ArticleBJS open2023
Identifying malnutrition in emergency general surgery: systematic review.
Article in BJS open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 19 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
- Association Between the Prognostic Nutritional Index and Outcomes in Patients Undergoing Emergency Laparotomy.Journal of clinical medicine · 2025Article
- 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
- What influences emergency general surgeons' treatment preferences for patients requiring nutritional support? A discrete choice experiment.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- Epidemiology, Controversies, and Dilemmas of Perioperative Nutritional Risk/Malnutrition: A Narrative Literature Review.Risk management and healthcare policy · 2025Review
- Consensus-based recommendations for optimizing perioperative nutritional support and muscle health in major surgery in India.Frontiers in nutrition · 2025Article
- Geriatric nutritional risk index as a predictor of major postoperative complications in emergency femoral hernia patients.BMC surgery · 2024Article
- 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
- Impaired microvascular function in patients with sickle cell anemia and leg ulcers improved with healing.British journal of haematology · 2024Article
- A retrospective cohort study on the association between nutritional status and prognosis in COVID-19 patients with severe and critical infection.The Journal of international medical research · 2024Article
- Best of general and upper GI surgery in 2023.BJS open · 2024Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency general surgery practice is high risk. Surgery is a key part of treatment, with resultant catabolic stress and frequent need for nutritional support. The aim of this study was to examine the current methods of defining and determining malnutrition in emergency general surgery. This included examining the use of nutrition screening and assessment tools and other measures of malnutrition.
methodsMEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, trial registries, and relevant journals published between January 2000 and January 2022 were searched for studies of adult patients with any emergency general surgery diagnosis, managed conservatively or operatively, with an assessment of nutritional status. Mixed populations were included if more than 50 per cent of patients were emergency general surgery patients or emergency general surgery results could be separately extracted. Studies in which patients had received nutritional support were excluded. The protocol was registered with PROSPERO, the international prospective register of systematic reviews (CRD42021285897).
resultsFrom 6700 studies screened, 324 full texts were retrieved and 31 were included in the analysis. A definition of malnutrition was provided in 23 studies (75 per cent), with nutritional status being determined by a variety of methods. A total of seven nutrition screening tools and a total of nine 'assessment' tools were reported. To define malnutrition, the most commonly used primary or secondary marker of nutritional status was BMI, followed by albumin level.
conclusionWide variation exists in approaches to identify malnutrition risk in emergency general surgery patients, using a range of tools and nutrition markers. Future studies should seek to standardize nutrition screening and assessment in the emergency general surgery setting as two discrete processes. This will permit better understanding of malnutrition risk in surgical patients.
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