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Open AccessArticle

Comparison of Clinical Outcomes in Surgical Patients Subjected to CIPA Nutrition Screening and Treatment versus Standard Care

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Endocrinology and Nutrition Department, University Hospital Nuestra Señora de Candelaria (HUNSC), 38010 Santa Cruz de Tenerife, Spain
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General and Digestive Surgery Department, HUNSC, 38010 Santa Cruz de Tenerife, Spain
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Department of Quantitative Methods in Economics and Management, University of Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Spain
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Canary Islands Foundation for Health Research (FUNCANIS), 38109 Santa Cruz de Tenerife, Spain
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Health Services Research on Chronic Patients Network (REDISSEC), 38010 Santa Cruz de Tenerife, Spain
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Canary Islands Cancer Research Institute (FICIC), 38204 Santa Cruz de Tenerife, Spain
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Department of Clinical Epidemiology and Biostatistics, HUNSC; Primary Care Management, 38010 Santa Cruz de Tenerife, Spain
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(4), 889; https://doi.org/10.3390/nu11040889
Received: 8 March 2019 / Revised: 13 April 2019 / Accepted: 17 April 2019 / Published: 20 April 2019
Malnutrition is prevalent in surgical patients and leads to comorbidities and a poorer postoperative course. There are no studies that compare the clinical outcomes of implementing a nutrition screening tool in surgical patients with standard clinical practice. An open, non-randomized, controlled study was conducted in general and digestive surgical hospitalized patients, who were either assigned to standard clinical care or to nutrition screening using the Control of Food Intake, Protein, and Anthropometry (CIPA) tool and an associated treatment protocol (n = 210 and 202, respectively). Length of stay, mortality, readmissions, in-hospital complications, transfers to critical care units, and reinterventions were evaluated. Patients in the CIPA group had a higher Charlson index on admission and underwent more oncological and hepatobiliary-pancreatic surgeries. Although not significant, a shorter mean length of stay was observed in the CIPA group (−1.48 days; p < 0.246). There were also fewer cases of exitus (seven vs. one) and fewer transfers to critical care units in this group (p = 0.068 for both). No differences were detected in other clinical variables. In conclusion, patients subjected to CIPA nutrition screening and treatment showed better clinical outcomes than those receiving usual clinical care. The results were not statistically significant, possibly due to the heterogeneity across patient groups. View Full-Text
Keywords: general surgery; inpatients; malnutrition; nutrition assessment; length of stay general surgery; inpatients; malnutrition; nutrition assessment; length of stay
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MDPI and ACS Style

Suárez-Llanos, J.P.; Rosat-Rodrigo, A.; García-Niebla, J.; Vallejo-Torres, L.; Delgado-Brito, I.; García-Bello, M.A.; Pereyra-García-Castro, F.; Barrera-Gómez, M.A. Comparison of Clinical Outcomes in Surgical Patients Subjected to CIPA Nutrition Screening and Treatment versus Standard Care. Nutrients 2019, 11, 889. https://doi.org/10.3390/nu11040889

AMA Style

Suárez-Llanos JP, Rosat-Rodrigo A, García-Niebla J, Vallejo-Torres L, Delgado-Brito I, García-Bello MA, Pereyra-García-Castro F, Barrera-Gómez MA. Comparison of Clinical Outcomes in Surgical Patients Subjected to CIPA Nutrition Screening and Treatment versus Standard Care. Nutrients. 2019; 11(4):889. https://doi.org/10.3390/nu11040889

Chicago/Turabian Style

Suárez-Llanos, José P.; Rosat-Rodrigo, Adriá; García-Niebla, Jennifer; Vallejo-Torres, Laura; Delgado-Brito, Irina; García-Bello, Miguel A.; Pereyra-García-Castro, Francisca; Barrera-Gómez, Manuel A. 2019. "Comparison of Clinical Outcomes in Surgical Patients Subjected to CIPA Nutrition Screening and Treatment versus Standard Care" Nutrients 11, no. 4: 889. https://doi.org/10.3390/nu11040889

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