Nutrition delivery after emergency laparotomy in surgical ward: a retrospective cohort study

Abstract

Purpose Adequate nutrition after major abdominal surgery is associated with less postoperative complications and shorter hospital length of stay (LOS) after elective procedures, but there is a lack of studies focusing on the adequacy of nutrition after emergency laparotomies (EL). The aim of the present study was to investigate nutrition adequacy after EL in surgical ward. Methods The data from 405 adult patients who had undergone emergency laparotomy in Oulu University Hospital (OUH) between years 2015 and 2017 were analyzed retrospectively. Nutrition delivery and complications during first 10 days after the operation were evaluated. Results There was a total of 218 (53.8%) patients who were able to reach cumulative 80% nutrition adequacy during the first 10 postoperative days. Patients with adequate nutrition (> 80% of calculated calories) met the nutritional goals by the second postoperative day, whereas patients with low nutrition delivery (< 80% of calculated calories) increased their caloric intake during the first 5 postoperative days without reaching the 80% level. In multivariate analysis, postoperative ileus [4.31 (2.15–8.62), P < 0.001], loss of appetite [3.59 (2.18–5.93), P < 0.001] and higher individual energy demand [1.004 (1.003–1.006), P = 0.001] were associated with not reaching the 80% nutrition adequacy. Conclusions Inadequate nutrition delivery is common during the immediate postoperative period after EL. Oral nutrition is the most efficient way to commence nutrition in this patient group in surgical ward. Nutritional support should be closely monitored for those patients unable to eat. Trial registration number Not applicable.

Integralidade do cuidado nutricional de adolescentes e jovens adultos submetidos a laparotomia: protocolo de revisão de escopo

“…A presente temática visa contribuir para a otimização do cuidado nutricional, através de uma assistência nutricional eficaz, corroborando com o estudo de Cougo et al (2021), Nematihona, et al, (2019, Weimann et al (2017) e Petrone, et al, (2014) quando afirmam que o cuidado nutricional individualizado diminui a morbidade, taxa de infecções e tempo de internação. Além disso, Nurkkala et al (2022) e Foss e Kehlet (2020) afirmam que há uma escassez de estudos avaliando a adequação da nutrição hospitalar neste grupo de pacientes.…”