PP159-MON NUTRITIONAL PROFILE OF PATIENTS IN ONCOLOGY

Nutritional assessment II PP158-MON SYSTEMATIC NUTRITIONAL STATUS ASSESSMENT, PREVALENCE OF MALNUTRITION AND CLINICAL OUTCOME IN PATIENTS WITH SHORT BOWEL SYNDROME B. Knappe-Drzikova1 , D. Vonderbeck1 , S. Maasberg1 , U. Gerlach2 , K. Loschen1 , A. Sturm3 , B. Wiedenmann1 , A. Pascher2 , U.-F. Pape1 . 1 Hepatology and Gastroenterology, 2 General, Visceral and Transplantation Surgery, Charit´ e, University Medicine Berlin, 3 Internal Medicine, Waldfriede Hospital, Berlin, Germany Rationale: Malnutrition (MN) is a frequent clinical condition in patients (pts) with short bowel syndrome (SBS) likely influencing morbidity and mortality. However, no specific data are available on assessment, prevalence and outcome of MN in SBS pts. Thus, we aimed to study these factors in SBS pts of an interdisciplinary intestinal failure team of an academic referral center. Methods: Nutritional status was assessed in a cross sectional design in 40 pts by Subjective Global Assessment (SGA), anthropometric and serum surrogate parameters and bioelectrical impedance analysis (BIA) results. Complications of SBS and chronic parenteral nutrition, i.e. hepatopathy, as determined by elevated serum liver values, and catheter-related blood infections (CRBI) were also documented. Statistical calculations were performed using SPSS19.0 software. Results: By SGA-screening MN (SGA B+C) was detected in 75% of all pts; MN was more prevalent in pts with than without small bowel stoma (62 vs. 38%) and shorter remaining small bowel length (<100 cm: 73% vs. >100 cm: 27%). MN was significantly associated with less favourable results for Body Mass Index, serum albumin (p < 0.009) and transferrin (p < 0.05) and BIA (phase angle p < 0.04, ECM/BCM-index p < 0.014). MN was also significantly associated with a higher prevalence of complications such as hepatopathy and CRBIs (67% and 68% pts in malnutrition group, resp.). Overall survival was also significantly and independently reduced in malnourished SBS pts. Conclusion: MN is highly prevalent in pts with SBS and is associated with more severe clinical SBS, higher incidence of complications and poorer clinical outcome. Nutritional status assessment can reliably identify malnourished pts. Thus, structured MN assessment and consequently appropriate nutritional therapy should therefore be integral part of the interdisciplinary management of SBS-pts. Disclosure of Interest: None Declared

PP159-MON NUTRITIONAL PROFILE OF PATIENTS IN ONCOLOGY L. Varj˜ ao1 , T.C. Rios1 , C. Avelar1 . 1 Nutri¸ca ˜o, Hospital Aristides Maltez, Salvador BA, Brazil Rationale: The poor nutritional status of pacients is directly related to the occurrence of postoperative complications. Nutritional assessment becomes na important tool for detecting nutritional intervention. Determine the nutritional profile of cancer patients in the preoperative period of a hospital in Salvador-Ba. Methods: Cross-sectional study conducted from July 31 to August 5, 2012. ASG-PPP was applied 24 hours after admission in 85 patients hospitalized in surgical, of both sexes, aged over

S181 20 years and with different types of cancer. Exclusion criteria were patients who could not answer ASG-PPP and under the age of 20 years. The results were presented in graphs with relative frequencies. Results: We evaluated 85 patients hospitalized in Surgical, 71.8% had a diagnosis nutritional Well Nourished, 22.4% Malnutrition or suspected Malnutrition Moderate and Severe Malnutrition of 5.9% and patients with cˆ ancer of the gastrointestinal tract that presented greater impairment of nutritional status (31.6%). Conclusion: Unlike some studies, most patients had nutritional diagnosis of well-nourished, according to ASG-PPP. This may be related to the most prevalent types of cancers, which does not mean that these patients are not at nutritional risk, consistent with this type of pathology and surgical procedures. References [1] N Engl J Med. v. 348, n. 17. Apr, 2003. [2] Support Care Cancer (2009)17:279 84. [3] Med Sci Sports Exerc. v. 35, p. 1834 1840, 2003. Disclosure of Interest: None Declared

PP160-MON LAST TRIMESTER UNINTENTIONAL WEIGHT LOSS NEGATIVELY AFFECTS LENGTH OF HOSPITAL STAY (LOS) AND MORTALITY M. Chourdakis1,2 , T. Lappa3 , A. Tsagari3 , C. Dimosthenopoulos4 , K.-A. Poulia2,4 , A. Anastasiadou2,5 , A. Baschali2,6 , M. Bletsa2,7 , Z. Bouloumbasi2,6 , A. Chatzoglou8 , N. Giannoulaki2,9 , P. Detopoulou10 , G. Kabatzi8 , P. Kalogirou7 , D. Karagiannis2,6 , S. Karantaglidou2,4 , I. Karli6 , V. Mylona8 , K. Papageorgiou8 , E. Papagiannidou11 , V. Papamikos12 , S. Zouganeli12 , M. Kontogianni2,8 . 1 Aristotle University of Thessaloniki, Thessaloniki, 2 Hellenic Society for Clinical Nutrition and Metabolism, GrESPEN, 3 KAT Hospital, 4 Laiko Hospital, Athens, 5 Papageorgiou Hospital, Thessaloniki, 6 Evaggelismos Hospital, 7 Sotiria Hospital, 8 Nutrition & Dietetics, Harokopio University, Athens, 9 Ahepa Hospital, Thessaloniki, 10 Red Cross Hospital, 11 Asklepieio Hospital, 12 Attikon Hospital, Athens, Greece Rationale: Unintentional weight loss (WL) is known to affect patients’ morbidity and mortality. The aim of the present study was to assess the impact of WL on LOS and mortality in the Greek “nutritionDAY” (nD) 2010 2012 project. Methods: During the nutritionDay project 2012, eight hundred and twenty one patients were randomly selected in nine different Greek hospitals and were included in the analysis. Questionnaires of the nD project were completed and last trimester WL and % of this WL (%WL) were recorded. LOS and patients’ outcome were recorded and evaluated one month after the nD. PASW statistics 18 was used for the statistical analysis. Pearson correlations were used for exploring associations between LOS and several characteristics. Linear regression analysis was performed for either LOS or mortality as the dependent variable and variables significantly correlated with either LOS or mortality as the independent variables. Results: 44.8% of patients reported WL and 28% %WL >5%. %WL was correlated with LOS (r = 0.23, p < 0.001) and those who died reported higher %WL than those who were still alive (8.1±8.7 vs. 3.7±5.5, p < 0.001) at one month