ANC1 Study Impact of a Geriatric and Nutritional Evaluation for the Malnutrition and Malnutrition Risk Screening in Patients Over 70 Years With Colorectal Surgery. (ANC1)
Malnutrition priori a major abdominal surgery is frequent and increases morbidity and mortality. The management of malnutrition has an impact in reducing postoperative complications. However malnutrition is rarely detected and Guidelines infrequently followed.
Recovery time and nutritional evaluation in elderly patients are major criteria in their postoperative management. Identifying malnutrition or malnutrition risk is fundamental to its treatment. It is therefore unsurprising that many validated tools for nutrition risk screening and nutrition assessment exist for the clinician to use in assisting with the accurate identification, referral and treatment of patients who are malnourished or at risk of malnutrition.
And nutritional management must be adapted and based on this evaluation and evolution of the general status (Guidelines Grade A).
A geriatric evaluation based on a screening of preoperative malnutrition should allow a better implementation of the European Society of Parenteral and Enteral Nutrition (ESPEN) guidelines.
調査の概要
詳細な説明
研究の種類
入学 (予想される)
段階
- 適用できない
連絡先と場所
研究場所
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Pierre Benite、フランス、69495
- 募集
- Professeur Marc BONNEFOY
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コンタクト：
- Laurent VILLENEUVE
- 電話番号：04 788 645 36
- メール：laurent.villeneuve@chu-lyon.fr
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Aged ≥ 70 years
- Colorectal or tumor resection with/without synchronous metastases
Exclusion Criteria:
- Emergency resection of colorectal tumor
- Unresectable colorectal tumor with/without synchronous metastases
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：ふるい分け
- 割り当て：なし
- 介入モデル：単一グループの割り当て
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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介入なし：Nutritional evaluation
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Perioperative nutritional management
時間枠：During perioperative period From D-7 before date of hospitalization until discharge from the hospital, up to 30 days
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Rate of nutritional support implemented in accordance with current European guidelines (ESPEN)
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During perioperative period From D-7 before date of hospitalization until discharge from the hospital, up to 30 days
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Malnutrition screening
時間枠：During preoperative seven days
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Rate of malnutrition screening procedure
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During preoperative seven days
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Rate of preoperative nutritional management by immunonutrition implemented
時間枠：During preoperative seven days
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Nutritional management by immunonutrition implemented is based on a complete nutritional evaluation
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During preoperative seven days
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Rate of malnourished patients
時間枠：During preoperative seven days
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Rate of malnourished patients is defined by the ESPEN criteria
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During preoperative seven days
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Rate of patients with cachexia
時間枠：Seventh day preoperative
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Rate of patients with cachexia is defined by the French National Authority for Health (HAS) criteria
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Seventh day preoperative
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Postoperative complications
時間枠：Postoperative follow-up until discharge from hospital, up to 30 days
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Rate and type of postoperative complications (Grade I, II et IIIa of Dindo classification)
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Postoperative follow-up until discharge from hospital, up to 30 days
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Rate of postoperative nutritional management implemented
時間枠：Postoperative follow-up until discharge from hospital, up to 30 days
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Nutritional management implemented is based on the ESPEN guidelines
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Postoperative follow-up until discharge from hospital, up to 30 days
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Evolution of the activities of daily living
時間枠：During preoperative seven days and postoperative follow-up until discharge from hospital, up to 30 days
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Variations of Activities of daily living (ADL) and Instrumental activities of daily living (IADL) scores
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During preoperative seven days and postoperative follow-up until discharge from hospital, up to 30 days
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協力者と研究者
スポンサー
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (予想される)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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