کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2683284 1142631 2009 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Preoperative protein and energy intake and postoperative complications in well-nourished, non-hospitalized elderly cardiac surgery patients
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مراقبت های ویژه و مراقبتهای ویژه پزشکی
پیش نمایش صفحه اول مقاله
Preoperative protein and energy intake and postoperative complications in well-nourished, non-hospitalized elderly cardiac surgery patients
چکیده انگلیسی

SummaryBackground & aimsLittle is known about the impact of preoperative protein or energy intake in relation to the occurrence of postoperative complications in patients who are not undernourished but cannot keep up their daily protein or energy requirements prior to cardiac surgery. Therefore, a prospective study on intake in preoperatively well-nourished, non-hospitalized cardiac surgery patients (≥65 y) was carried out.MethodsBetween December 2004 and November 2005 preoperative protein and energy intake and postoperative outcome data were collected from 100 consecutive patients undergoing cardiac surgery.ResultsComparison of low protein intake (≤0.98 g/kg/d) with high protein intake (>0.98 g/kg/d) showed a low protein intake did not result in more complications or prolonged length of stay. In low-risk operation patients in particular, a high-energy intake (>22 kcal/kg/d) resulted in more postoperative complications than a low energy intake (≤22 kcal/kg/d) (33.3% and 13.2%, respectively; (OR 5.0 95% CI [1.5–16.9])). A preoperative protein intake ≤0.80 g/kg/d was seen in 22.6%, and an energy intake ≤25 kcal/kg/d in 72.2% of the patients.ConclusionThe outcome of this study suggests that detecting and correcting a preoperative low protein or energy intake is of no clinical relevance in the well-nourished, non-hospitalized elderly cardiac surgery patients. Caloric overfeeding may be associated with an increased complication rate.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Nutrition - Volume 28, Issue 2, April 2009, Pages 117–121
نویسندگان
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