Nutricatt protocol improves body composition and clinical outcomes in elderly patients undergoing colorectal surgery in eras program: A retrospective cohort study

Emanuele Rinninella, Alberto Biondi, Roberto Persiani, Domenico D'Ugo, Antonio Gasbarrini, Maria Cristina Mele, Pauline Celine Raoul, Francesca Scialanga, Eleonora Persichetti, Gabriele Pulcini, Marco Cintoni

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Background: A poor body composition, often found in elderly patients, negatively impacts perioperative outcomes. We evaluated the effect of a perioperative nutritional protocol (NutriCatt) on body composition and clinical outcomes in a cohort of elderly patients undergoing colorectal surgery in a high-volume center adopting the ERAS program. Methods: 302 out of 332 elderly (>75 years) patients from 2015 to 2020 were identified. Patients were divided according to their adherence, into “NutriCatt + ERAS” (n = 166) or “standard ERAS” patients (n = 136). Anthropometric and bioelectrical impedance analysis data were evaluated for NutriCatt + ERAS patients. Complications, length of hospital stay (LOS), and other postoperative outcomes were compared between both groups. Results: In NutriCatt + ERAS patients, significant improvements of phase angle (pre-admission vs. admission 4.61 ± 0.79 vs. 4.84 ± 0.85; p = 0.001; pre-admission vs. discharge 4.61 ± 0.79 vs. 5.85 ± 0.73; p = 0.0002) and body cell mass (pre-admission vs. admission 22.4 ± 5.6 vs. 23.2 ± 5.7; p = 0.03; preadmission vs. discharge 22.4 ± 5.6 vs. 23.1 ± 5.8; p = 0.02) were shown. NutriCatt + ERAS patients reported reduced LOS (p = 0.03) and severe complications (p = 0.03) compared to standard ERAS patients. A regression analysis confirmed the protective effect of the NutriCatt protocol on severe complications (OR 0.10, 95% CI 0.01–0.56; p = 0.009). Conclusions: The NutriCatt protocol improves clinical outcomes in elderly patients and should be recommended in ERAS colorectal surgery.
Lingua originaleEnglish
pagine (da-a)1781-1781
Numero di pagine1
RivistaNutrients
Volume13
DOI
Stato di pubblicazionePubblicato - 2021

Keywords

  • Aged
  • Aged, 80 and over
  • BIA
  • Body Composition
  • Body composition
  • Cohort Studies
  • Colonic Diseases
  • Colorectal Surgery
  • Colorectal surgery
  • ERAS program
  • Elderly
  • Enhanced Recovery After Surgery
  • Female
  • Humans
  • Length of Stay
  • Length of hospital stay
  • Male
  • Nutritional Status
  • Nutritional Support
  • Nutritional support
  • Patient Admission
  • Patient Discharge
  • Patient Readmission
  • Personalized medicine
  • Phase angle
  • Postoperative Complications
  • Postoperative complications
  • Reoperation
  • Retrospective Studies

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