Evaluation of the efficacy of multidisciplinary nutritional support for elderly perioperative patients undergoing joint replacement_West China Medical Journal

Authors：

FENG Dan ,  LI Lingli , HOU Xiaoling , WANG Ruizheng , NING Ning

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LI Lingli, Email: lilingli2000@126.com

Keywords：

Multidisciplinary model; Elderly patients; Perioperative period; Nutritional risk; Efficacy evaluation

DOI：

10.7507/1002-0179.201506163

Video：

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Objective To explore the efficacy of multidisciplinary nutritional support model in the perioperative management of elderly patients with nutritional risks undergoing joint replacement. Methods Between March 1, 2014 and May 31, 2015, 342 elderly patients who underwent joint replacement due to osteoarthritis were screened with nutritional risk screening 2002 (NRS2002). For patients who got a NRS2002 score of equal to 3 points or higher, nutritional treatment and intervention was carried out by doctor-nurse-rehabilitation therapist-dietitian collaboration and hospital departments related to patients’ complications. Results Among all the 342 patients, 225 (65.79%) had a NRS2002 score of equal to 3 points or higher on the admission day, in which 117 (52.00%) were male and 108 (48.00%) were female, 168 (74.67%) were at the age between 60 and 70 years old and 57 (25.33%) were at the age between 71 and 87. One day before surgery, the number of patients with a NRS2002 score equal to 3 points or higher decreased to 10 (2.92%), and the number became 68 (19.88%) after surgery. The difference was statistically significant (P<0.05). In those 68 elderly patients, 10 had a preoperative NRS2002 score equal to 3 points or higher, and 58 had newly developed nutritional risks after surgery; there were 23 patients with an age over 75, and 7 over 80. The NRS2002 score of all the 342 patients was below 3 points before discharge. For patients with nutritional risks at different periods before and after surgery, their serum albumin and hemoglobin levels were both improved after the treatment of nutritional support (P<0.05). Conclusion Multidis- ciplinary nutritional support for elderly perioperative patients undergoing joint replacement can reduce the incidence of postoperative complications, providing favorable conditions for the patients to undergo joint replacement surgery.

Citation： FENG Dan, LI Lingli, HOU Xiaoling, WANG Ruizheng, NING Ning. Evaluation of the efficacy of multidisciplinary nutritional support for elderly perioperative patients undergoing joint replacement. West China Medical Journal, 2017, 32(4): 589-592. doi: 10.7507/1002-0179.201506163 Copy

1.	王艳, 蒋朱明, Marie TN, 等. 营养风险的概念分析. 中国临床营养杂志, 2009, 17(2): 104-106.
2.	李缨, 黄芸, 钱红娟. 628 例住院患者营养风险筛查和营养支持状况分析. 医学研究杂志, 2012, 41(3): 134-136.
3.	胡昆卓, 乔坤. 不同筛查工具对肺癌术后辅助化疗患者营养筛查的比较. 广东医学, 2009, 30(8): 1140-1141.
4.	蒋朱明, 于康, 李海龙. 营养支持对有营养风险患者结局的影响. 中华临床营养杂志, 2010, 18(5): 263-267.
5.	Jie B, Jiang ZM, Nolan MT, et al. Impact of nutritional support on clinical outcome in patients at nutritional fisk: a multieenter, prospective cohort study in Baltimore and Beijing teaching hospitals. Nutrition, 2010, 26(11): 1088-1093.
6.	顾晋. 恶性肿瘤多学科综合治疗模式. 中国实用外科杂志, 2009, 29(1): 21-22.
7.	Kondrup JE, Rasmussen HH, Hamberg OL, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr, 2003, 22(3): 321-336.
8.	Kondrup J, Allison SP, Elia M, et al. ESPEN guidelines for nutrition screening 2002. Clin Nutr, 2003, 22(4): 415-421.
9.	赵刚, 张一凡. 转诊评估和多学科诊疗模式对老年患者临床治疗效果的影响. 中华老年多器官疾病杂志, 2016, 15(2): 118-121.
10.	梅俏, 许建明, 李素文, 等. 肝胆胰多学科诊疗模式在消化内科临床教学中的作用. 安徽医药, 2015, 9(9): 1830-1831.
11.	Department of Heath. Manual for cancer services 2004. London: Department of Health, 2004.
12.	Leng SX. 打破传统亚专科片段医疗服务模式引进现代老年医学观念. 中华老年医学杂志, 2012, 31(1): 7-9.
13.	邢沫, 王凤玲, 王丹. 我院建立肿瘤多学科模式的探讨. 中国医院管理, 2015, 35(6): 29-31.
14.	王国强, 陈军, 杨美英, 等. 多模式联合镇痛在人工关节置换围手术期的疗效观察. 生物骨科材料与临床研究, 2015, 12(1): 47-50.
15.	刘法银, 项国, 田学东, 等. 加速康复外科理念在全髋关节置换术围手术期的应用. 中国骨与关节损伤杂志, 2015, 30(12): 1247-1249.

1. 王艳, 蒋朱明, Marie TN, 等. 营养风险的概念分析. 中国临床营养杂志, 2009, 17(2): 104-106.
2. 李缨, 黄芸, 钱红娟. 628 例住院患者营养风险筛查和营养支持状况分析. 医学研究杂志, 2012, 41(3): 134-136.
3. 胡昆卓, 乔坤. 不同筛查工具对肺癌术后辅助化疗患者营养筛查的比较. 广东医学, 2009, 30(8): 1140-1141.
4. 蒋朱明, 于康, 李海龙. 营养支持对有营养风险患者结局的影响. 中华临床营养杂志, 2010, 18(5): 263-267.
5. Jie B, Jiang ZM, Nolan MT, et al. Impact of nutritional support on clinical outcome in patients at nutritional fisk: a multieenter, prospective cohort study in Baltimore and Beijing teaching hospitals. Nutrition, 2010, 26(11): 1088-1093.
6. 顾晋. 恶性肿瘤多学科综合治疗模式. 中国实用外科杂志, 2009, 29(1): 21-22.
7. Kondrup JE, Rasmussen HH, Hamberg OL, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr, 2003, 22(3): 321-336.
8. Kondrup J, Allison SP, Elia M, et al. ESPEN guidelines for nutrition screening 2002. Clin Nutr, 2003, 22(4): 415-421.
9. 赵刚, 张一凡. 转诊评估和多学科诊疗模式对老年患者临床治疗效果的影响. 中华老年多器官疾病杂志, 2016, 15(2): 118-121.
10. 梅俏, 许建明, 李素文, 等. 肝胆胰多学科诊疗模式在消化内科临床教学中的作用. 安徽医药, 2015, 9(9): 1830-1831.
11. Department of Heath. Manual for cancer services 2004. London: Department of Health, 2004.
12. Leng SX. 打破传统亚专科片段医疗服务模式引进现代老年医学观念. 中华老年医学杂志, 2012, 31(1): 7-9.
13. 邢沫, 王凤玲, 王丹. 我院建立肿瘤多学科模式的探讨. 中国医院管理, 2015, 35(6): 29-31.
14. 王国强, 陈军, 杨美英, 等. 多模式联合镇痛在人工关节置换围手术期的疗效观察. 生物骨科材料与临床研究, 2015, 12(1): 47-50.
15. 刘法银, 项国, 田学东, 等. 加速康复外科理念在全髋关节置换术围手术期的应用. 中国骨与关节损伤杂志, 2015, 30(12): 1247-1249.

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West China Medical Journal

Evaluation of the efficacy of multidisciplinary nutritional support for elderly perioperative patients undergoing joint replacement

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