<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:creator>Hübner M</dc:creator>
  <dc:creator>Müller S</dc:creator>
  <dc:creator>Schäfer M</dc:creator>
  <dc:creator>Clavien PA</dc:creator>
  <dc:creator>Demartines N</dc:creator>
  <dc:date>2010</dc:date>
  <dc:description xmlns:ns0="xml" ns0:lang="en">BACKGROUND
Patients at nutritional risk reveal an increased morbidity. Fast-track (FT) programs in colonic surgery have shown reduced complications and hospital stay. We aimed to assess the effect of FT programs on patients at nutritional risk.


METHODS
In a randomized trial (NCT00556790), we compared complications after open colonic surgery with either a FT program or standard care (SC). A subgroup analysis was performed in 67 patients for whom a prospective nutritional risk score (NRS) was available.


RESULTS
The SC and FT groups did not differ regarding patient characteristics or prevalence of NRS ≥ 3 (SC 8/31, FT 7/36, p = 0.569). Patients with SC had more complications (14/31 vs. 8/36, p = 0.044) and a longer hospital stay (9 vs. 5 days, p &lt; 0.0001). No major complication occurred in patients with an NRS &lt;3. Patients at nutritional risk had a high complication rate regardless of SC or FT (6/8 and 5/7, respectively, p = 1.000). Median hospital stay was shorter in FT (7 (range 5-30) days) versus SC patients (14.5 (range 8-30) days, p = 0.164).


CONCLUSIONS
Patients with a NRS ≥ 3 have an increased postoperative morbidity even within a FT program. They should be identified by nutritional screening and might benefit from nutritional supplements.</dc:description>
  <dc:format>application/pdf</dc:format>
  <dc:identifier>https://sonar.ch/global/documents/235979</dc:identifier>
  <dc:language>eng</dc:language>
  <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.1159/000313692</dc:relation>
  <dc:relation>info:eu-repo/semantics/altIdentifier/pmid/21051894</dc:relation>
  <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
  <dc:source>Digestive surgery. - 2010</dc:source>
  <dc:subject xmlns:ns1="xml" ns1:lang="en">Adult</dc:subject>
  <dc:subject xmlns:ns2="xml" ns2:lang="en">Aged</dc:subject>
  <dc:subject xmlns:ns3="xml" ns3:lang="en">Aged, 80 and over</dc:subject>
  <dc:subject xmlns:ns4="xml" ns4:lang="en">Colon</dc:subject>
  <dc:subject xmlns:ns5="xml" ns5:lang="en">Female</dc:subject>
  <dc:subject xmlns:ns6="xml" ns6:lang="en">Humans</dc:subject>
  <dc:subject xmlns:ns7="xml" ns7:lang="en">Length of Stay</dc:subject>
  <dc:subject xmlns:ns8="xml" ns8:lang="en">Male</dc:subject>
  <dc:subject xmlns:ns9="xml" ns9:lang="en">Middle Aged</dc:subject>
  <dc:subject xmlns:ns10="xml" ns10:lang="en">Nutrition Assessment</dc:subject>
  <dc:subject xmlns:ns11="xml" ns11:lang="en">Nutritional Status</dc:subject>
  <dc:subject xmlns:ns12="xml" ns12:lang="en">Postoperative Complications</dc:subject>
  <dc:subject xmlns:ns13="xml" ns13:lang="en">Risk Factors</dc:subject>
  <dc:title xmlns:ns14="xml" ns14:lang="en">Impact of the nutritional risk score in fast-track colon surgery.</dc:title>
  <dc:type>http://purl.org/coar/resource_type/c_6501</dc:type>
</oai_dc:dc>