A Study on the Utility of the Single Surgical Department Nutritional Support Team Rounds for Abdominal Emergency Surgery Cases

• Published in: Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) Vol. 33; no. 4; pp. 701 - 704
• Main Authors: Maruyama, Tsunehiko, Kamoshida, Toshiro, Sako, Akihiro, Abe, Noriko, Ishikawa, Yuichi, Ueda, Kazumitsu, Okumura, Minoru
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society for Abdominal Emergency Medicine 31.05.2013
• ISSN: 1340-2242; 1882-4781
• DOI: 10.11231/jaem.33.701

Our hospital started nutritional support team (NST) rounds in a single surgical department in June 2010. The conventional NST rounds at the request of an attending doctor continued as usual, but, the single surgical department rounds, the dietitian selected high risk patients from among those with serum Alb levels of 3.0 g/dL or less. For the abdominal emergency surgery cases in which the NST intervened, we divided them into group A before single surgical department rounds started, and group B after these rounds started. We compared both groups regarding the time to NST intervention, the effect, the outcome and hospitalization. For eight group A and six group B patients, the number of the interventions significantly increased in group B. The time to intervention in group A was 15 days whereas in group B it was 12 days, so it was shorter in group B. As for the effect, it was significantly better in group B. As for the outcome, A group had much leave hospital mortality and B group had much leave hospital of lighthearted. the majority of the group B patients left hospital in a much happier frame of mind than in the case of group A. Regarding the period of hospitalization after the intervention, it was 18 days in group A, and 15.5 days in group B, so it was shorter in group B. The single surgical department NST rounds proved beneficial for abdominal emergency surgery cases.