METHODS: We searched through the Pub-Med database using the keywords \"pancreas and kidney transplantation\" combined with \"nutritional risk\", \"nutritional status\", \"malnutrition\", \"nutritional intervention\", and \"frailty\", finding a total of 4103 matching results. We then narrowed it down to articles written in English with the full text available. We also researched through the references of articles most accurately matching our researched terms.
RESULTS: There are numerous tools that have been investigated for the screening of malnutrition, such as the NRI index, PNI index, NLR, SGA scale, and NRS-2002 scale, each of which proved to be of some use in predicting patient outcomes in different surgical settings. Since all of them differed in components and assessed parameters and, in the absence of more sensitive or infallible indicators, the most reasonable approach seems to evaluate them jointly.
CONCLUSIONS: It is important to underline the necessity of nutritional screening and the subsequent introduction of adequate therapy while awaiting transplantation in an attempt to improve results. Considering the complexity of surgical procedures and the severity of underlying diseases with their intense metabolic components, the patient\'s nutritional status seems to significantly influence results. Consequently, nutritional risk assessments should be a part of the routine care of patients qualified for transplantation.
方法:我们搜索了Pub-Med数据库,使用关键词“胰腺和肾脏移植”和“营养风险”,“营养状况”,“营养不良”,“营养干预”,和“脆弱”,查找共4103个匹配结果。然后,我们将其范围缩小到用英语写的文章,全文可用。我们还通过最准确地匹配我们研究的术语的文章的参考文献进行了研究。
结果:已经研究了许多用于筛查营养不良的工具,例如NRI指数,PNI指数,NLR,SGA量表,和NRS-2002量表,每种方法都被证明在预测不同手术环境下的患者结局方面有一定的用处.由于它们在成分和评估参数上都不同,在没有更敏感或可靠的指标的情况下,最合理的方法似乎是共同评估它们。
结论:重要的是强调营养筛查的必要性,以及随后在等待移植以改善结果的同时引入适当的治疗方法。考虑到外科手术的复杂性和潜在疾病的严重程度及其强烈的代谢成分,患者的营养状况似乎对结果有显著影响。因此,营养风险评估应该是有资格接受移植的患者的常规护理的一部分.