ANC1 Study Impact of a Geriatric and Nutritional Evaluation for the Malnutrition and Malnutrition Risk Screening in Patients Over 70 Years With Colorectal Surgery.
试验速览
- 阶段
- 不适用
- 入组人数
- 150
- 试验地点
- 2
- 主要终点
- Perioperative nutritional management
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 70 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged ≥ 70 years
- •Colorectal or tumor resection with/without synchronous metastases
排除标准
- •Emergency resection of colorectal tumor
- •Unresectable colorectal tumor with/without synchronous metastases
结局指标
主要结局
Perioperative nutritional management
时间窗: 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)
次要结局
- Malnutrition screening(During preoperative seven days)
- Rate of postoperative nutritional management implemented(Postoperative follow-up until discharge from hospital, up to 30 days)
- Rate of preoperative nutritional management by immunonutrition implemented(During preoperative seven days)
- Rate of malnourished patients(During preoperative seven days)
- Rate of patients with cachexia(Seventh day preoperative)
- Postoperative complications(Postoperative follow-up until discharge from hospital, up to 30 days)
- Evolution of the activities of daily living(During preoperative seven days and postoperative follow-up until discharge from hospital, up to 30 days)