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学科主题: 临床医学
题名:
Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk
作者: 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
发表日期: 2012-10-01
DOI: 10.1016/j.nut.2012.01.017
卷: 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
所属项目编号: CMB04-797 ; CSPEN 2005-1
项目资助者: China Medical Board of Boston in the United States ; Chinese Society of Parenteral and Enteral Nutrition in China
WOS记录号: WOS:000309319600013
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/55591
Appears in Collections:北京大学第一临床医学院_期刊论文

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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

Recommended Citation:
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.
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