ArticleAnnals of the Royal College of Surgeons of England2023
Screening for malnutrition in emergency laparotomy patients: a comparison of three tools.
Article in Annals of the Royal College of Surgeons of England, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04696367 (Impact of Nutritional Deficit in Emergency Surgery), which is not on this map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Impact of Nutritional Deficit in Emergency Surgery: A Pilot Study
Who cites it
5 citing papers in PubMed, 6 citations in OpenAlex.
- The influence of surgeon seniority and intestinal failure experience on identifying malnourished patients in emergency general surgery: a national survey.Annals of the Royal College of Surgeons of England · 2026Article
- Prevalence of malnutrition and the appropriateness of nutritional support among patients with hematologic malignancies: a GLIM-based study.Frontiers in nutrition · 2026Article
- Predictive value of various nutritional assessment scores for Short-term outcomes after emergency abdominal surgery: A prospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Development of a patient-reported outcome measure for gastrointestinal recovery after surgery (PRO-diGI).The British journal of surgery · 2025Article
- Barriers faced by surgeons in identifying and managing malnutrition in emergency general surgery: A qualitative study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMalnourished patients undergoing emergency laparotomy are at risk of significant morbidity. The optimum screening tool to identify such patients in practice and research is yet to be determined. This study aims to compare the performance of three nutrition risk tools in predicting time without enteral nutrition in this population.
methodsA prospective cohort study (NCT04696367) was conducted across two sites, recruiting patients undergoing National Emergency Laparotomy Audit eligible procedures. Data collected included demographics, diagnosis, procedure and outcomes. Nutrition risk was assessed using three tools: Malnutrition Universal Screening Tool (MUST) score, Nutritional Risk Index (NRI) and Nutritional Risk Score 2002 (NRS-2002). Complications were assessed with the Comprehensive Complication Index. Quality of life was measured at baseline and 5 days postsurgery using EQ-5D-5L.
resultsA total of 59 patients were recruited. Median age was 69 years. Of the 59 participants, 23 were judged high risk using MUST score, 13 using NRS and 8 using NRI. Median time to restart enteral intake was 7 days (interquartile range 7-14). Time without intake was correlated with increasing score using MUST (
conclusionsPatients undergoing emergency laparotomy spend a prolonged time without enteral nutrition. Although all nutritional tools demonstrated some propensity to identify patients at higher risk of needing nutritional support, their performance was variable. Nevertheless, some may be useful in future clinical studies.
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