Multimodal Nutritional Management in Primary Lumbar Spine Surgery: A Randomized Controlled Trial

Spine
Bin XuHong-Feng Sheng

Abstract

A prospective randomized controlled trial. The purpose of this study was to evaluate the clinical effect and safety of a new multimodal nutritional management (MNM) protocol for patients receiving primary lumbar spine surgery. Poor nutritional status is common in the perioperative period in primary lumbar spine surgery, and may impede recovery after surgery. A total of 187 patients were included in this prospective randomized controlled trial. They were randomly assigned to the MNM group or the control group. Albumin (ALB) infusion, postoperative ALB level, electrolyte disorders, postoperative electrolyte levels, transfusion rate, postoperative hemoglobin level, length of stay (LOS), and complications were compared between the groups. Compared with the control group, the rate and the total amount of ALB infusion were lower in the MNM group, and the postoperative level of ALB in the MNM group was higher on the first postoperative day, and the third postoperative day. The incidence of hypokalemia, hyponatremia, and hypocalcemia were lower in the MNM group. In the MNM group, the postoperative levels of sodium, potassium, and calcium were higher than the control group. The transfusion rate was similar between the two groups. The he...Continue Reading

References

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Citations

Aug 9, 2020·Journal of Orthopaedic Surgery and Research·Peng WangShibao Lu
Jan 15, 2021·The Spine Journal : Official Journal of the North American Spine Society·Bertrand DebonoHans D de Boer
May 30, 2020·Clinical Spine Surgery : a Spine Publication·Zach PenningtonThomas E Mroz

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