Please use this identifier to cite or link to this item:
http://dulieuso.hmu.edu.vn/handle/hmu/3885Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.advisor | Nguyễn, Hữu Tú | - |
| dc.contributor.advisor | Nguyễn, Quang Dũng | - |
| dc.contributor.author | Bùi, Tường An | - |
| dc.date.accessioned | 2022-11-08T06:34:27Z | - |
| dc.date.available | 2022-11-08T06:34:27Z | - |
| dc.date.issued | 2022-10 | - |
| dc.identifier.uri | http://dulieuso.hmu.edu.vn/handle/hmu/3885 | - |
| dc.description.abstract | Objectives: Prevalence of gastrointestinal surgery patients at risk of refeeding syndrome (RS) and some associated factors. Methodology: A cross-sectional descriptive study on 104 patients aged 18 years and older. The patients were evaluated risk of RS in the first 24 – 72h from hospital admission. Results: The prevalence of patients at risk of RS accounted for 42.3%, of which 63% had significant risk, 37% had moderate risk. There was a difference between the 2 groups with and without risk in terms of weight, mean BMI, percentage of weight loss at 1 month, 6 months, serum potassium, pyloric stenosis, esophageal cancer (p < 0.05). Upper gastrointestinal tract surgery, obstructive/semi-obstructive diseases increased the risk of RS by 17 times (95% CI: 2.9 – 99.5; p < 0.001) and 13.3 times, respectively (95%CI: 4.2 – 42.4; p < 0.001). Conclusions: The risk of RS in patients with gastrointestinal surgery was very high. Upper gastrointestinal tract surgery and conditions with obstruction/semi-obstruction of the gastrointestinal tract are risk factors for RS. | vi_VN |
| dc.description.tableofcontents | INTRODUCTION 1 CHAPTER 1. LITERATURE REVIEW 3 1.1. Definition of refeeding syndrome 3 1.2. Prevalence of refeeding syndrome 3 1.3. Pathophysiology of refeeding syndrome 4 1.4. Identification of adult patients at risk for refeeding syndrome. 8 1.5. Diagnosis of refeeding syndrome 11 1.6. Avoidance and management of refeeding syndrome 14 1.7. Guidance of treatment for hypophosphatemia in Refeeding syndrome 16 1.8. Assessment of nutritional indices for evaluating risk of refeeding syndrome and some associated factors. 18 1.8.1. Assessment of nutritional requirement 18 1.8.2. Evidence of loss of subcutaneous fat 19 1.8.3. Evidence of loss of muscle mass 19 1.8.4. Hemoglobin 19 1.8.5. Albumin 19 1.8.6. Pre-albumin 20 1.9. Healthcare workers' level of interest in refeeding syndrome 21 CHAPTER 2. METHODOLOGY 22 2.1. Time and location of the study 22 2.2. Study subjects 22 2.2.1. Inclusion criteria 22 2.2.2. Exclusion criteria 22 2.3. Method 23 2.3.1. Study design 23 2.3.2. Sample size and sample selection 23 2.4. Variables and indicators 24 2.4.1. Demographic variables 24 2.4.2. Clinical characteristics 24 2.4.3. Anthropometry, nutritional status and caloric intake assessment of patients 24 2.4.4. Variables regarding Refeeding syndrome 25 2.4.5. Biochemical indexes 25 2.4.6. Feeding practice 25 2.5. Assessment of risk for refeeding syndrome 26 2.6. Assessment of the decrease in caloric intake 27 2.7. Assessment of anthropometry and nutritional status 27 2.7.1. Weight and height 27 2.7.2. Body Mass Index (BMI) 28 2.7.3. Subjective Global Assessment (SGA) 28 2.7.4. Assessment of the decrease in caloric intake: 29 2.7.5. Hemoglobin 30 2.7.6. Serum albumin 30 2.7.7. Serum pre-albumin 30 2.8. Study progress 30 2.8. Statistical analysis 31 2.9. Bias and controlling bias 32 2.9.1. Bias 32 2.9.2. Controlling bias 32 2.10. Research Ethics 32 CHAPTER 3. RESULTS 34 3.1. Demographic, clinical and biochemical characteristics of the study population 34 3.2. The prevalence of risk of refeeding syndrome and associated factors 40 3.3. Nutrition practice for all patients at Hanoi Medical University Hospital (HMUH) 47 CHAPTER 4. DISCUSSION 50 4.1. Demographic characteristics and general information of the study participants 50 4.1.1. Age and gender 50 4.1.2. Chief complaints, admission diagnosis, comorbidities and some factors regarding surgical diseases 50 4.1.3. Nutritional status of the study population 52 4.2. Prevalence of patients at-risk for RS and associated factors 54 4.2.1. Prevalence of RS risk 54 4.2.2. Associated factors of RS 59 4.3. Feeding practice at Hanoi Medical University Hospital (HMUH) 62 CONCLUSION 66 RECOMMENDATION 67 RESEARCH PLAN 68 REFERENCES APPENDIX | vi_VN |
| dc.language.iso | en_US | vi_VN |
| dc.subject | Refeeding syndrome | vi_VN |
| dc.subject | gastrointestinal surgery | vi_VN |
| dc.title | THE PREVALENCE OF REFEEDING SYNDROME AT-RISK PATIENTS AND NUTRITION CARE PRACTICE IN PATIENTS WITH GASTROINTESTINAL SURGERY AT HANOI MEDICAL UNIVERSITY HOSPITAL BETWEEN 2021 AND 2022 | vi_VN |
| dc.type | Thesis | vi_VN |
| Appears in Collections: | Luận văn bác sĩ nội trú | |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| LV Thạc sĩ Dinh dưỡng - BÙI TƯỜNG AN - final (1).docx Restricted Access | 4.62 MB | Microsoft Word XML | ||
| LV Thạc sĩ Dinh dưỡng - BÙI TƯỜNG AN - final (1) (PDF).pdf Restricted Access | 1.14 MB | Adobe PDF |  Sign in to read |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.