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Dynamic investigation of nutritional risk and nutritional support in  enhanced recovery after surgery of colorectal cancer
Li Wei, Chen Geliang, Hua Chao, Qiu Qiong, Liu Jing, Zhang Jing
Department of Clinical Nutrition,Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200336,China
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Abstract  Objective  To assess the changes of perioperative nutritional risk and clinical applicability by dynamic Nutritional Risk Screening (NRS 2002), and to observe the conditions of nutrition support so as to the explore the role of dynamic NRS 2002 in guidance of perioperative nutritional support. Methods   A total of 189 perioperative colorectal cancer patients without chemoradiotherapy on admission from April 2018 to April 2019 were selected by fixed place of continuous sampling. Dynamic nutritional risk screening was performed by NRS 2002 for patients at 24h after admission and within 24h after discharge. Clinical data, measurement of human physical indicators and indicators of laboratory examinations such as hemoglobin, serum albumin and prealbumin were recorded. Meanwhile, the condition of nutritional support of patients during hospital stay was recorded, related nutritional indicators and postoperative rehabilitation of patients with or without preoperative nutritional support were compared according to the screening results. Results   All the 189 colorectal cancer patients enrolled in the study completed the NRS 2002 assessment, with an applicability rate of 100.00%. Nutritional risk screening results showed that there were 92 colorectal cancer patients (48.68%) with preoperative nutrition risk, among whom 30 patients (32.61%) received preoperative nutrition support, and their rehabilitation conditions were better than 62 patients without preoperative nutrition support. The postoperative nutrition support rate of the patients in the study was 100%. However, the proportion of patients with enteral nutrition support accounted for the highest, and their levels of albumin, prealbumin and hemoglobin at discharge were significantly lower when compared to the results of admission. Conclusions  Preoperative nutritional risk screening indicates that patients with colorectal cancer have a higher incidence of nutritional risk for admission. Therefore, preoperative nutrition support is favorable for the rehabilitation of patients, perioperative nutrition support can improve their prognosis. Besides, nutritional risk screening and assessment at discharge are of great significance due to the increased trend of nutritional risk.
Key wordsEnhanced recovery after surgery      Nutritional risk screening 2002      Nutrition therapy
     
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Articles by authors
Li Wei
Chen Geliang
Hua Chao
Qiu Qiong
Liu Jing
Zhang Jing
Cite this article:   
Li Wei,Chen Geliang,Hua Chao, et al. Dynamic investigation of nutritional risk and nutritional support in  enhanced recovery after surgery of colorectal cancer[J]. Electron J Metab Nutr Cancer, 2020, 7(1): 98-103.
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http://182.92.200.144/EN/10.16689/j.cnki.cn11-9349/r.2020.01.018     OR     http://182.92.200.144/EN/Y2020/V7/I1/98
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