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Impact of perioperative nutritional status on the outcome of abdominal surgery in a sub-Saharan Africa setting

Overview of attention for article published in BMC Research Notes, September 2017
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Title
Impact of perioperative nutritional status on the outcome of abdominal surgery in a sub-Saharan Africa setting
Published in
BMC Research Notes, September 2017
DOI 10.1186/s13104-017-2765-8
Pubmed ID
Authors

Christian Gael Mambou Tebou, Mazou N. Temgoua, Agnès Esiene, Blondel Oumarou Nana, Jean Jacques Noubiap, Eugène Sobngwi

Abstract

Malnutrition is a clinical condition of multifactorial etiologies and it is associated with several adverse outcomes. In high-income countries, malnutrition has been described as a determinant of delayed wound healing, surgical site infections and mortality in the postoperative period. There is limited information available regarding the outcome of surgery in malnourished patients in sub-Saharan Africa. A cross-sectional analytic study was carried out between March and August 2014 in the visceral surgery and the emergency departments of the Yaounde Central Hospital in Cameroon. All consecutive consenting preoperative and postoperative patients of abdominal surgical procedures were enrolled. Variables studied were: socio-demographic characteristics, medical and surgical past histories, nutritional survey, anthropometric parameters and serum albumin level in order to determine the nutritional risk index (or Buzby score). A total of 85 patients aged from 19 to 50 years with mean age of 34.4 ± 8 years were included. The most performed abdominal surgical procedure was appendectomy (30.6%). The prevalence of preoperative malnutrition according to the Buzby score was 39.1%. Mean postoperative weight lost was 2.9 ± 1.2 kg and mean decrease in postoperative serum albumin was 4.2 ± 0.2 g. A normal postoperative serum albumin was associated with a favorable outcome [OR (95% CI) = 55 (13.4-224.3), p < 0.001]. The prevalence of malnutrition is high in our visceral surgery and emergency departments; this is associated with an increased risk of adverse early postoperative outcomes. Overall, our results emphasize the need of optimizing perioperative care through routine nutritional assessment and management of surgical patients in Cameroon.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 47 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 47 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 10 21%
Student > Master 6 13%
Researcher 5 11%
Student > Doctoral Student 4 9%
Student > Postgraduate 4 9%
Other 6 13%
Unknown 12 26%
Readers by discipline Count As %
Medicine and Dentistry 17 36%
Nursing and Health Professions 11 23%
Unspecified 4 9%
Social Sciences 1 2%
Biochemistry, Genetics and Molecular Biology 1 2%
Other 0 0%
Unknown 13 28%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 September 2020.
All research outputs
#14,597,715
of 18,950,555 outputs
Outputs from BMC Research Notes
#2,495
of 3,873 outputs
Outputs of similar age
#199,045
of 287,258 outputs
Outputs of similar age from BMC Research Notes
#1
of 1 outputs
Altmetric has tracked 18,950,555 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
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