preoperative protein-calorie malnutrition
Conditions
Interventions
Sponsors
Department of Anesthesia and Intensive Care, The Chinese University of Hong Kong
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Adults (no age restriction) undergoing elective or non-emergent major to ultra-major cardiac surgery (CABG, valve surgery or combined) 2. MUST>0 or FFMI<17 for men or FFMI<15 for women or SMI<7 for men or SMI<5.7 for women Patients on the elective cardiac surgery waiting list are routinely assessed the Perioperative Medicine Clinic several weeks before the scheduled operation date. After written informed consent, patients will complete the MUST questionnaire and undertake a body composition test using a bioelectrical impedance analysis device (InBody 270, InBodyUSA, Cerritos, CA) to measure FFMI and SMI for study eligibility determination.
Exclusion criteria
Exclusion criteria: 1. Redo or emergency cardiac surgery 2. Major comorbidities precluding surgery, are mentally incompetent, any current disorder impairing accurate and objective completion of the malnutrition assessment and questionnaires, or are unable to understand Chinese or English. 3. CKD not on dialysis requiring low protein diet, advanced stage CKD or end-stage renal disease on dialysis with protein requirements of 1.0 to 1.2 g/kg body weight/day will be excluded [38] 4. Patients with liver diseases and at risk for hepatic encephalopathy 5. Physical limitations that would preclude regular attendance to outpatient nutritional prehabilitation sessions 6. Seen by a dietician in the last 6 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| quality of recovery;Days (alive and) at home within 30 (DAH30) days after cardiac surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Disability-free survival at 30 after surgery ;Health-related quality of life;Cardiac Postoperative Morbidity Survey (C-POM); | — |
Countries
China
Contacts
Public ContactProfessor Anna Lee
The Chinese University of Hong Kong
Outcome results
None listed