Allah Nawaz, Ahsan Khan, Rashid Mansoor, Asad Ali Toor, Ruqayya Khan, Shaukat M.
Nutritional Support Improves Outcome in Surgical patients.
Pak J Med Health Sci Jan ;7(4):870-3.

Aim: To identify outcome of preoperative and post-operative nutritional support on incisional wound healing in malnourished patients undergoing gastrointestinal surgery. Methods: It was a descriptive case series of 120 patients spanning over 6 months duration. Patients were admitted through OPD according to inclusion criteria and screened for malnutrition using BMI, SGA. Preoperative nutrition according to calories calculated for 3-7 days was given .Postoperative nutrition continues during the hospital stay and day of wound healing along with length of hospital stay was noted according to the criteria. Results: Total numbers of patients were 120, according to SGA rating 51.7% patients were mildly malnourished and 48.3% patients were severely malnourished. The average days of wound healing were 11.28. Average Hospital stay for the patients was 20.61days. Conclusion: Nutritional assessment of the critically ill patient anticipating a major operation is crucial as there is strong association between malnutrition and impaired wound healing. Adequate nutritional replacement can improve surgical recovery, shorten hospital stay, lowers readmission rates.

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