Soporte nutricional perioperatorio en los pacientes programados para cirugía digestiva en el Hospital Mateu Orfila (Maó-Menorca) / Pre-operative nutrition support in patients waiting for digestive surgery at hospital Mateu Orfila (Maó-Menorca)
Nutr. hosp
; 30(3): 650-662, sept. 2014. tab, graf
Article
in Es
| IBECS
| ID: ibc-143790
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
La desnutrición se asocia con elevadas tasas de morbimortalidad postoperatoria. En este estudio piloto se ha evaluado la efectividad de un programa de apoyo nutricional perioperatorio a pacientes que iban a someterse a cirugía programada de cirugía mayor digestiva. Se administró de forma perioperatoria la formula enteral hipercalorica/hiperproteica (Fresubin® protein energy drink) al grupo de pacientes con riesgo nutricional/desnutrición (RN/DN). Con el objeto de valorar la efectividad de la intervención nutricional preoperatoria, se ha comparado los resultados respecto a un grupo control retrospectivo. Entre los dos grupos con RN/DN se encontraron diferencias estadísticamente significativas en incidencia de vómitos, infección herida, hiperglucemia, exitus hospitalario, estancia hospitalaria, estancia en UCI y administración de NPT. Se ha demostrado una mejor evolución tras la cirugía en el grupo de pacientes con RN/DS que han sido suplementados de forma preoperatoria con una fórmula de nutrición enteral (AU)
ABSTRACT
Malnutrition is associated with high postoperative morbidity and mortality rates. This pilot study evaluated the effectiveness of a peri-operative nutritional support programme for patients who were about to undergo major gastrointestinal surgery. A high-calorie/high-protein enteral formula was administered peri-operatively to the group of patients at nutritional risk/with malnutrition (NR/MN). In order to assess the effectiveness of the preoperative nutritional intervention, the results were compared to a retrospective control group. Statistically-significant differences were found between the two NR/MN groups in incidence of vomiting; wound infection; hyperglycaemia; death in hospital; length of hospital stay; time in ICU; and administration of TPN. Postoperative progress was found to be better in the group of NR/MN patients supplemented preoperatively with an enteral nutrition formula (AU)
Full text:
1
Collection:
06-national
/
ES
Database:
IBECS
Main subject:
Nutrition Assessment
/
Nutritional Status
/
Nutritional Support
/
Malnutrition
/
Nutrition Disorders
Type of study:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limits:
Humans
Language:
Es
Journal:
Nutr. hosp
Year:
2014
Document type:
Article