IR@PKUHSC  > 北京大学第一临床医学院
学科主题临床医学
Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk
Jie, Bin1,2; Jiang, Zhu-Ming1; Nolan, Marie T.3; Zhu, Shai-Nan4; Yu, Kang5; Kondrup, Jens6,7
关键词Malnutrition Nutritional Risk Screening Preoperative Nutritional Support Complications Length Of Stay
刊名NUTRITION
2012-10-01
DOI10.1016/j.nut.2012.01.017
28期:10页:1022-1027
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Nutrition & Dietetics
研究领域[WOS]Nutrition & Dietetics
关键词[WOS]TOTAL PARENTERAL-NUTRITION ; ESPEN GUIDELINES ; GASTROINTESTINAL CANCER ; ENTERAL NUTRITION ; COMPLICATIONS ; DEFINITIONS ; SURGERY ; COHORT ; TRIAL
英文摘要

Objective: This multicenter, prospective cohort study evaluated the effect of preoperative nutritional support in abdominal surgical patients at nutritional risk as defined by the Nutritional Risk Screening Tool 2002 (NRS-2002).

Methods: A consecutive series of patients admitted for selective abdominal surgery in the Peking Union Medical College Hospital and the Beijing University Third Hospital in Beijing, China were recruited from March 2007 to July 2008. Data were collected on the nutritional risk screening (NRS-2002), the application of perioperative nutritional support, surgery, complications, and length of stay. A minimum of 7 d of parenteral nutrition or enteral nutrition before surgery was considered adequate preoperative nutritional support.

Results: In total 1085 patients were recruited, and 512 of them were at nutritional risk. Of the 120 patients with an NRS score at least 5, the complication rate was significantly lower in the preoperative nutrition group compared with the control group (25.6% versus 50.6%, P = 0.008). The postoperative hospital stay was significantly shorter in the preoperative nutrition group than in the control group (13.7 +/- 7.9 versus 17.9 +/- 11.3 d, P = 0.018). Of the 392 patients with an NRS score from 3 to 4, the complication rate and the postoperative hospital stay were similar between patients with and those without preoperative nutritional support (P = 1.0 and 0.770, respectively).

Conclusion: This finding suggests that preoperative nutritional support is beneficial to patients with an NRS score at least 5 by lowering the complication rate. (C) 2012 Published by Elsevier Inc.

语种英语
WOS记录号WOS:000309319600013
项目编号CMB04-797 ; CSPEN 2005-1
资助机构China Medical Board of Boston in the United States ; Chinese Society of Parenteral and Enteral Nutrition in China
引用统计
被引频次:112[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/55591
专题北京大学第一临床医学院
作者单位1.Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Gen Surg, Beijing 100730, Peoples R China
2.Third Mil Med Univ, Southwest Hosp, Dept Hepatobiliary Surg, Chongqing, Peoples R China
3.Johns Hopkins Univ, Sch Nursing, Baltimore, MD USA
4.Beijing Univ, Hosp 1, Dept Epidem & Stat, Beijing 100871, Peoples R China
5.Beijing Union Med Coll Hosp, Dept Nutr, Ctr Parenteral & Enteral Nutr, Beijing, Peoples R China
6.Univ Copenhagen, Rigshosp, Nutr Unit, DK-2100 Copenhagen, Denmark
7.Univ Copenhagen, Fac Life Sci, Dept Human Nutr, Copenhagen, Denmark
推荐引用方式
GB/T 7714
Jie, Bin,Jiang, Zhu-Ming,Nolan, Marie T.,et al. Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk[J]. NUTRITION,2012,28(10):1022-1027.
APA Jie, Bin,Jiang, Zhu-Ming,Nolan, Marie T.,Zhu, Shai-Nan,Yu, Kang,&Kondrup, Jens.(2012).Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk.NUTRITION,28(10),1022-1027.
MLA Jie, Bin,et al."Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk".NUTRITION 28.10(2012):1022-1027.
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