| Yongning Chen,Runrong Li,Li Zheng,Wenlian Liu,Yadi Zhang,Shipeng Gong. Malnutrition as a predictor of prolonged length of hospital stay in patients with gynecologic malignancy: A comparative analysis. Oncol Transl Med, 2021, 7: 279-285. |
| Malnutrition as a predictor of prolonged length of hospital stay in patients with gynecologic malignancy: A comparative analysis |
| Received:June 14, 2021 Revised:December 29, 2021 |
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| KeyWord:malnutrition; patient-generated subjective global assessment; nutritional risk screening-2002; length of hospital stay; gynecologic malignancy |
| Author Name | Affiliation | E-mail | | Yongning Chen | The First Affiliated Hospital of Jinan University | cyngynecology@163.com | | Runrong Li | Nanfang Hospital, Southern Medical University | | | Li Zheng | Nanfang Hospital, Southern Medical University | | | Wenlian Liu | Nanfang Hospital, Southern Medical University | | | Yadi Zhang | Nanfang Hospital, Southern Medical University | | | Shipeng Gong | Nanfang Hospital, Southern Medical University, Guangzhou 510515, China | gsp2103@163.com |
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| Abstract: |
| Objective To explore the consistency of the Patient-generated Subjective Global Assessment (PG-SGA)
and Nutritional Risk Screening-2002 (NRS-2002) for nutritional evaluation of patients with gynecologic
malignancy and their predictive effect on the length of hospital stay (LOS).
Methods We recruited 147 hospitalized patients with gynecologic malignancy from Nanfang Hospital in
2017. Their nutritional status was assessed using the PG-SGA and NRS-2002. The consistency between
the two assessments was compared via the Kappa test. The relationship between malnutrition and LOS
was analyzed using crosstabs and Spearman’s correlation.
Results The PG-SGA demonstrated that 66.7% and 54.4% of patients scoring ≥ 2 and ≥ 4 were
malnourished, respectively. Furthermore, the NRS-2002 indicated that 55.8% of patients were at nutritional
risk. Patients with ovarian cancer had a relatively high incidence of malnutrition. However, this was only
significant for patients who scored ≥ 4 in the PG-SGA (P = 0.001 and P = 0.019 for endometrial carcinoma
and cervical cancer, respectively). The PG-SGA and NRS-2002 showed good consistency in evaluating the
nutritional status of patients with gynecologic malignancy (0.689, 0.643 for PG-SGA score ≥ 2, score ≥ 4
and NRS-2002, respectively). Both the scores of PG-SGA and NRS-2002 were positively correlated with
LOS. Furthermore, prolonged LOS was higher in patients with malnutrition than in those with adequate
nutrition.
Conclusion The PG-SGA and NRS-2002 shared a good consistency in evaluating the nutritional status
of patients with gynecologic malignancy. Both assessments could be used as predictors of LOS. |
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