Authors (including presenting author) :
Leung KY(1),Lam HM(2),Lee LK(2),Lee SPP(1)
Affiliation :
(1)Dietetic Department, United Christian Hospital (2)Dietetic Department, Tseung Kwun O Hospital
Objectives :
Enhanced Recovery After Surgery (ERAS) is established as a global surgical quality improvement initiative that results in both clinical improvements1 and cost benefits to the healthcare system. ERAS program for gynecology surgery in TKOH and UCH optimizes perioperative care including patient population with and without malignancy. Target patients were provided with individualized following protocol-driven nutritional intervention by dietitians. This was a retrospective study from April 2021 to March 2022 on service coverage and impact of selected nutrition support outcomes among this cohort.
Methodology :
Patients admitted for elective gynecological surgery underwent nutrition screening using either Malnutrition Universal Screening Tool (MUST) or Malnutrition Screening Tool (MST). Patients who scored 3 or above received protocol-driven nutrition support intervention.
Result & Outcome :
In conclusion, patients in the study maintained >65% of both energy and protein needs. Dietitians provided adequate coverage of service and related nutrition intervention played a role to produce positive quantitative outcomes. For patient with gynecology related malignancy, a total of 60 patients were recruited and produced 293 dietetic attendances. There were 53 patients eligible with complete pre and post assessment data and demonstrated that both energy intake and protein intake increased significantly from 972kcal/day and 39.5gprotein/day to 1376kcal/day and 58gprotein/day (p<0.05). Also patient met >90% of their energy target. In addition, 115 patients underwent general gynecology surgery were and produced 218 dietetic attendance. Ninety-four patients had complete pre-and post-operative dataset. Their mean BMI was 25.2 ± 4.3 and >80% of them had chronic illness including diabetes (19%), obesity (45%) and hypertension(4%). These patients were also referred under the ERAS protocol for dietetic interventions.
