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 .
Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk.
OBJECTIVE This multicenter , prospect i ve 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
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 .