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Anaesthesiology Intensive Therapy
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5/2023
vol. 55
 
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abstract:
Original article

The use of the ERAS protocol in malnourished and properly nourished patients undergoing elective surgery: a questionnaire study

Paweł Kutnik
1
,
Michał Bierut
2
,
Elżbieta Rypulak
1
,
Aleksandra Trwoga
2
,
Kamila Wróblewska
2
,
Paweł Marzęda
2
,
Kamil Kośmider
2
,
Maciej Kamieniak
2
,
Agnieszka Pająk
2
,
Natalia Wolanin
2
,
Martyna Gębska-Wolińska
2
,
Michał Borys
1

  1. Second Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland
  2. Student Research Group, Second Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland
Anaesthesiol Intensive Ther 2023; 55, 4: 330–334
DOI: https://doi.org/10.5114/ait.2023.134190
Online publish date: 2023/12/30
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Introduction:
Enhanced recovery after surgery (ERAS) is a modern approach to perioperative management. This study aimed to evaluate compliance with certain aspects of the ERAS protocol in malnourished and properly nourished patients undergoing elective surgery.

Material and methods:
A questionnaire study was conducted among 197 patients undergoing elective surgery at the university hospital. We divided patients into two groups according to nutritional status.

Results:
The study’s results showed that 67 patients (34%) lost weight before admission (the weight-loss group). Twenty-five participants (37%) in the weight-loss group and 15 patients (12%) in the preserved-weight group underwent surgery due to cancer (P < 0.001). More patients in the weight loss group (45 of 67) than in the preserved-weight group (40 of 129, P < 0.001) limited their food intake a week before the surgery. The preserved-weight group participants were mobilized earlier than the weight-loss group (P = 0.04). The median number of hours since drinking their last fluids and eating their last meals before the surgery were 12.2 hours and 25.4 hours for both groups, respectively. Only eight patients received preoperative carbohydrate loading. We found higher serum protein concentrations in the preserved-weight group (7.10 [0.5] vs. 6.92 [0.71], P = 0.023); however, white blood cell count was higher in the weight-loss group (7.85 (2.28) vs.7.10 (0.50), P = 0.04). Both groups were highly satisfied with their hospital treatments.

Conclusions:
Our study revealed relatively high malnutrition in patients undergoing elective surgery. As a standard of perioperative care in the studied centre, the ERAS protocol implementation level is low.

keywords:

cancer, malnutrition, elective surgery, enhanced recovery after surgery (ERAS)
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