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Impact of Caloric and Protein Adequacy on Postoperative Clinical Outcomes of Patients Undergoing Major Abdominal Surgery

F

Federal University of Minas Gerais

Status

Unknown

Conditions

Postoperative Complications
Energy Supply; Deficiency
Surgery
Cancer

Study type

Observational

Funder types

Other

Identifiers

NCT03357848
CAAE-12279713.1.0000.5149

Details and patient eligibility

About

The role of nutritional therapy (TN) in the surgical patient is well described in the literature and is associated with reductions in postoperative complications, length of hospital stay, and mortality. Adequate determination of caloric and protein requirements is an essential step in the TN institution, avoiding hypoalimentation and hyperalimentation. Thus, it is essential to understand the changes in energy expenditure after surgery and its relation with nutritional status. In addition, little is known about the effect of nutritional therapy and caloric adequacy on parameters such as phase angle and dynamometry. Thus, the objective of this study is to evaluate the changes in energy expenditure after major abdominal surgeries and to evaluate the phase angle and dynamometry as possible markers of nutritional therapy. Energy expenditure will be assessed by indirect calorimetry. Functionality will be assessed by means of dynamometry and 6-minute walk test. Nutritional diagnosis will be given through subjective global assessment. Energy and protein intake will be monitored and registered daily. Phase angle will be obtained by performing bioelectrical impedance.

Enrollment

60 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Over 18 years old
  • Patients admitted for major abdominal surgery
  • Sign the consent form

Exclusion criteria

  • Length of hospital stay less than 3 days
  • Pregnancy
  • Patients who, for any reason, can not perform indirect calorimetry

Trial design

60 participants in 2 patient groups

Study group
Description:
Surgical patients receiving nutritional support (enteral and/or parenteral nutrition) pre and/or after surgery
Control group
Description:
Surgical patients without nutritional support during the perioperative period

Trial contacts and locations

1

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Central trial contact

Thales Antonio Silva; Maria Isabel TD Correia, PHD

Data sourced from clinicaltrials.gov

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