The importance of nutritional prehabilitation in elective colorectal surgery for morbidity, mortality, and length of hospital stay: A single center study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F25%3A10159348" target="_blank" >RIV/00098892:_____/25:10159348 - isvavai.cz</a>

Alternative codes found

RIV/61989592:15110/25:73634017

Result on the web

<a href="https://link.springer.com/article/10.1007/s44411-025-00079-8" target="_blank" >https://link.springer.com/article/10.1007/s44411-025-00079-8</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s44411-025-00079-8" target="_blank" >10.1007/s44411-025-00079-8</a>

Result language

angličtina

Original language name

The importance of nutritional prehabilitation in elective colorectal surgery for morbidity, mortality, and length of hospital stay: A single center study

Original language description

Background: The nutritional status of the patient before undergoing surgery for colorectal cancer and its influence on the subsequent recovery has been the subject of a number of studies with ambiguous results. There are articles in the literature which emphasize the role of preoperative nutritional prehabilitation in other malignancies. Considering this we assumed a positive effect of nutritional preoperative prehabilitation on reducing the number of postoperative complications in patients operated for colorectal cancer. This study aims to confirm this hypothesis. Methods: The study was designed as a prospective-retrospective study of a group of patients undergoing elective surgery in the period May 2021—April 2022. The aim of the study was to demonstrate a decrease in postoperative morbidity, mortality, and a reduction in the length of hospital stay as a result of preoperatively applied systematic nutritional prehabilitation of the patients compared to the control group from 2015, when systematic nutritional prehabilitation had not yet been implemented. In the examined group, we evaluated the MUST score and laboratory nutritional parameters. If a risk of severe malnutrition has been detected, the patient underwent preoperative nutritional support. After the surgery morbidity, mortality, and length of hospital stay in both groups were evaluated and compared to each other. Results: The only significantly improved parameter in the examined group was the shortened length of hospital stay, the other results did not show statistical significance, only partial differences between the groups in severe morbidity were detected. Conclusion: Although our study only demonstrated a reduction in the length of hospital stay we strongly support the benefits of the targeted nutritional prehabilitation of patients with colorectal cancer who are at risk of malnutrition. We propose to evaluate the nutritional status based on MUST score, and when the risk of malnutrition is detected (MUST 2 or more), sipping with predefined oral nutritional supplements should be implemented.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Bratislava Medical Journal

ISSN

0006-9248

e-ISSN

1336-0345

Volume of the periodical

126

Issue of the periodical within the volume

5

Country of publishing house

GB - UNITED KINGDOM

Number of pages

8

Pages from-to

759-766

UT code for WoS article

001464777000001

EID of the result in the Scopus database

2-s2.0-86000314132