Risk of hospital malnutrition, inflammatory markers, and medical nutrition therapy in digestive surgery patient: a retrospective cohort study from eastern indonesia.

Introduction: The prevalence of hospital malnutrition in Indonesian 23.9% - 60.5%. It is important to evaluate nutritional status of patients at admission to prevent malnutrition and to identify the need for nutritional therapy. Nutrition, immunity, and the gastrointestinal tract are closely interrelated. Malnutrition is widely reported in surgical patients, especially those who have undergone major surgery, and is a particular risk in patients undergoing surgery for upper gastrointestinal cancer or colorectal cancer. Studies show a high prevalence of malnutrition or high nutritional risk during hospital admission, but this is rarely assessed in the clinical setting, especially for patients undergoing elective surgery. There has been no study on digestive surgery patients receiving medical nutritional therapy (MNT). Method: Cohort retrospective study. This study used medical record data with a total sample of digestive surgery patients. This study identified the MUST modified scores of digestive surgery patients, with albumin, NLR, and TLC values. Assess length of stay , mortality rate, and medical nutritional therapy. Result: The most common diagnosis is rectal cancer. Moderate MUST score in 144 patients (40.7%), low MUST score in 140 patients (39.6%) and high MUST scores in 69 patients (19.5%). 96 patients (27%) received medical nutrition therapy, 71% with severe protein energy malnutrition diagnosis, 29% with moderate protein energy malnutrition diagnosis.