{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:51:31Z","timestamp":1772160691459,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T00:00:00Z","timestamp":1698710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Malnutrition and poor functional reserves place patients at risk for negative surgical outcomes. In this prospective study we aimed to measure preoperative nutritional and sarcopenia risk and evaluate their impact on postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adults scheduled to undergo elective general and gastrointestinal surgery were screened for nutrition risk using the Malnutrition Universal Screening Tool screening tool. Sarcopenia risk was measured using the SARC\u2010F tool and hand\u2010grip strength. Patients were followed postoperatively. Incidence of complications, length of stay (LOS), readmission rates, and need for step\u2010down care were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred and twenty\u2010two patients were included. Mean age was 53.8 years (standard deviation [SD] 16.44). Sixty\u2010six (54%) were scheduled for day\u2010case procedures, and 56 (46%) for nonday\u2010case procedures. About 18.9% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200923) were at nutritional risk preoperatively. Ten patients (8.2%) had probable sarcopenia based on SARC\u2010F, whereas seven (5.7%) had measurably reduced HG. Incidence of postoperative complications was 23.8% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200929). Nutrition risk was associated with the development of complications (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018). In the nonday\u2010case group, nutritional risk was associated with greater LOS (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013). Older age was associated with need for step\u2010down care (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) as was SARC\u2010F (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Preoperative nutritional screening can predict postoperative complications and LOS, whereas sarcopenia screening is predictive of the need for step\u2010down care after discharge. Screening tools are quick and inexpensive and could provide valuable information to clinicians and allow patients the opportunity to enhance their physical preparedness for surgery thereby mitigating their risk for negative surgical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.13256","type":"journal-article","created":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T01:35:00Z","timestamp":1698802500000},"page":"308-315","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Nutritional risk predicts postoperative complications and length of stay, whereas sarcopenia risk predicts need for step\u2010down care in a mixed elective surgery population"],"prefix":"10.1111","volume":"37","author":[{"given":"Siobh\u00e1n","family":"Power","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics Tallaght University Hospital Tallaght Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asryaf","family":"Maarof","sequence":"additional","affiliation":[{"name":"Department of Surgery Tallaght University Hospital Tallaght Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aoibheann","family":"Power","sequence":"additional","affiliation":[{"name":"UCD School of Agriculture and Food Science University College Dublin Belfield Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sin\u00e9ad","family":"Feehan","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Tallaght University Hospital Tallaght Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Whelan","sequence":"additional","affiliation":[{"name":"Department of Surgery Tallaght University Hospital Tallaght Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,31]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2020.03.038"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(02)00215-7"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2007.06.009"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2012.05.024"},{"key":"e_1_2_12_6_1","first-page":"S54","article-title":"Nascent to novel methods to evaluate malnutrition and frailty in the surgical patient","volume":"47","author":"Prado CM","year":"2022","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.08.002"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2012.03.012"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.03.031"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000002743"},{"key":"e_1_2_12_11_1","first-page":"1","article-title":"Obesity: preventing and managing the global epidemic. Report of a WHO consultation","volume":"894","year":"2000","journal-title":"World Health Organ Tech Rep Ser"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcsm.12048"},{"key":"e_1_2_12_13_1","volume-title":"Clinical Assessment Guidelines","author":"Shechtman O","year":"2015"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000000722"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2016.10.008"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13741-021-00196-2"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14506"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2015.08.021"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0b013e328345865e"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/00015458.2015.11681126"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2022.05.015"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.2310"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/12-019"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-019-04173-5"},{"key":"e_1_2_12_26_1","article-title":"Pre\u2010operative nutrition support in patients undergoing gastrointestinal surgery","volume":"11","author":"Burden S","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac220"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afy169"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.281.6245.899"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/014860718901300130"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1519\/00139143-200831010-00002"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.47102\/annals-acadmedsg.V48N11p363"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2018.09.003"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2021.0082"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.13050"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.13256","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T08:36:38Z","timestamp":1705912598000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.13256"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,31]]},"references-count":34,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1111\/jhn.13256"],"URL":"https:\/\/doi.org\/10.1111\/jhn.13256","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JHN.13256\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13256\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13256\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13256\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13256\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13256\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13256\/v2\/review2","asserted-by":"object"}]},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,31]]},"assertion":[{"value":"2023-06-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}