{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T02:44:44Z","timestamp":1794019484502,"version":"4.8.0"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Supplement_1","license":[{"start":{"date-parts":[[2021,9,7]],"date-time":"2021-09-07T00:00:00Z","timestamp":1630972800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurosurg.","NEUROS"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Preoperative malnutrition has been implicated in adverse events after elective surgery, potentially impacting patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>As a potentially modifiable risk factor, we sought to determine which assessments of nutritional status were associated with specific adverse events after spine surgery. In addition, we explored if a preoperative nutritional improvement intervention may be beneficial in lowering the rates of these adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The literature search yielded 115 abstracts relevant to the PICO (patient\/population, intervention, comparison, and outcomes) questions included in this chapter. The task force selected 105 articles for full text review, and 13 met criteria for inclusion in this systematic review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Malnutrition, assessed preoperatively by a serum albumin &lt;3.5\u00a0g\/dL or a serum prealbumin &lt;20\u00a0mg\/dL, is associated with a higher rate of surgical site infections (SSIs), other wound complications, nonunions, hospital readmissions, and other medical complications after spine surgery. A multimodal nutrition management protocol decreases albumin and electrolyte deficiencies in patients with normal preoperative nutritional status. It also improves overall complication rates but does not specifically impact SSIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>It is recommended to assess nutritional status using either serum albumin or prealbumin preoperatively in patients undergoing spine surgery.<\/jats:p>\n                    <jats:p>The full guidelines can be accessed at https:\/\/www.cns.org\/guidelines\/browse-guidelines-detail\/4-preoperative-nutritional-assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/neuros\/nyab318","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T15:13:43Z","timestamp":1627485223000},"page":"S26-S32","source":"Crossref","is-referenced-by-count":39,"title":["Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Perioperative Spine: Preoperative Nutritional Assessment"],"prefix":"10.1227","volume":"89","author":[{"given":"Erica F","family":"Bisson","sequence":"first","affiliation":[{"name":"Clinical Neurosciences Center,, University of Utah Health, Salt Lake City, Utah, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Dimar","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Louisville, Pediatric Orthopedics, Norton Children's Hospital, Norton Leatherman Spine Center, Louisville, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James S","family":"Harrop","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery and Department of Orthopedic Surgery, Thomas Jefferson University, Division of Spine and Peripheral Nerve Surgery, Delaware Valley SCI Center, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J","family":"Hoh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Florida College of Medicine, Gainesville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basma","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen V","family":"Mummaneni","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California San Francisco, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjorie C","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical College of Wisconsin, Wauwatosa, Wisconsin, 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