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The Role of Objective Measurement of Skeletal Muscle Function in the PreOperative Patient M.R. ZEIDERMAN* AND M.J. McMAHON† University Department of Surgery,† The General Infirmary, Leeds; and University Surgical Unit,*Clinical Sciences Centre, Northern General Hospital, Sheffield, S57 AU

The Role of Objective Measurement of Skeletal Muscle Function in the PreOperative Patient M.R. ZEIDERMAN* AND M.J. McMAHON† University Department of Surgery,† The General Infirmary, Leeds; and University Surgical Unit,*Clinical Sciences Centre, Northern General Hospital, Sheffield, S57 AU

Abstract

31 Current LiteratureThe Role of Objective Measurement of Skeletal Muscle Function in the PreOperative Patient M.R. ZEIDERMAN* AND M.J. McMAHON† University Department of Surgery,† The General Infirmary, Leeds; and University Surgical Unit,*Clinical Sciences Centre, Northern General Hospital, Sheffield, S57 AU SAGE Publications, Inc.1990DOI: 10.1177/088453369000500110 Jane Doszpoly M.A., R.D., C.N.S.D. Clinical Nutrition 8: 161-166, 1989 The clinical value of objective measurement of skeletal muscle function was studied in 37 pre-operative patients with carcinoma of the gastrointestinal tract. Muscle function was determined in the adductor pollicis muscle of the thumb after stimulation of the ulnar nerve at the wrist. There was a difference in the force-frequency relationship (FIO / Floo) between patients with a recalled weight loss of 5 kg or more in the three months prior to admission compared to those who had not lost weight. Muscle function was normalized by seven days of pre-operative intravenous nutrition. Pre-operative measurement of skeletal muscle function enabled identification of a patient who subsequently developed a post-operative complication with a specificity of 89%, sensitivity of 39%, and predictive index of 78%. Objective measurements of skeletal muscle function are of potential value for the prediction of post-operative complications and help to define patients who
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