To explore the effects of the clinical outcomes on nutrition pre-rehabilitation in elderly patients undergoing abdominal tumor surgery
1Wang Shu'an ，2Gu Jingyue，2Yang Jiayao，3Guo Kedi，1Chen Xiaotian，4Dong Siping，2Xu Yan
1Nanjing Drum Tower Hospital The Affiliated Drum Tower Hospital Clinical College of Xuzhou Medical University Nanjing 210008
Jiangsu China
2Department of Public Health Xuzhou Medical University Xuzhou 221004 Jiangsu China
3Department of
Anesthesiology Sir Run Run Shaw Hospital School of Medicine Zhejiang University Hangzhou 310016 Zhejiang China
4National
Institute of Hospital Administration National Health Commission Beijing 100044 China
Abstract：Objective To explore the effect of nutrition pre-rehabilitation on the clinical prognosis of elderly patients undergoing
abdominal tumor surgery. Method A retrospective study was conducted. Participants were divided into two groups according to whether
they received oral nutritional supplementation at the first outpatient visit. The nutrition pre - rehabilitation group n = 40 adopted
nutritional pre- rehabilitation mode while the control group n = 53 was treated with routine care - mode. All patients underwent
laparoscopic surgery according to National Comprehensive Cancer Network guidelines. The changes of nutritional status complications
psychological status hospitalization days and expenditures were compared between the two groups. Result The weight of the two groups
were decreased while the index of the nutrition pre-rehabilitation group was better than the control group -1. 88±0. 92 kg vs -2. 56±
0. 70 kg P<0. 01 . Yet it is not suitable for the index of serum total protein serum albumin and serum prealbumin P>0. 05 . In
addition the infection rate of pre-rehabilitation group was lower than that of control group 15. 00% vs 35. 85% P = 0. 03 and there
was no difference in intraoperative bleeding p=0. 19 . At discharge the pre-rehabilitation group had significantly fewer hospitalization days
13. 0 11. 0 17. 8 days vs 15. 0 14. 0 19. 0 days P=0. 034 and expenditures 59 300 48 600 68 800 yuan vs 66 500 54 400 75 800 yuan
P=0. 028 . Conclusion In elderly patients undergoing abdominal tumor surgery nutrition pre-rehabilitation model may help to maintain
better nutritional status. In addition it may also reduce infection rate and expenditures as well as shorten hospitalization days.
