Perioperative nutrition is still a surgical orphan: results of a Swiss-Austrian survey.

Details

Serval ID
serval:BIB_16511C9BF6B2
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Perioperative nutrition is still a surgical orphan: results of a Swiss-Austrian survey.
Journal
European Journal of Clinical Nutrition
Author(s)
Grass F., Cerantola Y., Schäfer M., Müller S., Demartines N., Hübner M.
ISSN
1476-5640 (Electronic)
ISSN-L
0954-3007
Publication state
Published
Issued date
2011
Volume
65
Number
5
Pages
642-647
Language
english
Abstract
Background/Objectives:There is strong evidence for the beneficial effects of perioperative nutrition in patients undergoing major surgery. We aimed to evaluate implementation of current guidelines in Switzerland and Austria.Subjects/Methods:A survey was conducted in 173 Swiss and Austrian surgical departments. We inquired about nutritional screening, perioperative nutrition and estimated clinical significance.Results:The overall response rate was 55%, having 69% (54/78) responders in Switzerland and 44% (42/95) in Austria. Most centres were aware of reduced complications (80%) and shorter hospital stay (59%). However, only 20% of them implemented routine nutritional screening. Non-compliance was because of financial (49%) and logistic restrictions (33%). Screening was mainly performed in the outpatient's clinic (52%) or during admission (54%). The nutritional risk score was applied by 14% only; instead, various clinical (78%) and laboratory parameters (56%) were used. Indication for perioperative nutrition was based on preoperative screening in 49%. Although 23% used preoperative nutrition, 68% applied nutritional support pre- and postoperatively. Preoperative nutritional treatment ranged from 3 days (33%), to 5 (31%) and even 7 days (20%).Conclusions:Although malnutrition is a well-recognised risk factor for poor post-operative outcome, surgeons remain reluctant to implement routine screening and nutritional support according to evidence-based guidelines.
Pubmed
Web of science
Open Access
Yes
Create date
25/05/2011 8:43
Last modification date
20/08/2019 12:45
Usage data