Year 2020 / Volume 112 / Number 12
Original
Impact of the implementation of a preoperative nutritional program for colorectal surgery patients

909-914

DOI: 10.17235/reed.2020.6572/2019

Javier Páramo Zunzunegui, Marcos Alonso García, Beatriz Martín Cruz, José María Fernández Cebrián, Rosa Cuberes Montserrat, Arsenio Menchero Sánchez, Gil Rodríguez Caravaca, Manuel Durán Poveda,

Abstract
Introduction: generalized hypermetabolism is common in cancer patients and increases the risk of complications when combined with the systemic effects of surgery. Objective: the aim of this study was to clinically assess the implementation of a Nutritional Assessment and Support Program for patients undergoing colorectal surgery with a diagnosed neoplasia. Material and methods: a quasi-experimental study was performed with analyses before and after the implementation of the Nutritional Assessment and Support Program. Patients who underwent surgery for colon or rectal neoplasia were included. The incidence of complications and the average hospital stay were studied. The effect of the intervention was evaluated using a logistic regression analysis to yield adjusted odds ratios (OR). Results: a total of 130 patients were included in the study, 65 from 2016-2017 (pre-program) and 65 in 2018 (post-program). The incidence of surgical site infection decreased from 18.5 % to 6.2 % (OR = 0.29; 95 % CI: 0.09-0.95) (p = 0.033). Postoperative fevers were also reduced by 50 % (OR = 0.41; 95 % CI: 0.17-0.96) (p = 0.037). Average hospital stay was reduced from 11.3 days (DE = 8) to 7.18 days (DE = 2.5) (p = 0.02). More clinical and analytical information was logged about the patients’ nutritional status and risk. Conclusion: the implementation of a Nutritional Assessment and Support Program for patients undergoing colorectal surgery has shown statistically significant differences in the reduction of surgical site infection, postoperative fever and the length of hospital stay.
Share Button
New comment
Comments

22/12/2020 18:48:56
Saber cual es la calidad que presentan los pacientes


Related articles

Digestive Diseases Image

Spontaneous regression of a rectal cancer

DOI: 10.17235/reed.2023.9486/2023

Letter

Vaginal lesion as first manifestation of colorectal disease

DOI: 10.17235/reed.2022.9270/2022

Editorial

Chronic intestinal failure: an overview and future perspectives

DOI: 10.17235/reed.2022.8827/2022

Review

Inflammatory bowel disease and solid organ transplantation

DOI: 10.17235/reed.2020.7361/2020

Review

New non-invasive biomarkers for colorectal cancer screening

DOI: 10.17235/reed.2020.7233/2020

Review

Intestinal failure in adults and children

DOI: 10.17235/reed.2020.6981/2020

Letter

Medullary colorectal carcinoma. Do we really know it?

DOI: 10.17235/reed.2020.6728/2019

Letter

The rectosigmoid junction: are limits important?

DOI: 10.17235/reed.2019.5983/2018

Editorial

Colorectal cancer screening and survival

DOI: 10.17235/reed.2018.5870/2018

Letter to the Editor

Liver metastasis from colorectal cancer 12 years after liver transplantation

DOI: 10.17235/reed.2017.4507/2016

Review

Serrated lesions and serrated polyposis syndrome

DOI: 10.17235/reed.2017.4065/2015

Letter to the Editor

Endobronchial metastases of colorectal cancer

DOI: 10.17235/reed.2016.4080/2015

Citation tools
Páramo Zunzunegui J, Alonso García M, Martín Cruz B, Fernández Cebrián J, Cuberes Montserrat R, Menchero Sánchez A, et all. Impact of the implementation of a preoperative nutritional program for colorectal surgery patients. 6572/2019


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1585 visits.
This article has been downloaded 199 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 16/08/2019

Accepted: 17/03/2020

Online First: 15/10/2020

Published: 09/12/2020

Article revision time: 201 days

Article Online First time: 426 days

Article editing time: 481 days


Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology