reduce incidence of unplanned
reoperation in future and improve prognosis.
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