P1066 - IMPACT OF PRE AND POST OPERATIVE NUTRITIONAL SUPPLEMENTATION ON ORTHOPAEDIC SURGERY PATIENTS : A CONTROLLED TRIAL.

P1066

IMPACT OF PRE AND POST OPERATIVE NUTRITIONAL SUPPLEMENTATION ON ORTHOPAEDIC SURGERY PATIENTS : A CONTROLLED TRIAL.

P. Thacker^1,2,*, S. Mandalika³, R. Shah⁴

¹Nutrition and dietetics , University of Mumbai , ²Diet Department , Breach Candy Hospital Trust , ³Nutrition and Dietetics, Nirmala Niketan college of Home Science, ⁴Orthopedic , Bhatia Hospital, mumbai, India

Rationale: Malnutrition predisposes patients to increased risk of complications, inflammation, and prolonged hospitalisation. This study evaluates the efficacy of a specialised nutritional supplement in improving postoperative outcomes.

Methods: This randomised controlled trial enrolled 60 orthopaedic patients aged 40-65 years. Patients' nutritional status was assessed using the SGA tool, biochemical parameters, and clinical condition. The intervention group received a specialised nutritional supplement, administered in three divided doses, providing Energy 300 kcal Carbohydrates 80% and Protein 9%.This supplement was administered pre- and post-surgery, in addition to standard hospital meals. 

Results: Nutritional Risk Assessment :The majority of patients in both groups were classified as medium-risk (42.2%) or low-risk (34.3%) according to the Subjective Global Assessment (SGA) tool, while 23.4% were categorised as high-risk 

Effects of Pre-Surgical Supplementation: Supplementation significantly reduced inflammatory markers in the intervention group compared to the control group, as evidenced by lower WBC (p ≤ 0.053) and CRP levels (p ≤ 0.0001). 

Post-Surgical Outcomes:Following surgery, both groups received liquid and soft diets, and the supplement was reintroduced post-surgery after tolerance of liquids. This led to a significant rise in calorie intake (p < 0.005) and a subsequent decline in postoperative nausea (p = 0.002) in the intervention group. Constipation was a common issue in patients that decreased intake. Notably, supplementation directly contributed to a significant reduction in LOS (p = 0.001), highlighting the benefits of nutrition

Conclusion: This study provides evidence that integration of  pre- and post-operative supplementation yields significant benefits for patients by enhancing nutritional intake ,reducing inflammation and hospital stay.

Disclosure of Interest: None declared