Preoperative Risk Factors


Healthy eating, exercise, proper supplementation, avoiding harmful products/substances and managing chronic diseases (obesity, diabetes, anemia, inflammatory conditions, depression, etc.) can help to improve and sustain good nutritional status.

Studies have shown that a high percentage of patients with a (BMI) >30 are malnourished.


Patients that have been identified as obese and/or malnourished have a significantly higher complication rate, including;

  • infection
  • hematoma formation
  • renal
  • cardiac complications

Surgeon Tools/Recommendations

Understanding possible treatment options is useful for collaborative efforts to optimize patient's nutritional status. Certain aspects of a patient's nutritional status can be assessed through routine blood work.

  • Malnourished patients should start receiving supplementation of identified deficiencies at least 14 days prior to surgery, particularly Vitamin D and protein supplementation.
  • Collaborative efforts are encouraged, including a nutritional screening checklist.