The effects of perioperative oral management on perioperative serum albumin levels in patients treated surgically under general anesthesia: A multicenter retrospective analysis in Japan

The purpose of the present study was to investigate the efficacy of perioperative oral managements (POMs) on perioperative nutritional conditions in patients undergoing surgery with general anesthesia. Medical records were retrospectively reviewed and the effects of POMs were investigated based on a...

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Veröffentlicht in:Medicine (Baltimore) 2021-03, Vol.100 (10), p.e25119-e25119
Hauptverfasser: Yamada, Shin-ichi, Koike, Kazuyuki, Isomura, Emiko Tanaka, Chikazu, Daichi, Yamagata, Kenji, Iikubo, Masahiro, Hino, Satoshi, Hibi, Hideharu, Katsura, Kouji, Nakamura, Seiji, Nomura, Takeshi, Mori, Yoshiyuki, Tojyo, Itaru, Kanamura, Narisato, Yamamori, Iku, Aota, Keiko, Fujita, Shigeyuki, Tanzawa, Hideki, Kurita, Hiroshi
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container_title Medicine (Baltimore)
container_volume 100
creator Yamada, Shin-ichi
Koike, Kazuyuki
Isomura, Emiko Tanaka
Chikazu, Daichi
Yamagata, Kenji
Iikubo, Masahiro
Hino, Satoshi
Hibi, Hideharu
Katsura, Kouji
Nakamura, Seiji
Nomura, Takeshi
Mori, Yoshiyuki
Tojyo, Itaru
Kanamura, Narisato
Yamamori, Iku
Aota, Keiko
Fujita, Shigeyuki
Tanzawa, Hideki
Kurita, Hiroshi
description The purpose of the present study was to investigate the efficacy of perioperative oral managements (POMs) on perioperative nutritional conditions in patients undergoing surgery with general anesthesia. Medical records were retrospectively reviewed and the effects of POMs were investigated based on a large number of cases using a multicenter analysis. The profile of serum albumin levels was assessed and compared between patients with and without POMs using the multivariate analysis. Seventeen Eleven thousand and one hundred sixty patients (4,873 males and 6,287 females) were reviewed. Of these, 2710 patients (24.3%) had undergone POMs. The results of a multivariate analysis revealed the significant positive effect of POMs on perioperative serum albumin level (change between at admission and discharge, (Estimate: 0.022, standard error: 0.012, P 
doi_str_mv 10.1097/MD.0000000000025119
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Medical records were retrospectively reviewed and the effects of POMs were investigated based on a large number of cases using a multicenter analysis. The profile of serum albumin levels was assessed and compared between patients with and without POMs using the multivariate analysis. Seventeen Eleven thousand and one hundred sixty patients (4,873 males and 6,287 females) were reviewed. Of these, 2710 patients (24.3%) had undergone POMs. The results of a multivariate analysis revealed the significant positive effect of POMs on perioperative serum albumin level (change between at admission and discharge, (Estimate: 0.022, standard error: 0.012, P &lt; .0001). Patient gender, age, surgical site, performance status, the American Society of Anesthesiologists (ASA) physical status classification, operation time, amount of blood loss, and serum albumin level at admission were also significant predictors. Adjusted multivariate analysis of the effects of POMs on perioperative change of serum albumin level in all subjects reveled the significance of POMs intervention (estimate: 0.022, standard error: 0.012, P &lt; .0001). These results suggest that POMs exerts significant positive effects on perioperative serum albumin levels in patients underwent surgery under general anesthesia.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000025119</identifier><identifier>PMID: 33725909</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins</publisher><subject>Adult ; Anesthesia, General - adverse effects ; Female ; Humans ; Japan ; Male ; Middle Aged ; Observational Study ; Oral Hygiene ; Perioperative Care - methods ; Perioperative Period ; Postoperative Complications - immunology ; Postoperative Complications - prevention &amp; control ; Retrospective Studies ; Risk Factors ; Serum Albumin, Human - analysis ; Serum Albumin, Human - immunology ; Surgical Procedures, Operative - adverse effects ; Treatment Outcome</subject><ispartof>Medicine (Baltimore), 2021-03, Vol.100 (10), p.e25119-e25119</ispartof><rights>Lippincott Williams &amp; Wilkins</rights><rights>Copyright © 2021 the Author(s). 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Medical records were retrospectively reviewed and the effects of POMs were investigated based on a large number of cases using a multicenter analysis. The profile of serum albumin levels was assessed and compared between patients with and without POMs using the multivariate analysis. Seventeen Eleven thousand and one hundred sixty patients (4,873 males and 6,287 females) were reviewed. Of these, 2710 patients (24.3%) had undergone POMs. The results of a multivariate analysis revealed the significant positive effect of POMs on perioperative serum albumin level (change between at admission and discharge, (Estimate: 0.022, standard error: 0.012, P &lt; .0001). Patient gender, age, surgical site, performance status, the American Society of Anesthesiologists (ASA) physical status classification, operation time, amount of blood loss, and serum albumin level at admission were also significant predictors. Adjusted multivariate analysis of the effects of POMs on perioperative change of serum albumin level in all subjects reveled the significance of POMs intervention (estimate: 0.022, standard error: 0.012, P &lt; .0001). These results suggest that POMs exerts significant positive effects on perioperative serum albumin levels in patients underwent surgery under general anesthesia.</abstract><cop>United States</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>33725909</pmid><doi>10.1097/MD.0000000000025119</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Anesthesia, General - adverse effects
Female
Humans
Japan
Male
Middle Aged
Observational Study
Oral Hygiene
Perioperative Care - methods
Perioperative Period
Postoperative Complications - immunology
Postoperative Complications - prevention & control
Retrospective Studies
Risk Factors
Serum Albumin, Human - analysis
Serum Albumin, Human - immunology
Surgical Procedures, Operative - adverse effects
Treatment Outcome
title The effects of perioperative oral management on perioperative serum albumin levels in patients treated surgically under general anesthesia: A multicenter retrospective analysis in Japan
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