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.
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.
Study Type
OBSERVATIONAL
Enrollment
150
providing TPN to all malnutrition patients preoperatively as well as postoperatively.
Nepal Medical College Teaching Hospital
Kathmandu, Bagmati, Nepal
studying the effects of TPN on length of hospital stay
comparison of perioperative and postoperative TPN in terms of mean length of stay in days
Time frame: through study completion, an average of 5years
studying the effects of TPN on mortality
comparison of perioperative and postoperative TPN in terms of number of mortality cases
Time frame: through study completion, an average of 5years
studying the effects of TPN on complications using grades
comparison of perioperative and postoperative TPN in terms of Clavien-Dindo classification grades
Time frame: through study completion, an average of 5years
studying the effect of albumin levels on length of hospital stay
comparison of low and normal albumin levels in terms of mean length of stay in days
Time frame: through study completion, an average of 5years
studying the effect of albumin levels on mortality
comparison of low and normal albumin levels in terms of number of mortality cases
Time frame: through study completion, an average of 5years
studying the effect of albumin levels on complication using grades
comparison of low and normal albumin levels in terms of Clavien-Dindo Classification grades
Time frame: through study completion, an average of 5years
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