Nutritional status and feeding practices in gastrointestinal surgery patients at Bach Mai Hospital, Hanoi, Vietnam

• Type of Material: Article
• Authors: Lorraine S. Young, Boston University; Pham Thi Thu Huong, National Institute of Nutrition, Vietnam; Nguyen Thi Lam, National Institute of Nutrition, Vietnam; Nghiem Nguyet Thu, National Institute of Nutrition, Vietnam; Ha Thi Van, National Institute of Nutrition, Vietnam; Nguyen Lien Hanh, National Institute of Nutrition, Vietnam; Le Danh Tuyen, National Institute of Nutrition, Vietnam; Dinh Thi Kim Lien, Bach Mai Hospital; Tran Hieu Hoc, Bach Mai Hospital; Chu Thi Tuyet, Bach Mai Hospital; Nguyen Quoc Anh, Bach Mai Hospital; Elizabeth G. Henry, Boston University; Carine M. Lenders, Boston University; Kathleen M. Gura, Boston Childrens Hosp; Sherman J. Bigornia, Boston University; Caroline M. Apovian, Boston University; Thomas Ziegler, Emory University
• Language: English
• Date: 2016-09-01
• Publisher: Wiley: No OnlineOpen
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2016 Airiti Inc. All rights reserved.
• Final Published Version (URL): http://dx.doi.org/10.6133/apjcn.092015.15
• Title of Journal or Parent Work: Asia Pacific Journal of Clinical Nutrition
• ISSN: 0964-7058
• Volume: 25
• Issue: 3
• Start Page: 513
• End Page: 520
• Grant/Funding Information: This work was supported by a grant to Boston University from the Abbott Fund, (www.abbottfund.org), the foundation of the global healthcare company Abbott and grants from the National Institutes of Health P30 DK46200 (CL, CMA) and K24 DK096574 (TRZ).
• Keywords: IMPACT; Life Sciences & Biomedicine; Nutrition & Dietetics; LENGTH; PREVALENCE; IDENTIFICATION; enteral nutrition; malnutrition; subjective global assessment; ADULT MALNUTRITION; STAY; Vietnam; SOCIETY; Science & Technology; CARE; parenteral nutrition; MORTALITY

Abstract

Background and Objectives: The nutritional status and hospital feeding practices of surgical patients in Vietnam are not well documented. Based on a cross-sectional study at Bach Mai Hospital (BMH), the prevalence of malnutrition was found to be 33% in the surgical ward using a body mass index (BMI<18.5 kg/m2. We conducted an observational study over a three month period to evaluate the feeding practices in the gastrointestinal (GI) surgery ward at Bach Mai Hospital (BMH) in Hanoi, Vietnam. Methods and Study Design: Investigators from the U.S. and the Vietnamese National Institute of Nutrition (NIN) enrolled 72 subjects admitted for elective GI surgery in an observational study at BMH. Baseline anthropometrics and changes over time, body mass index (BMI), Subjective Global Assessment (SGA) and daily kcal and protein intake from oral diet, tube feeding, and parenteral nutrition (PN) from admission until discharge were documented. Results: A total of 50% of subjects scored a B or C on the SGA; 48% of subjects had a BMI<18.5, while mean mid upper arm circumference was in the low-normal range (24±4 cm). Nearly all patients (98%) were given PN postoperatively, with oral feeding starting on an average of postoperative day 4. Only one patient was tube fed. Mean daily total calorie intake was 15 kcal/kg/day and protein intake was 0.61 g/kg/day during hospitalization. Micronutrient supplementation was minimal in subjects receiving PN. Conclusions: Hospital malnutrition in surgical patients in Vietnam is a significant problem, peri-operative feeding appears suboptimal and use of early postoperative PN was routine.