The presurgical controlling nutritional status (CONUT) score is independently associated with severe peristomal skin disorders: a single-center retrospective cohort study

Abstract While nutritional interventions may potentially lower the risk of peristomal skin disorders (PSDs) and their exacerbation, no previous studies have evaluated the relationship between PSDs and nutritional status using the Controlling Nutritional Status (CONUT) score. The purpose of this stud...

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Autores principales:	Takuya Shiraishi, Hiroomi Ogawa, Chika Katayama, Katsuya Osone, Takuhisa Okada, Ryuji Katoh, Akihiko Sano, Makoto Sakai, Makoto Sohda, Ken Shirabe, Hiroshi Saeki
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b85ffbdb449d4d50a7ad8c43cc2d001c
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spelling	oai:doaj.org-article:b85ffbdb449d4d50a7ad8c43cc2d001c2021-12-02T18:14:16ZThe presurgical controlling nutritional status (CONUT) score is independently associated with severe peristomal skin disorders: a single-center retrospective cohort study10.1038/s41598-021-98369-y2045-2322https://doaj.org/article/b85ffbdb449d4d50a7ad8c43cc2d001c2021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98369-yhttps://doaj.org/toc/2045-2322Abstract While nutritional interventions may potentially lower the risk of peristomal skin disorders (PSDs) and their exacerbation, no previous studies have evaluated the relationship between PSDs and nutritional status using the Controlling Nutritional Status (CONUT) score. The purpose of this study was to assess the impact of preoperative nutritional status on stoma health, and determine risk factors for postoperative PSDs, including severe PSDs. A retrospective analysis was performed of 116 consecutive patients with rectal cancer who underwent radical surgery with ileostomy or colostomy creation. PSDs were diagnosed in 32 patients (27.6%); including 10 cases (8.7%) that were defined as severe based on the ABCD-stoma score. Multivariable logistic regression showed that smoking (odds ratio [OR] 3.451, 95% confidence interval [CI] 1.240–9.607, p = 0.018) and ileostomy (OR 3.287, 95% CI 1.278–8.458, p = 0.014) were independent risk factors for PSDs. A separate multivariable logistic regression analysis of risk factors for severe PSDs, found that the only independent risk factor was the CONUT score (OR 10.040, 95% CI 1.191–84.651, p = 0.034). Severe PSDs are associated with preoperative nutritional disorders, as determined by the CONUT score. Furthermore, nutritional disorders may increase the severity of PSDs, regardless of the stoma type.Takuya ShiraishiHiroomi OgawaChika KatayamaKatsuya OsoneTakuhisa OkadaRyuji KatohAkihiko SanoMakoto SakaiMakoto SohdaKen ShirabeHiroshi SaekiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Takuya Shiraishi Hiroomi Ogawa Chika Katayama Katsuya Osone Takuhisa Okada Ryuji Katoh Akihiko Sano Makoto Sakai Makoto Sohda Ken Shirabe Hiroshi Saeki The presurgical controlling nutritional status (CONUT) score is independently associated with severe peristomal skin disorders: a single-center retrospective cohort study
description	Abstract While nutritional interventions may potentially lower the risk of peristomal skin disorders (PSDs) and their exacerbation, no previous studies have evaluated the relationship between PSDs and nutritional status using the Controlling Nutritional Status (CONUT) score. The purpose of this study was to assess the impact of preoperative nutritional status on stoma health, and determine risk factors for postoperative PSDs, including severe PSDs. A retrospective analysis was performed of 116 consecutive patients with rectal cancer who underwent radical surgery with ileostomy or colostomy creation. PSDs were diagnosed in 32 patients (27.6%); including 10 cases (8.7%) that were defined as severe based on the ABCD-stoma score. Multivariable logistic regression showed that smoking (odds ratio [OR] 3.451, 95% confidence interval [CI] 1.240–9.607, p = 0.018) and ileostomy (OR 3.287, 95% CI 1.278–8.458, p = 0.014) were independent risk factors for PSDs. A separate multivariable logistic regression analysis of risk factors for severe PSDs, found that the only independent risk factor was the CONUT score (OR 10.040, 95% CI 1.191–84.651, p = 0.034). Severe PSDs are associated with preoperative nutritional disorders, as determined by the CONUT score. Furthermore, nutritional disorders may increase the severity of PSDs, regardless of the stoma type.
format	article
author	Takuya Shiraishi Hiroomi Ogawa Chika Katayama Katsuya Osone Takuhisa Okada Ryuji Katoh Akihiko Sano Makoto Sakai Makoto Sohda Ken Shirabe Hiroshi Saeki
author_facet	Takuya Shiraishi Hiroomi Ogawa Chika Katayama Katsuya Osone Takuhisa Okada Ryuji Katoh Akihiko Sano Makoto Sakai Makoto Sohda Ken Shirabe Hiroshi Saeki
author_sort	Takuya Shiraishi
title	The presurgical controlling nutritional status (CONUT) score is independently associated with severe peristomal skin disorders: a single-center retrospective cohort study
title_short	The presurgical controlling nutritional status (CONUT) score is independently associated with severe peristomal skin disorders: a single-center retrospective cohort study
title_full	The presurgical controlling nutritional status (CONUT) score is independently associated with severe peristomal skin disorders: a single-center retrospective cohort study
title_fullStr	The presurgical controlling nutritional status (CONUT) score is independently associated with severe peristomal skin disorders: a single-center retrospective cohort study
title_full_unstemmed	The presurgical controlling nutritional status (CONUT) score is independently associated with severe peristomal skin disorders: a single-center retrospective cohort study
title_sort	presurgical controlling nutritional status (conut) score is independently associated with severe peristomal skin disorders: a single-center retrospective cohort study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/b85ffbdb449d4d50a7ad8c43cc2d001c
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The presurgical controlling nutritional status (CONUT) score is independently associated with severe peristomal skin disorders: a single-center retrospective cohort study

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