title: Clinical application of the fast track surgery model based on preoperative nutritional risk screening in patients with esophageal cancer.
abstract: OBJECTIVE
  To investigate the clinical application of the fast track surgery (FTS) model based on preoperative nutritional risk screening (NRS) in patients with esophageal cancer.
  
  
  METHODS
  180 patients with esophageal cancer who underwent surgery between January 2008 and April 2014 were randomly divided into study and control groups based on matched-pairs. The study group underwent assessment using the NRS 2002 and received treatment before surgery and the control group was treated by the conventional method. Postoperative indicators including time to first exsufflation, time to defecation, time to chest tube removal, hospitalization duration, and postoperative complications were examined after surgery.
  
  
  RESULTS
  Compared with the control group, the postoperative indicators including time to first exsufflation (88.4±2.76 vs 57.83±2.68 hours), time to first defecation (4.68±1.71 vs 3.28±1.34 days), time to chest tube removal (4.30±0.25 vs 2.70±0.33 days), postoperative hospitalization durations (11.71±1.39 vs 9.00±0.78 days), and total complication rate (18.9% [17/90] vs 6.67% [6/90]) were all significantly reduced in the study group (p<0.05).
  
  
  CONCLUSIONS
  The FTS model based on NRS can effectively promote postoperative rehabilitation of patients, reduce the incidence of postoperative complications, and shorten hospital stay.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, East Hospital Affiliated Tongji University, Shanghai, China. Email: jinyiwangcn@126.com.
authors.forename: Jin-Yi
authors.initials: JY
authors.lastname: Wang
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, East Hospital Affiliated Tongji University, Shanghai, China.
authors.forename: Xuan
authors.initials: X
authors.lastname: Hong
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, East Hospital Affiliated Tongji University, Shanghai, China.
authors.forename: Guo-Han
authors.initials: GH
authors.lastname: Chen
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, East Hospital Affiliated Tongji University, Shanghai, China.
authors.forename: Qin-Chuan
authors.initials: QC
authors.lastname: Li
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, East Hospital Affiliated Tongji University, Shanghai, China.
authors.forename: Zhong-Min
authors.initials: ZM
authors.lastname: Liu
mesh_terms: D003672:Defecation; D004938:Esophageal Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D011183:Postoperative Complications / Q000453:epidemiology*; D011300:Preoperative Care / Q000379:methods; D057234:Preoperative Period; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome