Faculty Collaboration Database

Prevalence of malnutrition and its associated outcomes in pediatric patients with scoliosis undergoing elective posterior spinal fusion or spine growth modulation - a retrospective review. Stud Health Technol Inform 2021 Jun 28;280:235-240

Date

07/01/2021

Pubmed ID

34190093

DOI

10.3233/SHTI210475

Scopus ID

2-s2.0-85109143056 (requires institutional sign-in at Scopus site)

Abstract

Recent attention within pediatric orthopedics focuses on the prevalence and prevention of post-operative complications, including surgical site infections (SSIs). While poor nutrition status has been noted as a risk factor, various definitions have been utilized. The aim of this retrospective chart review was to utilize the Academy of Nutrition and Dietetics (AND) and the American Society for Parenteral and Enteral Nutrition (ASPEN) diagnostic criteria to determine both the prevalence of malnutrition in pediatric patients undergoing spine deformity surgery and its influence on the prevalence of post-operative complications. A total of 2603 patients had a spine procedure between 2012 and 2018. Patients were excluded if they were less than 2 years of age or greater than 18 years of age and/or did not have their spine procedure completed at Children's Wisconsin. Patients who met inclusion criteria and had an irrigation and debridement (I&D) were selected for an I&D group. From the remaining charts, 127 patients were randomly selected for the non-I&D group. Patients in both groups were further divided into well-nourished and malnourished groups. T-tests and chi square tests were used to determine statistical significance. We found that 50% of patients who had an I&D had malnutrition during their clinical course. This is compared with 17% of patients who didn't require an I&D. Additionally, patients requiring multiple surgical interventions, had an increased prevalence of malnutrition. With the recent focus on reducing the prevalence of post-operative complications, the identification and treatment of malnutrition may be helpful in reducing post-operative complications.

Author List

Karls CA, Duey-Holtz A, Lampone OA, Dopp A, Tolo H, Tassone JC, Liu XC, Visotcky A, Goday PS

Authors

Allison D. Duey-Holtz NP Nurse Practitioner Surgical in the Orthopaedic Surgery department at Medical College of Wisconsin
J Channing Tassone MD Professor in the Orthopaedic Surgery department at Medical College of Wisconsin
Alexis M. Visotcky Biostatistician III in the Institute for Health and Equity department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Child
Child, Preschool
Humans
Malnutrition
Postoperative Complications
Prevalence
Retrospective Studies
Scoliosis
Spinal Fusion
Spine
Wisconsin