Nutritional depletion in staged spinal reconstructive surgery. The effect of total parenteral nutrition

Spine
S S HuDavid S Bradford

Abstract

A prospective randomized study evaluating nutritional depletion in spine surgery patients. To determine whether use of total parenteral nutrition (TPN) in patients undergoing staged spinal reconstructive procedures could affect their nutritional parameters or decrease their complication rates. Several studies have shown that nutritional depletion occurs after major spinal surgery and that patients undergoing staged spinal surgery may be at particular risk of nutritional loss and its complications. Forty adult patients undergoing staged spinal reconstructive surgery were randomized as to whether they received TPN postoperatively. Nutritional parameters, including skin fold measurement and albumin, pre-albumin, transferrin, and total lymphocyte counts, were obtained pre-operatively and at regular intervals. Five patients did not complete the study, leaving 35 patients for analysis. There was a significant decrease in incidence of albumin and pre-albumin depletion for the patients who did not receive TPN compared with those who did receive TPN (P < 0.025, P < 0.006, respectively). Patients with depleted albumin or pre-albumin counts were more likely to develop other postoperative infectious complications such as pneumonia or urina...Continue Reading

References

Feb 1, 1979·Archives of Surgery·J L MullenE F Rosato
Oct 1, 1986·Spine·R A BalderstonJ E Lonstein
Jun 1, 1996·Spine·A Benini, S K Bonar

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Citations

Sep 23, 2003·Spine·John M RheeAnnette Berra
Jun 17, 2005·Spine·Andrew FangDavid S Bradford
Sep 2, 2006·Spine·Serena S Hu, Sigurd H Berven
Sep 24, 2004·Journal of Spinal Disorders & Techniques·Karen M BrownDaniel E Gelb
Oct 7, 2003·Annual Review of Nutrition·Lyn Howard, Christopher Ashley
Jul 29, 2005·The Proceedings of the Nutrition Society·L GentonP Soeters
Oct 13, 2015·Journal of Shoulder and Elbow Surgery·Grant H GarciaLawrence V Gulotta
Apr 28, 2010·The Spine Journal : Official Journal of the North American Spine Society·Serena S Hu
Aug 1, 2006·Neurosurgery Clinics of North America·Michael G Kaiser, Regis W Haid
Apr 3, 2016·Best Practice & Research. Clinical Anaesthesiology·Thomas W WainwrightRobert G Middleton
May 26, 2007·Journal of the American Dietetic Association·Ronald L Koretz
Oct 30, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Roslyn C TarrantPatrick J Kiely
Nov 11, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Daisuke KudoYoichi Shimada
Oct 7, 2005·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Cheryl Thompson, M Patricia Fuhrman
Apr 29, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·A J MangramW R Jarvis
Mar 3, 2005·European Journal of Clinical Nutrition·M P LaluezaC Godet
May 20, 2017·The Cochrane Database of Systematic Reviews·Joshua FeinbergJanus C Jakobsen
Nov 4, 2005·Age and Ageing·Elena PaillaudPhuong-Nhi Bories

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