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

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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