this guideline reflects the recommendations of the group of specialists of the Brazilian College of Surgeons , the Brazilian Society of Parenteral and Enteral Nutrition and the ACERTO Project for nutritional interventions in the perioperative period of Elective General Surgery .
The prescription of these recommendations can accelerate the postoperative recovery of patients su bmi tted to elective general surgery , with decrease in morbidity , length of stay and rehospitalization , and consequently , of costs
OBJECTIVE to present recommendations based on the ACERTO Project ( Acceleration of Total Post-Operative Recovery ) and supported by evidence related to perioperative nutritional care in General Surgery elective procedures .
Utility of a perioperative nutritional intervention on postoperative outcomes in high-risk head & neck cancer patients.
OBJECTIVES Investigate both the utility and feasibility of perioperative nutritional supplementation with an arginine-enriched immunonutrition formula to high-risk head and neck cancer surgical patients and examine its effects on acute post-operative clinical outcomes . MATERIAL S & METHODS This prospect i ve , non-r and omized , interventional cohort study compared high-risk head and neck cancer surgical patients who consumed a pre- and post-operative arginine-based nutritional supplement to those that did not . Outcome measures included post-operative complications , length of hospitalization , readmission rates and measurement of nutritional biomarkers . RESULTS 195 high-risk head and neck cancer surgical patients were enrolled . 59 % of the patients used the nutritional supplement , 41 % did not . Of the 80 patients who did not receive the immunonutrition formula , 38 ( 47.5 % ) experienced post-operative complications of all types as compared to 29 of the 115 ( 25.2 % ) patients who did consume the product ( p=0.0021 ) . Pharyngeal leaks or fistulas were the most common post-operative complications in both groups and more common in patients who did not receive supplementation ( p=0.007 ) . Length of stay was on average 2.8 days longer in patients who did not have enhanced nutrition ( p=0.02 ) , while readmission rates between the two groups were similar ( p=0.91 ) . Measurements of nutritional biomarkers were not reported secondary to low collection rates . CONCLUSION Enhanced perioperative nutrition may result in significant reductions of post-operative fistula formations and decreased length of stay in a high-risk head and neck cancer population , even in the setting of poor compliance . The potential quality improvement in both patient care and healthcare cost is both real and significant
this guideline reflects the recommendations of the group of specialists of the Brazilian College of Surgeons , the Brazilian Society of Parenteral and Enteral Nutrition and the ACERTO Project for nutritional interventions in the perioperative period of Elective General Surgery .
The prescription of these recommendations can accelerate the postoperative recovery of patients su bmi tted to elective general surgery , with decrease in morbidity , length of stay and rehospitalization , and consequently , of costs
OBJECTIVE to present recommendations based on the ACERTO Project ( Acceleration of Total Post-Operative Recovery ) and supported by evidence related to perioperative nutritional care in General Surgery elective procedures .