title: [Application of preoperative nutritional risk screening in perioperative nutrition support for colorectal cancer patients].
abstract: OBJECTIVE
  To investigate the guidance role of preoperative nutritional risk screening in perioperative nutrition support for colorectal cancer patients in order to provide evidence for the rational clinical application of nutrition support.
  
  
  METHODS
  Nutritional risk screening was carried out in 290 hospitalized colorectal cancer patients from The Fourth People's Hospital of Wuxi City, Tongji Hospital of Tongji University and The Second Hospital of Soochow University with the nutritional risk screening(NSR) 2002 score summary table. Postoperative bowel function recovery and associated nutritional indices were compared between patients who received preoperative nutrition support according to the risk screening results and those who did not.
  
  
  RESULTS
  Among 110 patients at nutritional risk, 65 received perioperative nutrition support and had faster recovery of intestinal function [time to first flatus (2.3±0.5) d vs. (3.3±0.5) d, time to first defecation (3.5±0.5) d vs. (4.6±0.6) d, semi-fluid intake (10.1±1.2) d vs. (12.4±2.2) d], shorter postoperative stay [(15.7±1.1) d vs. (18.8±1.4) d], and higher albumin, prealbumin and transferrin [(33.2±4.5) g/L vs. (26.0±4.0) g/L, (0.28±0.05) g/L vs. (0.16±0.04) g/L, (1.92±0.33) g/L vs. (1.75±0.45) g/L] at 7-day postoperatively (all P<0.05) as compared to those without perioperative nutrition support(n=45). While among 180 cases without nutritional risk, there were no significant differences in the above indices between patients who received preoperative nutrition support and those who did not (all P>0.05).
  
  
  CONCLUSIONS
  It is important to evaluate the nutritional risk in hospitalized patients with colorectal cancer, and to carry out nutrition support actively for those at nutritional risk.
authors: Department of General Surgery, The Second Affiliated Hospital of Soochow University, Soochow 215004, China. feibj11b@gmail.com.
authors: Bojian
authors: B
authors: Fei
authors: Juping
authors: J
authors: Pan
authors: Haorong
authors: H
authors: Wu
authors: Qizhong
authors: Q
authors: Gao
authors: Weifeng
authors: W
authors: Han
authors: Jun
authors: J
authors: Du
authors: Liugen
authors: L
authors: Jin
mesh_terms: D015179:Colorectal Neoplasms / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D018529:Nutritional Support; D019990:Perioperative Care; D012189:Retrospective Studies; D018570:Risk Assessment