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American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway.

dc.contributor.author Wischmeyer, Paul E
dc.contributor.author Carli, Franco
dc.contributor.author Evans, David C
dc.contributor.author Guilbert, Sarah
dc.contributor.author Kozar, Rosemary
dc.contributor.author Pryor, Aurora
dc.contributor.author Thiele, Robert H
dc.contributor.author Everett, Sotiria
dc.contributor.author Grocott, Mike
dc.contributor.author Gan, Tong J
dc.contributor.author Shaw, Andrew D
dc.contributor.author Thacker, Julie KM
dc.contributor.author Miller, Timothy E
dc.contributor.author Hedrick, Traci L
dc.contributor.author McEvoy, Matthew D
dc.contributor.author Mythen, Michael G
dc.contributor.author Bergamaschi, Roberto
dc.contributor.author Gupta, Ruchir
dc.contributor.author Holubar, Stefan D
dc.contributor.author Senagore, Anthony J
dc.contributor.author Abola, Ramon E
dc.contributor.author Bennett-Guerrero, Elliott
dc.contributor.author Kent, Michael L
dc.contributor.author Feldman, Liane S
dc.contributor.author Fiore, Julio F
dc.contributor.author Perioperative Quality Initiative (POQI) 2 Workgroup
dc.coverage.spatial United States
dc.date.accessioned 2018-02-01T14:40:47Z
dc.date.available 2018-02-01T14:40:47Z
dc.date.issued 2018-01-23
dc.identifier https://www.ncbi.nlm.nih.gov/pubmed/29369092
dc.identifier.uri https://hdl.handle.net/10161/16036
dc.description.abstract Perioperative malnutrition has proven to be challenging to define, diagnose, and treat. Despite these challenges, it is well known that suboptimal nutritional status is a strong independent predictor of poor postoperative outcomes. Although perioperative caregivers consistently express recognition of the importance of nutrition screening and optimization in the perioperative period, implementation of evidence-based perioperative nutrition guidelines and pathways in the United States has been quite limited and needs to be addressed in surgery-focused recommendations. The second Perioperative Quality Initiative brought together a group of international experts with the objective of providing consensus recommendations on this important topic with the goal of (1) developing guidelines for screening of nutritional status to identify patients at risk for adverse outcomes due to malnutrition; (2) address optimal methods of providing nutritional support and optimizing nutrition status preoperatively; and (3) identifying when and how to optimize nutrition delivery in the postoperative period. Discussion led to strong recommendations for implementation of routine preoperative nutrition screening to identify patients in need of preoperative nutrition optimization. Postoperatively, nutrition delivery should be restarted immediately after surgery. The key role of oral nutrition supplements, enteral nutrition, and parenteral nutrition (implemented in that order) in most perioperative patients was advocated for with protein delivery being more important than total calorie delivery. Finally, the role of often-inadequate nutrition intake in the posthospital setting was discussed, and the role of postdischarge oral nutrition supplements was emphasized.
dc.language eng
dc.publisher Ovid Technologies (Wolters Kluwer Health)
dc.relation.ispartof Anesth Analg
dc.relation.isversionof 10.1213/ANE.0000000000002743
dc.title American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway.
dc.type Journal article
duke.contributor.id Wischmeyer, Paul E|0721619
duke.contributor.id Thacker, Julie KM|0483156
duke.contributor.id Miller, Timothy E|0438139
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/29369092
pubs.organisational-group Anesthesiology
pubs.organisational-group Anesthesiology, General, Vascular, High Risk Transplant & Critical Care
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Duke
pubs.organisational-group School of Medicine
pubs.publication-status Published online
dc.identifier.eissn 1526-7598
duke.contributor.orcid Miller, Timothy E|0000-0001-8567-6680


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