The Effect of Preoperative Nutritional Assessment and Nutritional Support on Clinical Outcomes (PNAS)
The Effect of Preoperative Nutritional Assessment and Nutritional Support on Clinical Outcomes in Elective Abdominal Surgery Patients: A Prospective Observational Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
-
-
Jiangsu
-
Nanjing, Jiangsu, China, 210000
- Jinling Hospital, China
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Informed consent of patients or their legal representatives to participate in this study.
- patients undergoing selective operation without trauma
Exclusion Criteria:
- Age: <18 years old or >80 years old
- Discharge within 24 hours
- Accept surgery at 8:00 next day
- Withdraw of patient's informed consent
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Morbidity of infection
Time Frame: From date of patients enrollment until the date of infection documented from any cause, assessed up to 2 months.
|
Invasion of the host organism by microorganisms that can cause pathological conditions or diseases.
|
From date of patients enrollment until the date of infection documented from any cause, assessed up to 2 months.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Nutrition indicator
Time Frame: From date of patients enrollment until the date of patients discharge from hospital, assessed up to 2 months.
|
albumin/prealbumin/transferrin/retinol binding protein/IL-6
|
From date of patients enrollment until the date of patients discharge from hospital, assessed up to 2 months.
|
|
Length of stay in hospital
Time Frame: From date of patients enrollment until the date of patients discharged from hospital, assessed up to 12 months.
|
The length of patients stay in hospital.
|
From date of patients enrollment until the date of patients discharged from hospital, assessed up to 12 months.
|
|
Actual calories intake
Time Frame: From date of patients enrollment until the date of patients are subjected to operation, assessed up to 2 months.
|
The total energy patients received during the study
|
From date of patients enrollment until the date of patients are subjected to operation, assessed up to 2 months.
|
|
Mortality
Time Frame: From date of patients enrollment until the date of death from any cause, assessed up to 2 months after patients discharged from hospital.
|
All deaths reported in all enrolled patients.
|
From date of patients enrollment until the date of death from any cause, assessed up to 2 months after patients discharged from hospital.
|
|
Resting Energy Expenditure (REE) by Indirect Calorimetry
Time Frame: From date of patients enrollment until the date of patients discharge from hospital, assessed up to 2 months.
|
REE was measured by indirect calorimetry (Q-NRG®) on postoperative days 1, 3, and 5 under standardized fasting and resting conditions.
|
From date of patients enrollment until the date of patients discharge from hospital, assessed up to 2 months.
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Xinying Wang, PhD, Jinling Hospital, China
Publications and helpful links
General Publications
- Wilmore DW, Dudrick SJ. Growth and development of an infant receiving all nutrients exclusively by vein. JAMA. 1968 Mar 4;203(10):860-4. No abstract available.
- Doig GS, Simpson F, Sweetman EA, Finfer SR, Cooper DJ, Heighes PT, Davies AR, O'Leary M, Solano T, Peake S; Early PN Investigators of the ANZICS Clinical Trials Group. Early parenteral nutrition in critically ill patients with short-term relative contraindications to early enteral nutrition: a randomized controlled trial. JAMA. 2013 May 22;309(20):2130-8. doi: 10.1001/jama.2013.5124.
- Studley HO. Percentage of weight loss: a basic indicator of surgical risk in patients with chronic peptic ulcer. 1936. Nutr Hosp. 2001 Jul-Aug;16(4):141-3; discussion 140-1. No abstract available.
- Braga M, Ljungqvist O, Soeters P, Fearon K, Weimann A, Bozzetti F; ESPEN. ESPEN Guidelines on Parenteral Nutrition: surgery. Clin Nutr. 2009 Aug;28(4):378-86. doi: 10.1016/j.clnu.2009.04.002. Epub 2009 May 21.
- Weimann A, Braga M, Harsanyi L, Laviano A, Ljungqvist O, Soeters P; DGEM (German Society for Nutritional Medicine); Jauch KW, Kemen M, Hiesmayr JM, Horbach T, Kuse ER, Vestweber KH; ESPEN (European Society for Parenteral and Enteral Nutrition). ESPEN Guidelines on Enteral Nutrition: Surgery including organ transplantation. Clin Nutr. 2006 Apr;25(2):224-44. doi: 10.1016/j.clnu.2006.01.015. Epub 2006 May 15.
- American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. Clinical Guidelines for the Use of Parenteral and Enteral Nutrition in Adult and Pediatric Patients, 2009. JPEN J Parenter Enteral Nutr. 2009 May-Jun;33(3):255-9. doi: 10.1177/0148607109333115. No abstract available.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 201502022-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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