{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:27:18Z","timestamp":1777447638235,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T00:00:00Z","timestamp":1608336000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>About 50% of the elderly undergoing emergency abdominal surgery are malnourished. The role of timely surgical nutritional access in this group of patients is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed the National Inpatient Sample database from 2009 through the first three-quarters of 2015 of patients aged \u226565\u00a0years who were malnourished and underwent major abdominal surgery for the acute abdomen within the first 2\u00a0days of hospital admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 3\u00a0246\u00a0721 patients analyzed, 4311 patients met inclusion criteria. Of these, only 507 (11.8%) patients had surgical nutritional access (gastrostomy or jejunostomy) (group I), while 3804 patients (88.2%) did not (group II). In the propensity score-matched population, there were 482 patients in each group. The patients in group I had lower odds of mortality and postoperative gastrointestinal complications (paralytic ileus, anastomotic dehiscence, and intestinal fistulae) ( P-value &lt;.01, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Elderly who receive surgical nutritional access have lower rates of gastrointestinal complications and mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003134820973719","type":"journal-article","created":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T06:13:22Z","timestamp":1608358402000},"page":"1252-1258","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Role of Nutritional Access in Malnourished Elderly Undergoing Major Surgery for Acute Abdomen: A Propensity Score-Matched Analysis"],"prefix":"10.1177","volume":"87","author":[{"given":"Shekhar","family":"Gogna","sequence":"first","affiliation":[{"name":"Department of Surgery, New York Medical College Valhalla, Westchester Medical Center, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Samson","sequence":"additional","affiliation":[{"name":"Department of Surgery, New York Medical College Valhalla, Westchester Medical Center, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Surgery, New York Medical College Valhalla, Westchester Medical Center, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Con","sequence":"additional","affiliation":[{"name":"Department of Surgery, New York Medical College Valhalla, Westchester Medical Center, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kartik","family":"Prabhakaran","sequence":"additional","affiliation":[{"name":"Department of Surgery, New York Medical College Valhalla, Westchester Medical Center, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Rhee","sequence":"additional","affiliation":[{"name":"Department of Surgery, New York Medical College Valhalla, Westchester Medical Center, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rifat","family":"Latifi","sequence":"additional","affiliation":[{"name":"Department of Surgery, New York Medical College Valhalla, Westchester Medical Center, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,12,19]]},"reference":[{"key":"bibr1-0003134820973719","volume-title":"The Next Four Decades, the Older Population in the United States: 2010-2050","author":"Vincent GK","year":"2010"},{"key":"bibr2-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2006.08.026"},{"key":"bibr3-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2015.08.008"},{"key":"bibr4-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1097\/00006205-200103000-00014"},{"key":"bibr5-0003134820973719","unstructured":"Agency for Healthcare Research and Quality. Overview of the national (nationwide) inpatient sample (NIS). 2016. Available at: https:\/\/www.hcup-us.ahrq.gov\/nisoverview.jsp. (Accessed September 2018)."},{"key":"bibr6-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31827e1bc7"},{"key":"bibr7-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.0480"},{"key":"bibr8-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1177\/0148607112440285"},{"key":"bibr9-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"issue":"1","key":"bibr10-0003134820973719","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1177\/0148607116676592","volume":"42","author":"Havens JM","year":"2018","journal-title":"JPEN-J Parenter Enter Nutr"},{"key":"bibr11-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2011.05.003"},{"key":"bibr12-0003134820973719","doi-asserted-by":"publisher","DOI":"10.3390\/nu10030378"},{"key":"bibr13-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-017-4711-6"},{"key":"bibr14-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2005.06.013"},{"key":"bibr15-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1007\/s10353-011-0590-1"},{"key":"bibr16-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(02)00214-5"},{"key":"bibr17-0003134820973719","doi-asserted-by":"publisher","DOI":"10.3390\/nu10111589"},{"key":"bibr18-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2017.02.013"},{"key":"bibr19-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-013-0274-6"},{"key":"bibr20-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2011.02.002"},{"key":"bibr21-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.78.918.198"},{"key":"bibr22-0003134820973719","volume-title":"Projections of the size and composition of the US population: 2014 to 2060, current population reports","author":"Colby SL","year":"2015"},{"key":"bibr23-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.01.078"},{"key":"bibr24-0003134820973719","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1992.01420030023003"},{"key":"bibr25-0003134820973719","doi-asserted-by":"publisher","DOI":"10.21614\/chirurgia.112.5.546"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003134820973719","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003134820973719","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003134820973719","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:35:12Z","timestamp":1777379712000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0003134820973719"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,19]]},"references-count":25,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1177\/0003134820973719"],"URL":"https:\/\/doi.org\/10.1177\/0003134820973719","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,19]]}}}