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.	?王艷, 蔣朱明, Marie TN, 等. 營養風險的概念分析. 中國臨床營養雜志, 2009, 17(2): 104-106.
2.	李纓, 黃蕓, 錢紅娟. 628 例住院患者營養風險篩查和營養支持狀況分析. 醫學研究雜志, 2012, 41(3): 134-136.
3.	胡昆卓, 喬坤. 不同篩查工具對肺癌術后輔助化療患者營養篩查的比較. 廣東醫學, 2009, 30(8): 1140-1141.
4.	蔣朱明, 于康, 李海龍. 營養支持對有營養風險患者結局的影響. 中華臨床營養雜志, 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.	顧晉. 惡性腫瘤多學科綜合治療模式. 中國實用外科雜志, 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.	趙剛, 張一凡. 轉診評估和多學科診療模式對老年患者臨床治療效果的影響. 中華老年多器官疾病雜志, 2016, 15(2): 118-121.
10.	梅俏, 許建明, 李素文, 等. 肝膽胰多學科診療模式在消化內科臨床教學中的作用. 安徽醫藥, 2015, 9(9): 1830-1831.
11.	Department of Heath. Manual for cancer services 2004. London: Department of Health, 2004.
12.	Leng SX. 打破傳統亞專科片段醫療服務模式引進現代老年醫學觀念. 中華老年醫學雜志, 2012, 31(1): 7-9.
13.	邢沫, 王鳳玲, 王丹. 我院建立腫瘤多學科模式的探討. 中國醫院管理, 2015, 35(6): 29-31.
14.	王國強, 陳軍, 楊美英, 等. 多模式聯合鎮痛在人工關節置換圍手術期的療效觀察. 生物骨科材料與臨床研究, 2015, 12(1): 47-50.
15.	劉法銀, 項國, 田學東, 等. 加速康復外科理念在全髖關節置換術圍手術期的應用. 中國骨與關節損傷雜志, 2015, 30(12): 1247-1249.

1. ?王艷, 蔣朱明, Marie TN, 等. 營養風險的概念分析. 中國臨床營養雜志, 2009, 17(2): 104-106.
2. 李纓, 黃蕓, 錢紅娟. 628 例住院患者營養風險篩查和營養支持狀況分析. 醫學研究雜志, 2012, 41(3): 134-136.
3. 胡昆卓, 喬坤. 不同篩查工具對肺癌術后輔助化療患者營養篩查的比較. 廣東醫學, 2009, 30(8): 1140-1141.
4. 蔣朱明, 于康, 李海龍. 營養支持對有營養風險患者結局的影響. 中華臨床營養雜志, 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. 顧晉. 惡性腫瘤多學科綜合治療模式. 中國實用外科雜志, 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. 趙剛, 張一凡. 轉診評估和多學科診療模式對老年患者臨床治療效果的影響. 中華老年多器官疾病雜志, 2016, 15(2): 118-121.
10. 梅俏, 許建明, 李素文, 等. 肝膽胰多學科診療模式在消化內科臨床教學中的作用. 安徽醫藥, 2015, 9(9): 1830-1831.
11. Department of Heath. Manual for cancer services 2004. London: Department of Health, 2004.
12. Leng SX. 打破傳統亞專科片段醫療服務模式引進現代老年醫學觀念. 中華老年醫學雜志, 2012, 31(1): 7-9.
13. 邢沫, 王鳳玲, 王丹. 我院建立腫瘤多學科模式的探討. 中國醫院管理, 2015, 35(6): 29-31.
14. 王國強, 陳軍, 楊美英, 等. 多模式聯合鎮痛在人工關節置換圍手術期的療效觀察. 生物骨科材料與臨床研究, 2015, 12(1): 47-50.
15. 劉法銀, 項國, 田學東, 等. 加速康復外科理念在全髖關節置換術圍手術期的應用. 中國骨與關節損傷雜志, 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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