A randomised controlled trial of preoperative oral immunonutrition in patients undergoing surgery for colorectal cancer: Hospital stay and health care costs

التفاصيل البيبلوغرافية
العنوان: A randomised controlled trial of preoperative oral immunonutrition in patients undergoing surgery for colorectal cancer: Hospital stay and health care costs
المؤلفون: María del Carmen Manzanares Campillo, Jesús Martín Fernández, Daniel Casanova Rituerto, Mariano Amo Salas
المصدر: Cirugía y Cirujanos (English Edition). 85:393-400
بيانات النشر: Elsevier BV, 2017.
سنة النشر: 2017
مصطلحات موضوعية: 0301 basic medicine, medicine.medical_specialty, 030109 nutrition & dietetics, business.industry, Colorectal cancer, Ocean Engineering, medicine.disease, law.invention, Surgery, 03 medical and health sciences, Randomized controlled trial, law, Health care, Medicine, In patient, Enteral formulas, business, Hospital stay
الوصف: Background The use of enteral formulas with immunonutrients in patients with gastrointestinal malignancies susceptible to surgery can reduce postoperative morbidity, at the expense of reduced infectious complications, with the consequent reduction in hospital stay and health care costs. Material and methods Prospective randomised study. 84 patients operated on a scheduled basis for resectable colorectal cancer were recruited. In the group YES IN Impact © Oral was administered for 8 days (3 sachets a day), compared with the NOT IN group who did not receive it. Results 40.5% (17) patients without immunonutrition suffered infectious complications vs 33.3% (14) of YES IN. In patients with rectal cancer NOT IN, 50% (8) suffered minor infectious complications (p = 0.028). In each group (YES IN, NOT IN, colon and rectal cancer) when infectious complications were observed, the variables total hospital stay and costs doubled, with significant differences. These variables showed higher values in the group NOT IN compared with those who received immunonutrition, although these differences were not statistically significant. Conclusions NOT IN patients suffered infectious complications more frequently than YES IN, with significant results in the subgroup of patients with rectal cancer. The total hospital stay and costs were slightly higher in the group not supplemented, doubling in each category significantly (YES IN, NOT IN, colon and rectal cancer), when infectious complications were observed.
تدمد: 2444-0507
DOI: 10.1016/j.circen.2017.11.008
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::2bebc7a0bf8d51357e31cf99e5d9cd3c
https://doi.org/10.1016/j.circen.2017.11.008
Rights: OPEN
رقم الانضمام: edsair.doi...........2bebc7a0bf8d51357e31cf99e5d9cd3c
قاعدة البيانات: OpenAIRE
الوصف
تدمد:24440507
DOI:10.1016/j.circen.2017.11.008