NutriCatt Protocol Improves Body Composition and Clinical Outcomes in Elderly Patients Undergoing Colorectal Surgery in ERAS Program: A Retrospective Cohort Study

Rinninella, Emanuele; Biondi, Alberto; Cintoni, Marco; Raoul, Pauline; Scialanga, F.; Persichetti, Eleonora; Pulcini, Gabriele; Pezzuto, Roberto; Persiani, Roberto; D’Ugo, Domenico; Gasbarrini, Antonio; Mele, Maria Cristina

doi:10.3390/nu13061781

Cited by 4 publications

(1 citation statement)

References 36 publications

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“…Despite these encouraging results, our study had some limitations, including a small sample size and potential bias due to variation in the capabilities of the nurses involved in the study. Furthermore, our research raised the possibility of perioperative hypoalbuminemia and large amounts of occult postoperative bleeding being linked to delirium incidence [24,25]. These are areas that warrant further research.…”

Section: Optimization Of Postoperative Carementioning

confidence: 82%

The Impact of Perioperative Enhanced Recovery Nursing Model on Postoperative Delirium and Rehabilitation Quality in Elderly Patients with Femoral Neck Fractures

Wang

Tan

Qin

2023

Preprint

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Background The aim of this study was to investigate the effects of introducing the Enhanced Recovery After Surgery (ERAS) nursing model on postoperative delirium occurrence and rehabilitation quality in elderly patients with femoral neck fractures. Methods A total of 160 elderly patients with femoral neck fractures, who met the inclusion criteria and were admitted between March 2021 to March 2023, were divided into two groups: the traditional care group and the ERAS nursing model group. In addition to traditional care measures, the ERAS nursing model group received interventions based on the principles of the ERAS nursing model. The occurrence of delirium and sleep quality were observed at 24, 48, and 72 hours postoperatively, as well as during the overall hospital stay. The duration of hospitalization, time to first mobilization, and post-discharge follow-up on quality of life were compared between the two groups. Results The ERAS nursing model group exhibited a significant difference in the occurrence of delirium at 48 and 72 hours postoperatively, as well as during the overall hospital stay (P < 0.05). However, there was no significant difference in the occurrence of delirium at 24 hours postoperatively (P > 0.05). The sleep quality of the two groups showed a statistically significant difference (P < 0.05). The ERAS nursing model group had shorter time to first mobilization, reduced hospitalization duration, and higher Harris and SF-36 scores during post-discharge follow-up, compared to the traditional care group (P < 0.05). Conclusions The implementation of the ERAS nursing model in elderly patients with femoral neck fractures improved postoperative sleep quality, reduced delirium occurrence, shortened average hospitalization duration, and enhanced patients' quality of life.

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Section: Optimization Of Postoperative Carementioning

confidence: 82%

The Impact of Perioperative Enhanced Recovery Nursing Model on Postoperative Delirium and Rehabilitation Quality in Elderly Patients with Femoral Neck Fractures

Wang

Tan

Qin

2023

Preprint

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Clinical applications of body composition and functional status tools for nutrition assessment of hospitalized adults: A systematic review

Smith

Olieman

Berk

et al. 2022

J Parenter Enteral Nutr

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Background No global consensus exists on diagnostic criteria for malnutrition. Muscular deficits and functional impairments are major components of available malnutrition diagnostic frameworks because these facets of nutrition status significantly impact outcomes. The purpose of this review is to explore which body composition assessment (BCA) and functional status assessment (FSA) tools are being used for nutrition assessment (NA) and monitoring the response to nutrition interventions (RNIs) in adult inpatients. Methods A literature search of Embase, Medline (Ovid), Web of Science, and Cochrane Central was performed to identify studies that used BCA and/or FSA tools for NA (along with an accepted NA diagnostic framework) and/or for monitoring RNI in adult inpatients. Results The search yielded 3667 articles; 94 were included in the review. The number of studies using BCA and/or FSA tools for NA was 47 and also 47 for monitoring RNI. Seventy‐nine percent of studies used bioimpedance for BCA, and 97% that included FSA utilized handgrip strength. When compared against sets of diagnostic criteria, many of the BCA and FSA tools showed promising associations with nutrition status. Conclusion Bioimpedance methods are the most widely used bedside BCA tools, and handgrip strength is the most widely used FSA tool; however, these methods are being used with a variety of protocols, algorithms, and interpretation practices in heterogeneous populations. To create a standardized nutrition status assessment process there is a need for validation studies on bedside methods and the development of globally standardized assessment protocols in clinical inpatient settings.

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The impact of perioperative enhanced recovery nursing model on postoperative delirium and rehabilitation quality in elderly patients with femoral neck fractures

Wang,

Tan,

Qian

2023

BMC Musculoskelet Disord

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Background The aim of this study was to investigate the effects of introducing the Enhanced Recovery After Surgery (ERAS) nursing model on postoperative delirium occurrence and rehabilitation quality in elderly patients with femoral neck fractures. Methods A total of 160 elderly patients with femoral neck fractures, who met the inclusion criteria and were admitted between March 2021 to March 2023, were divided into two groups: the traditional care group and the ERAS nursing model group. In addition to traditional care measures, the ERAS nursing model group received interventions based on the principles of the ERAS nursing model. The occurrence of delirium and sleep quality were observed at 24, 48, and 72 h postoperatively, as well as during the overall hospital stay. The duration of hospitalization, time to first mobilization, and post-discharge follow-up on quality of life were compared between the two groups. Results The ERAS nursing model group exhibited a significant difference in the occurrence of delirium at 48 and 72 h postoperatively, as well as during the overall hospital stay (P < 0.05). However, there was no significant difference in the occurrence of delirium at 24 h postoperatively (P > 0.05). The sleep quality of the two groups showed a statistically significant difference (P < 0.05). The ERAS nursing model group had shorter time to first mobilization, reduced hospitalization duration, and higher Harris and SF-36 scores during post-discharge follow-up, compared to the traditional care group (P < 0.05). Conclusions The implementation of the ERAS nursing model in elderly patients with femoral neck fractures improved postoperative sleep quality, reduced delirium occurrence, shortened average hospitalization duration, and enhanced patients’ quality of life.

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NutriCatt Protocol Improves Body Composition and Clinical Outcomes in Elderly Patients Undergoing Colorectal Surgery in ERAS Program: A Retrospective Cohort Study

Cited by 4 publications

References 36 publications

The Impact of Perioperative Enhanced Recovery Nursing Model on Postoperative Delirium and Rehabilitation Quality in Elderly Patients with Femoral Neck Fractures

The Impact of Perioperative Enhanced Recovery Nursing Model on Postoperative Delirium and Rehabilitation Quality in Elderly Patients with Femoral Neck Fractures

Clinical applications of body composition and functional status tools for nutrition assessment of hospitalized adults: A systematic review

The impact of perioperative enhanced recovery nursing model on postoperative delirium and rehabilitation quality in elderly patients with femoral neck fractures

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