Predicting Nutritional Status After Surgery for Hirschsprung’s Disease
Author Information
Author(s): Die Xiaohong, Feng Wei, Song Aohua, Liu Wei, Wang Yi, Guo Zhenhua, He Dawei
Primary Institution: Children’s Hospital of Chongqing Medical University
Hypothesis
This study aimed to analyze the risk factors of postoperative undernutrition for patients with Hirschsprung’s disease and establish a scoring system for predicting postoperative undernutrition.
Conclusion
The study identified key risk factors affecting postoperative undernutrition and successfully developed a scoring system to predict nutritional status, which could aid clinical practice.
Supporting Evidence
- 29.9% of patients experienced postoperative undernutrition.
- Non-breast feeding and preoperative undernutrition were significant risk factors.
- The scoring system showed an AUC of 0.887 for predicting undernutrition.
- Patients with a score above 12 had a 31.015 times higher chance of undernutrition.
- Postoperative complications within 30 days were linked to higher rates of undernutrition.
- Long-segment Hirschsprung’s disease was associated with increased risk of undernutrition.
- Caregivers who were not parents were linked to higher rates of undernutrition.
- The study emphasizes the importance of early intervention for at-risk patients.
Takeaway
After surgery for Hirschsprung’s disease, many kids have trouble getting enough nutrition. This study found out why and created a simple way to predict who might need extra help.
Methodology
A retrospective review of 341 patients with Hirschsprung’s disease who underwent laparoscopic-assisted pull-through surgery, using logistic regression analysis to identify risk factors.
Potential Biases
Potential bias due to the exclusion of patients who underwent staged procedures and the limited sample size from a single center.
Limitations
The study's retrospective design may have led to non-standardized data collection, and it only included patients from a specific region.
Participant Demographics
The study included 341 patients, predominantly male (81.23%), with a mean age of surgery between 1 to 12 months.
Statistical Information
Confidence Interval
95% CI: 0.839–0.934
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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