Ana Carolina Ribeiro de Amorim1, Milena Damasceno de Souza Costa2, Francisca Leide da Silva Nunes3, Maria da Guia Bezerra da Silva4, Cristiano de Souza Leão5, Patrícia Calado Ferreira Pinheiro Gadelha6. 1. Master in intensive care by the Professional Master's Program associated with residence in health Instituto Integral de Medicina Prof. Fernando Figueira (IMIP) and Nutritionist IMIP.. carolinamorim.nutri@gmail.com. 2. Master in Applied Molecular and Cell Biology at the Institute of Biological Sciences, University of Pernambuco - UPE and Nutritionist IMIP and professor of health Pernambuco college.. damasceno.milena@gmail.com. 3. Resident in Clinical Nutrition at Residency Program of the IMIP and Nutritionist Hospital and Maternity Divine Love.. leide.nutri@hotmail.com. 4. Master in Maternal and Child health and Nutritionist IMIP.. guiabs@hotmail.com. 5. Doctor in surgery by the Federal University of Pernambuco and head of the general surgery ward of the IMIP.. cs10leao@uol.com.br. 6. Master in Experimental Bases of Nutrition, Federal University of Pernambuco - UFPE and Nutritionist IMIP and professor of health Pernambuco college. Brazil.. pcaladofp@hotmail.com.
Abstract
INTRODUCTION: many factors can have a negative influence over surgical results, such as a compromised nutritional status and the extension of the perioperative fasting time. OBJECTIVE: to evaluate the influence of the nutritional status and the perioperative fasting time over the occurrence of surgical complications and over hospital stay, in patients who have undergone surgery of the gastrointestinal tract and/or abdominal wall, and who were subjected to a nutritional care protocol. METHODS: cohort study, conducted with 84 patients, from June to November 2014. Data collection was performed by applying a structured questionnaire, search over the records and medical and/or nutritional prescription. Statistical analysis was performed using STATA/SE 12.0 and significance level of 5%. RESULTS: nutritional risk was present in 26.2%, and from these 45.4% carried out preoperative nutritional therapy, having an average of 6.6 ± 2.79 days. The preoperative fasting was 4.5 (3.66; 5.50) hours and the postoperative fasting 5.1 (2.5; 20.5) hours. No associations were found between the parameters for assessing body composition and the presence of complications. A negative correlation was observed between the length of hospital stay and the BMI (p = 0.017),while a positive correlation was observed between weight loss and the length of hospital stay (p = 0.036). Patients with higher postoperative fasting time had a higher occurrence of complications (p = 0.021). CONCLUSION: the compromised nutritional status and the extension of perioperative fasting time are associated with the occurrence of surgical complications and increased length of hospital stay. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
INTRODUCTION: many factors can have a negative influence over surgical results, such as a compromised nutritional status and the extension of the perioperative fasting time. OBJECTIVE: to evaluate the influence of the nutritional status and the perioperative fasting time over the occurrence of surgical complications and over hospital stay, in patients who have undergone surgery of the gastrointestinal tract and/or abdominal wall, and who were subjected to a nutritional care protocol. METHODS: cohort study, conducted with 84 patients, from June to November 2014. Data collection was performed by applying a structured questionnaire, search over the records and medical and/or nutritional prescription. Statistical analysis was performed using STATA/SE 12.0 and significance level of 5%. RESULTS: nutritional risk was present in 26.2%, and from these 45.4% carried out preoperative nutritional therapy, having an average of 6.6 ± 2.79 days. The preoperative fasting was 4.5 (3.66; 5.50) hours and the postoperative fasting 5.1 (2.5; 20.5) hours. No associations were found between the parameters for assessing body composition and the presence of complications. A negative correlation was observed between the length of hospital stay and the BMI (p = 0.017),while a positive correlation was observed between weight loss and the length of hospital stay (p = 0.036). Patients with higher postoperative fasting time had a higher occurrence of complications (p = 0.021). CONCLUSION: the compromised nutritional status and the extension of perioperative fasting time are associated with the occurrence of surgical complications and increased length of hospital stay. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.