ANC1 Study Impact of a Geriatric and Nutritional Evaluation for the Malnutrition and Malnutrition Risk Screening in Patients Over 70 Years With Colorectal Surgery.
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Hospices Civils de Lyon
- Enrollment
- 150
- Locations
- 1
- Primary Endpoint
- Perioperative nutritional management
Study Overview
Brief Summary
Malnutrition priori a major abdominal surgery is frequent and increases morbidity and mortality. The management of malnutrition has an impact in reducing postoperative complications. However malnutrition is rarely detected and Guidelines infrequently followed.
Recovery time and nutritional evaluation in elderly patients are major criteria in their postoperative management. Identifying malnutrition or malnutrition risk is fundamental to its treatment. It is therefore unsurprising that many validated tools for nutrition risk screening and nutrition assessment exist for the clinician to use in assisting with the accurate identification, referral and treatment of patients who are malnourished or at risk of malnutrition.
And nutritional management must be adapted and based on this evaluation and evolution of the general status (Guidelines Grade A).
A geriatric evaluation based on a screening of preoperative malnutrition should allow a better implementation of the European Society of Parenteral and Enteral Nutrition (ESPEN) guidelines.
Detailed Description
Assessing the impact of a geriatric action (Team Mobile Geriatrics, EMG, or if the geriatric facility team when it does not have EMG) on the rate of nutritional support perioperative elderly subjects (≥ 70 years) who underwent a colorectal cancer according to ESPEN recommendations and SFNEP.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Screening
- Masking
- None
Eligibility Criteria
- Ages
- 70 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Aged ≥ 70 years
- •Colorectal or tumor resection with/without synchronous metastases
Exclusion Criteria
- •Emergency resection of colorectal tumor
- •Unresectable colorectal tumor with/without synchronous metastases
Arms & Interventions
Nutritional evaluation
Intervention: Malnutrition screening and perioperative nutritional support (Procedure)
Outcomes
Primary Outcomes
Perioperative nutritional management
Time Frame: During perioperative period From D-7 before date of hospitalization until discharge from the hospital, up to 30 days
Rate of nutritional support implemented in accordance with current European guidelines (ESPEN)
Secondary Outcomes
- Malnutrition screening(During preoperative seven days)
- Rate of preoperative nutritional management by immunonutrition implemented(During preoperative seven days)
- Evolution of the activities of daily living(During preoperative seven days and postoperative follow-up until discharge from hospital, up to 30 days)
- Postoperative complications(Postoperative follow-up until discharge from hospital, up to 30 days)
- Rate of postoperative nutritional management implemented(Postoperative follow-up until discharge from hospital, up to 30 days)
- Rate of malnourished patients(During preoperative seven days)
- Rate of patients with cachexia(Seventh day preoperative)