PMID- 35709852 OWN - NLM STAT- MEDLINE DCOM- 20221123 LR - 20221221 IS - 1097-6809 (Electronic) IS - 0741-5214 (Linking) VI - 76 IP - 6 DP - 2022 Dec TI - A scoping review of malnutrition in patients undergoing interventions for peripheral arterial disease. PG - 1742-1754.e3 LID - S0741-5214(22)01625-1 [pii] LID - 10.1016/j.jvs.2022.04.044 [doi] AB - BACKGROUND: Peripheral arterial disease (PAD) is associated with comorbid conditions and frailty. The role of preoperative nutrition in patients with PAD has not been well characterized. In the present scoping review, we sought to describe the prevalence and prognostic implications of preoperative malnutrition in patients undergoing vascular interventions for claudication or chronic limb-threatening ischemia (CLTI). METHODS: We systematically searched for studies across six databases from inception to August 2021. Studies that had focused on patients with claudication or CLTI who had undergone open or endovascular procedures were included if preoperative nutrition had been measured and correlated with a clinical outcome. RESULTS: Of 4186 records identified, 24 studies had addressed the prevalence or prognostic effects of malnutrition in patients who had undergone interventions for PAD. The proportion of women included in these studies ranged from 6% to 58%. The prevalence of preoperative malnutrition ranged from 14.6% to 72%. Seven different malnutrition assessments had been used in these studies. Across all the scales, preoperative malnutrition was associated with at least one of the following outcomes: mortality, postoperative complications, length of stay, readmission rates, and delayed wound healing. CONCLUSIONS: A variety of tools were used to measure malnutrition in patients undergoing interventions for PAD. Our findings suggest that preoperative malnutrition is associated with adverse clinical outcomes for patients undergoing open and endovascular procedures for claudication or CLTI and that consensus is lacking regarding which tool to use. Clinicians and surgeons should be sensitized to the importance of assessing for malnutrition preoperatively in adults undergoing interventions for PAD. CI - Copyright (c) 2022 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved. FAU - Rodighiero, Julia AU - Rodighiero J AD - School of Medicine, Trinity College Dublin, Dublin, Ireland. FAU - Leveille, Nayla AU - Leveille N AD - Faculte de medecine de l'Universite de Montreal, Montreal, QC, Canada. FAU - Shen, Shiyang AU - Shen S AD - Faculty of Medicine, McGill University, Montreal, QC, Canada. FAU - Ekmekjian, Taline AU - Ekmekjian T AD - Medical Library, McGill University Health Centre, Montreal, QC, Canada. FAU - Ades, Matthew AU - Ades M AD - Division of General Internal Medicine, Department of Medicine, McGill University, Montreal, QC, Canada. FAU - Drudi, Laura M AU - Drudi LM AD - Division of Vascular Surgery, Centre Hospitalier de L'Universite de Montreal, Montreal, QC, Canada; Carrefour de l'Innovation, Centre de recherche du Centre Hospitalier de L'Universite de Montreal, Montreal, QC, Canada. Electronic address: laura.drudi@umontreal.ca. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review DEP - 20220614 PL - United States TA - J Vasc Surg JT - Journal of vascular surgery JID - 8407742 SB - IM MH - Humans MH - Female MH - Ischemia/diagnosis/epidemiology/surgery MH - Risk Factors MH - Treatment Outcome MH - Time Factors MH - *Peripheral Arterial Disease/diagnosis/epidemiology/surgery MH - Intermittent Claudication/surgery MH - *Endovascular Procedures/adverse effects MH - *Cardiovascular Abnormalities MH - *Malnutrition/diagnosis/epidemiology/therapy MH - Chronic Disease OTO - NOTNLM OT - Chronic limb-threatening ischemia OT - Claudication OT - Malnutrition OT - Vascular surgery EDAT- 2022/06/17 06:00 MHDA- 2022/11/24 06:00 CRDT- 2022/06/16 19:22 PHST- 2021/12/10 00:00 [received] PHST- 2022/03/28 00:00 [revised] PHST- 2022/04/15 00:00 [accepted] PHST- 2022/06/17 06:00 [pubmed] PHST- 2022/11/24 06:00 [medline] PHST- 2022/06/16 19:22 [entrez] AID - S0741-5214(22)01625-1 [pii] AID - 10.1016/j.jvs.2022.04.044 [doi] PST - ppublish SO - J Vasc Surg. 2022 Dec;76(6):1742-1754.e3. doi: 10.1016/j.jvs.2022.04.044. Epub 2022 Jun 14.