TY - JOUR
T1 - The effects of perioperative oral management on perioperative serum albumin levels in patients treated surgically under general anesthesia
T2 - A multicenter retrospective analysis in Japan
AU - Yamada, Shin Ichi
AU - Koike, Kazuyuki
AU - Isomura, Emiko Tanaka
AU - Chikazu, Daichi
AU - Yamagata, Kenji
AU - Iikubo, Masahiro
AU - Hino, Satoshi
AU - Hibi, Hideharu
AU - Katsura, Kouji
AU - Nakamura, Seiji
AU - Nomura, Takeshi
AU - Mori, Yoshiyuki
AU - Tojyo, Itaru
AU - Kanamura, Narisato
AU - Yamamori, Iku
AU - Aota, Keiko
AU - Fujita, Shigeyuki
AU - Tanzawa, Hideki
AU - Kurita, Hiroshi
N1 - Funding Information:
This study was supported by the Japanese Stomatological Society.
Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/3/12
Y1 - 2021/3/12
N2 - AbstractThe purpose of the present study was to investigate the efficacy of perioperative oral managements (POMs) on perioperative nutritional conditions in patients undergoing surgery with general anesthesia. Medical records were retrospectively reviewed and the effects of POMs were investigated based on a large number of cases using a multicenter analysis. The profile of serum albumin levels was assessed and compared between patients with and without POMs using the multivariate analysis. Seventeen Eleven thousand and one hundred sixty patients (4,873 males and 6,287 females) were reviewed. Of these, 2710 patients (24.3%) had undergone POMs. The results of a multivariate analysis revealed the significant positive effect of POMs on perioperative serum albumin level (change between at admission and discharge, (Estimate: 0.022, standard error: 0.012, P < .0001). Patient gender, age, surgical site, performance status, the American Society of Anesthesiologists (ASA) physical status classification, operation time, amount of blood loss, and serum albumin level at admission were also significant predictors. Adjusted multivariate analysis of the effects of POMs on perioperative change of serum albumin level in all subjects reveled the significance of POMs intervention (estimate: 0.022, standard error: 0.012, P < .0001). These results suggest that POMs exerts significant positive effects on perioperative serum albumin levels in patients underwent surgery under general anesthesia.
AB - AbstractThe purpose of the present study was to investigate the efficacy of perioperative oral managements (POMs) on perioperative nutritional conditions in patients undergoing surgery with general anesthesia. Medical records were retrospectively reviewed and the effects of POMs were investigated based on a large number of cases using a multicenter analysis. The profile of serum albumin levels was assessed and compared between patients with and without POMs using the multivariate analysis. Seventeen Eleven thousand and one hundred sixty patients (4,873 males and 6,287 females) were reviewed. Of these, 2710 patients (24.3%) had undergone POMs. The results of a multivariate analysis revealed the significant positive effect of POMs on perioperative serum albumin level (change between at admission and discharge, (Estimate: 0.022, standard error: 0.012, P < .0001). Patient gender, age, surgical site, performance status, the American Society of Anesthesiologists (ASA) physical status classification, operation time, amount of blood loss, and serum albumin level at admission were also significant predictors. Adjusted multivariate analysis of the effects of POMs on perioperative change of serum albumin level in all subjects reveled the significance of POMs intervention (estimate: 0.022, standard error: 0.012, P < .0001). These results suggest that POMs exerts significant positive effects on perioperative serum albumin levels in patients underwent surgery under general anesthesia.
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U2 - 10.1097/MD.0000000000025119
DO - 10.1097/MD.0000000000025119
M3 - Article
C2 - 33725909
AN - SCOPUS:85103073607
SN - 0025-7974
VL - 100
SP - E25119
JO - Medicine (United States)
JF - Medicine (United States)
IS - 10
ER -