article Open Access (green) EN 2018-01-24

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

Paul E. Wischmeyer, Franco Carli, David C. Evans, Sarah Guilbert, Rosemary A. Kozar, Aurora D. Pryor, Robert H. Thiele, Sotiria Everett, Mike Grocott, Tong J. Gan, Andrew Shaw, Julie K. Thacker, Timothy E. Miller

Anesthesia & Analgesia, Vol. 126, Issue 6, pp. 1883–1895 (2018)

Duke University, McGill University, The Ohio State University, Duke University Hospital, University of Maryland, Baltimore, Stony Brook Medicine, University of Virginia, National Health Service, University Hospital Southampton NHS Foundation Trust, University of Southampton, Stony Brook University, Vanderbilt University, Vanderbilt University Medical Center, Duke Medical Center

DOI: 10.1213/ane.0000000000002743 PMID: 29369092

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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.

Topics

Nutrition and Health in Aging 1.00 Enhanced Recovery After Surgery 1.00 Clinical Nutrition and Gastroenterology 1.00

Field: Medicine · Subfield: Physiology

Keywords

Medicine,Perioperative,Malnutrition,Parenteral nutrition,Intensive care medicine,Medical nutrition therapy,Clinical nutrition,MEDLINE,Adverse effect,Surgery

MeSH Terms

FastingFastingFastingFastingHumansHumansHumansHumans

UN Sustainable Development Goals

Zero hunger (0.63)

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Landing page — UCL Discovery (University College London) submittedVersion

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APA

Paul E. Wischmeyer, Franco Carli, David C. Evans, Sarah Guilbert, Rosemary A. Kozar, Aurora D. Pryor, Robert H. Thiele, Sotiria Everett, Mike Grocott, Tong J. Gan, Andrew Shaw, Julie K. Thacker, Timothy E. Miller (2018). American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway. Anesthesia & Analgesia, 126(6), 1883–1895. https://doi.org/10.1213/ane.0000000000002743

MLA

Paul E. Wischmeyer, et al. "American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway." Anesthesia & Analgesia, vol. 126, no. 6, 2018, pp. 1883–1895. https://doi.org/10.1213/ane.0000000000002743

Chicago

Paul E. Wischmeyer, Franco Carli, David C. Evans, Sarah Guilbert, Rosemary A. Kozar, Aurora D. Pryor, Robert H. Thiele, Sotiria Everett, Mike Grocott, Tong J. Gan, Andrew Shaw, Julie K. Thacker, Timothy E. Miller. "American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway." Anesthesia & Analgesia 126, no. 6 (2018): 1883–1895. https://doi.org/10.1213/ane.0000000000002743

BibTeX

@article{wischmeyer2018,
  title = { American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway },
  author = { Paul E. Wischmeyer and Franco Carli and David C. Evans and Sarah Guilbert and Rosemary A. Kozar and Aurora D. Pryor and Robert H. Thiele and Sotiria Everett and Mike Grocott and Tong J. Gan and Andrew Shaw and Julie K. Thacker and Timothy E. Miller },
  journal = { Anesthesia & Analgesia },
  year = { 2018 },
  volume = { 126 },
  number = { 6 },
  pages = { 1883--1895 },
  doi = { 10.1213/ane.0000000000002743 }
}

RIS

TY  - JOUR
TI  - American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway
AU  - Paul E. Wischmeyer
AU  - Franco Carli
AU  - David C. Evans
AU  - Sarah Guilbert
AU  - Rosemary A. Kozar
AU  - Aurora D. Pryor
AU  - Robert H. Thiele
AU  - Sotiria Everett
AU  - Mike Grocott
AU  - Tong J. Gan
AU  - Andrew Shaw
AU  - Julie K. Thacker
AU  - Timothy E. Miller
JO  - Anesthesia & Analgesia
PY  - 2018
VL  - 126
IS  - 6
SP  - 1883
EP  - 1895
DO  - 10.1213/ane.0000000000002743
ER  -

491

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21.83

FWCI

100%

Normalized Pctile

116

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