Objective: Analysis of nutrition support in a group of patients undergoing colorectal surgery managed by nutritional requirement software compared to a group of consecutive patients undergoing colorectal surgery with conventional nutrition Material and Methods:485 patients were treated between January 2000 and January 2013 with colorectal resection. Outcomes (mortality, morbidity according to Clavien classification (CC),length of hospital stay, type of colorectal disease) in a group of patients that received nutrition support through software (SG), were compared to those in a previous series, control group (CG) with conventional nutrition support Results:There were 59.6% men and the median age of the population was 68.2(19-95)years,with no difference between the two groups. There were significantly more malnourished patients in the SG group (SG 63.8% vs 45.2% GC;p<0.0001).The overall mortality was 2.1% lower in the SG group, but without significant difference (SG 0.7%vs2.7% GC). There were more severe stage III-IV complications according to CC in the SG group (SG 10.7GC vs17% NS); with significantly greater collections (SG 8%vs16.9% GC p=0.015) and greater anastomotic leaks (SG 4%vs13.9% GC p <0.001).The median hospital stay was lower in the SG group (SG 12vs15 days,p=0.049).Conclusion the proposed software could contribute to optimizing the strategy of nutritional support in hospitalized patients.
Nutritional assistance by software improves surgical outcomes of elective colorectal surgery
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Mehdi Ouaissi, Jacques di Constanzo, Laurence Boiron, Regis Hankard, Theophile Guilbaud, Diane Mege, Aurelie Maignan, Caroline Rossi, cecilia Frasconi, Remy Le Huu Nho, Anderson Loundou, Nicolas Pirro, Antonio Iannelli, Igor Sielezneff; Nutritional assistance by software improves surgical outcomes of elective colorectal surgery. Int Surg doi: https://doi.org/10.9738/INTSURG-D-16-00214.1
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