Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk

Bin, Jie; Zhu, Jiang; Nolan, Marie T.; Zhu, Shai Nan; Yu, Kang; Kondrup, Jens

doi:10.1016/j.nut.2012.01.017

Cited by 323 publications

(255 citation statements)

References 16 publications

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“…1,21 However, even 5-7 days of preoperative nutrition therapy can lead to a 50% reduction in postoperative morbidity in malnourished patients. 49 The optimal amount of time preoperative nutrition needed for malnourished patients and an objective measure of nutritional optimization need further study. Intriguingly, recent consensus recommendations from the recent North American Surgical Nutrition Summit suggested that "preventive" preoperative nutrition therapy and optimization involving "metabolic preparation" occur in all patients at risk of undernutrition, rather than simply just correcting deficiencies in severely undernourished patients.…”

Section: Preoperative Interventionmentioning

confidence: 99%

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway

Wischmeyer

Carli

Evans

et al. 2018

Anesthesia &Amp; Analgesia

316

327

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Perioperative malnutrition has proven to be challenging to define, diagnose, and treat. Despite these challenges, it is well known that suboptimal nutritional status is a strong independent predictor of poor postoperative outcomes. Although perioperative caregivers consistently express recognition of the importance of nutrition screening and optimization in the perioperative period, implementation of evidence-based perioperative nutrition guidelines and pathways in the United States has been quite limited and needs to be addressed in surgery-focused recommendations. The second Perioperative Quality Initiative brought together a group of international experts with the objective of providing consensus recommendations on this important topic with the goal of (1) developing guidelines for screening of nutritional status to identify patients at risk for adverse outcomes due to malnutrition; (2) address optimal methods of providing nutritional support and optimizing nutrition status preoperatively; and (3) identifying when and how to optimize nutrition delivery in the postoperative period. Discussion led to strong recommendations for implementation of routine preoperative nutrition screening to identify patients in need of preoperative nutrition optimization. Postoperatively, nutrition delivery should be restarted immediately after surgery. The key role of oral nutrition supplements, enteral nutrition, and parenteral nutrition (implemented in that order) in most perioperative patients was advocated for with protein delivery being more important than total calorie delivery. Finally, the role of often-inadequate nutrition intake in the posthospital setting was discussed, and the role of postdischarge oral nutrition supplements was emphasized.

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Section: Preoperative Interventionmentioning

confidence: 99%

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway

Wischmeyer

Carli

Evans

et al. 2018

Anesthesia &Amp; Analgesia

316

327

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“…NRS-2002 was also found to be a sensitive tool for hospitalized patients by other studies. 16,17 An NRS score showed both nutritional status and the severity of disease. Repeated point prevalence surveys could reflect changes in nutritional status and disease severity.…”

Section: Conclusion/discussionmentioning

confidence: 99%

A Multicenter Investigation on Nutritional Risk and Nutrition Therapy in Chinese Teaching Hospitals with Nutritional Risk Screening 2002

Zhou¹,

Tang²,

H³

et al. 2015

Adv Food Technol Nutr Sci Open J

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Prevalence of malnutrition, nutritional risk and implementation rate of nutritional therapy were compared between patients in surgical wards and those in internal medicine wards. Results: A total of 1278 patients were in the final analysis. Among them, 551 patients were in surgical wards (the surgical group) and 727 patients were in internal medicine wards (the internal group). Compared to the internal group, the prevalence of nutritional risk was significantly lower in the surgical group (27.22% vs. 39.48%, p=0.0001). There were no significantly differences in prevalence of malnutrition between surgical and internal groups (15.06% vs. 16.23%, p=0.5702). In the internal group, more patients without nutritional risk underwent nutrition therapy (22.27% vs. 13.97%, p=0.0019) and fewer patients with malnutrition or nutritional risks underwent nutritional therapy (p<0.05). Conclusions: Nutritional risk and inappropriate nutritional therapy are more common among patients in internal medicine wards than those in surgical wards. The NRS-2002 is a worthwhile nutritional risk screening tool for hospitalized patients.TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT00289380.

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“…Therefore, patients with nutritional risk screening (NRS) score ≥3 should have an optimized nutritional support that includes both enteral nutrition to maintain the intestinal barrier function and parenteral nutrition to avoid malnutrition and infection due to long-term insuicient feeding. These measures will help to improve clinical outcomes in these patients [25,26].…”

Section: Evaluation Of Physiological Reservementioning

confidence: 99%

Minimally Invasive Esophagectomy

Calduch¹,

Oliver²,

Mozos³

et al. 2017

Esophageal Abnormalities

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Minimally Invasive Surgery (MIS) for esophageal carcinoma has improved the outcome of patients. This approach has been shown to decrease the rate of respiratory complications, the intensive care unit (ICU) stay, and to allow a faster recovery of patients. Also, an improvement in perioperative care has contributed to beter outcomes compared to the open approach. MIS has been shown to be as safe as open surgery in terms of resectability, harvested lymph nodes, and overall survival.

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Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk

Cited by 323 publications

References 16 publications

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway

A Multicenter Investigation on Nutritional Risk and Nutrition Therapy in Chinese Teaching Hospitals with Nutritional Risk Screening 2002

Minimally Invasive Esophagectomy

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