Pre-Surgical Nutrition Support Reduces the Incidence of Surgical Wound Complications in Oncological Patients
| Autor: | Ignacio Rodríguez Prieto, Natalia Mudarra García, Inés Naranjo Peña, Raúl Pérez Muñoz, Juan José Granizo Martínez, Alejandro Riquelme Oliveira, Sergio Pedro Olivares Pizarro |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 0301 basic medicine Cancer Research medicine.medical_specialty Adolescent Screening test Surgical Wound MEDLINE Medicine (miscellaneous) Young Adult 03 medical and health sciences Enteral Nutrition 0302 clinical medicine Neoplasms Preoperative Care medicine Humans Aged Retrospective Studies Aged 80 and over 030109 nutrition & dietetics Nutrition and Dietetics Nutritional Support business.industry Incidence (epidemiology) Cancer Surgical wound Middle Aged medicine.disease Surgery Malnutrition Oncology Surgical Procedures Operative 030220 oncology & carcinogenesis Nutrition support Female business Abdominal surgery |
| Zdroj: | Nutrition and Cancer. 72:801-807 |
| ISSN: | 1532-7914 0163-5581 |
| DOI: | 10.1080/01635581.2019.1653473 |
| Popis: | Patients who suffer from cancer are at a higher risk of complications when they experience malnutrition. Evidence shows that oral nutritional supplements favor the healing process. The main objective of this study was to evaluate the efficacy of preoperative oral nutritional intervention in oncological patients undergoing surgery. This study assessed retrospectively 55 cancer patients who previously had undergone abdominal surgery and did not have receive pre-surgical nutritional support (control group), and prospectively 30 oncological patients undergoing gastrointestinal surgery and received pre-surgical high-protein nutritional support (experimental group). All patients had to have a NRS 2002 score ≥ 3. Analytical and clinical parameters were analyzed and the NRS 2002 screening test was performed. Post-operative assessments of surgical wound complications were also carried out to determine the impact of nutrition support. Pre-surgical nutritional interventions reduced the incidence and severity of wound complications as well as the length of hospital stays. Only 26.7% of patients in the experimental group had complications compared to 60% of the control group (P = 0.003). We conclude that pre-surgical nutritional interventions of patients undergoing surgery can improve post-surgical patient outcomes of malnourished patients. |
| Databáze: | OpenAIRE |
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