PMID- 35818767
OWN - NLM
STAT- Publisher
LR  - 20240216
IS  - 0260-1060 (Print)
IS  - 0260-1060 (Linking)
DP  - 2022 Jul 12
TI  - Pre-hospital caloric deficits in surgical patients.
PG  - 2601060221113409
LID - 10.1177/02601060221113409 [doi]
AB  - BACKGROUND: The timing, route, and amount of nutrition for surgical patients with 
      substantial caloric deficits remain active areas of study. Current guidelines are 
      based on in-hospital days NPO after admission to the hospital. This historic 
      process neglects the multiple days of caloric deficit patients experience prior 
      to hospital admission. AIM: To determine the impact of pre-hospital caloric 
      deficit (PHCD) for surgical patients on their outcomes. METHODS: 313 patients 
      admitted with a diagnosis of small bowel obstruction, pancreatitis, or 
      diverticulitis were analyzed for their PHCD's. PHCD's were estimated using 
      patient-reported days with significant emesis, and absent oral intake. Patients 
      with PHCD's were compared to patients with no PHCD for length of stay, status on 
      discharge, disposition, and 30-day readmission rate. RESULTS: There were 313 
      patients and 42% of the patients were male. The median age was 65 years. Median 
      number of days sick prior to hospital admission was 1 (IQR: 1 to 2). Median PHCD 
      was 1882 kcal (IQR: 1355 to 3650). Median number of days NPO while in-hospital 
      was 3 (IQR: 2 to 5). Median in-hospital caloric deficit was 4268 kcal (IQR: 2825 
      to 6610). No significant association was observed between discharge disposition, 
      complication rate, ambulatory status, 30-day readmission rate and PHCD. 
      In-hospital caloric deficit was associated with complications after surgery 
      (p < 0.0001). CONCLUSION: Small PHCD's in patients with SBO's, pancreatitis, or 
      diverticulitis do not negatively affect their outcomes. Further research of 
      patients with large PHCD's is needed to best treat surgical patients at risk for 
      malnutrition.
FAU - Sadeghi, John K
AU  - Sadeghi JK
AUID- ORCID: 0000-0002-2631-947X
AD  - 5799Northwell Health North Shore/Long Island Jewish General Surgery, Manhasset, 
      NY, USA.
AD  - Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, 
      USA.
FAU - Hollis, Rusell J
AU  - Hollis RJ
AD  - 5799Northwell Health North Shore/Long Island Jewish General Surgery, Manhasset, 
      NY, USA.
AD  - Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, 
      USA.
FAU - Cerise, Jane E
AU  - Cerise JE
AD  - 5799Northwell Health North Shore/Long Island Jewish General Surgery, Manhasset, 
      NY, USA.
AD  - Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, 
      USA.
FAU - Li, Leo T
AU  - Li LT
AD  - 5799Northwell Health North Shore/Long Island Jewish General Surgery, Manhasset, 
      NY, USA.
AD  - Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, 
      USA.
FAU - Cal, Matthew
AU  - Cal M
AD  - 5799Northwell Health North Shore/Long Island Jewish General Surgery, Manhasset, 
      NY, USA.
AD  - Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, 
      USA.
FAU - Patel, Vihas M
AU  - Patel VM
AD  - 5799Northwell Health North Shore/Long Island Jewish General Surgery, Manhasset, 
      NY, USA.
AD  - Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, 
      USA.
FAU - Coppa, Gene F
AU  - Coppa GF
AD  - 5799Northwell Health North Shore/Long Island Jewish General Surgery, Manhasset, 
      NY, USA.
AD  - Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, 
      USA.
FAU - Barrera, Rafael
AU  - Barrera R
AD  - 5799Northwell Health North Shore/Long Island Jewish General Surgery, Manhasset, 
      NY, USA.
AD  - Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, 
      USA.
LA  - eng
PT  - Journal Article
DEP - 20220712
PL  - England
TA  - Nutr Health
JT  - Nutrition and health
JID - 8306569
SB  - IM
OTO - NOTNLM
OT  - Nutrition
OT  - diverticulitis
OT  - malnourished
OT  - pancreatitis
OT  - pre-hospital caloric deficit
OT  - small bowel obstruction
EDAT- 2022/07/13 06:00
MHDA- 2022/07/13 06:00
CRDT- 2022/07/12 03:14
PHST- 2022/07/12 03:14 [entrez]
PHST- 2022/07/13 06:00 [pubmed]
PHST- 2022/07/13 06:00 [medline]
AID - 10.1177/02601060221113409 [doi]
PST - aheadofprint
SO  - Nutr Health. 2022 Jul 12:2601060221113409. doi: 10.1177/02601060221113409.