Perioperative TPN Improves Surgical Outcomes

Nepal Medical College and Teaching Hospital

Status

Completed

Conditions

Malnutrition

Major Surgery

Parenteral Nutrition

Treatments

Dietary Supplement: TPN-N7 Baxter

Study type

Observational

Funder types

Other

Identifiers

NCT06573632

26-079/080

Details and patient eligibility

About

Preoperative optimization of patients is a well known concept. Not all patients can tolerate feeds and as such TPN is given. TPN given preoperatively and continued postoperatively in selected group of patients can significantly improve the surgical outcomes and lower the morbidity as well as mortality. So the investigators aim to find the impact of TPN in malnutritional surgical patients.

Full description

Any patient who is at risk of malnutrition as well as already malnutritioned were given preoperative TPN for 5 days. After 5 days, elective surgery was done and TPN was continued postoperatively until patient could consume 50% of their daily requirements orally. Patients who underwent emergency surgeries were also enrolled in this study as these patients could receive TPN only postoperatively.

Daily patient charting with Clavien Dindo Classification, length of stay and mortality were mentioned and verified by the operating surgical team.

Data was maintained electronically by the surgical team. Data was also entered in MS-EXCEL at the time of patient discharge. Since data was maintained on everyday basis till patient discharge and does not include follow-ups, there are no missing data.

Upon completion of study, all data will be exported to SPSS and analyzed accordingly using means, SDs, Chi-square and Fisher exact test.

Enrollment

150 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria