{rfName}
Ev

Indexed in

License and use

Icono OpenAccess

Citations

1

Altmetrics

Grant support

The authors wish to thank all the patients who participated in the study and DANONE NUTRICIA for supporting the translation and publication of this manuscript.

Analysis of institutional authors

Garcia Sanchez, Francisco JavierAuthor

Share

October 9, 2024
Publications
>
Article
Sí

Evaluation of postoperative results after a presurgical optimisation programme

Publicated to:Perioper Med (Lond). 13 (1): 73- - 2024-07-15 13(1), DOI: 10.1186/s13741-024-00430-7

Authors: Sanchez, Francisco Garcia; Garcia, Natalia Mudarra

Affiliations

Hosp Univ Infanta Cristina, Dept Gastroenterol, Ave 9 Junio 2, Madrid 28981, Spain - Author
Univ Complutense Madrid, Fac Med, IDIPHISA, Med Dept, Madrid, Spain - Author
Univ Complutense Madrid, Fac Nurse, IDIPHISA, Nurse Dept, Madrid, Spain - Author

Abstract

Background Presurgical optimisation programmes decrease the risk of postoperative complications, reduce hospital stays and speed up patient recovery. They usually involve a multidisciplinary team addressing physical, nutritional and psychosocial issues. The objective of this study was to assess the results of implementing a presurgical optimisation programme led by a liaison nurse in patients undergoing major surgery in a primary general hospital. Methods An observational, retrospective, descriptive, cross-sectional, comparative study based on the revision of patients' health records undergoing major surgery between January 2019 and December 2022. Patients entering the presurgical optimisation programme (intervention group) were compared with patients receiving usual medical care (control group). The presurgical optimisation programme consisted of oral nutritional supplementation, physical exercise, strengthening of lung capacity and psychological and emotional support. Frequency (%) of surgery complications and use of healthcare resources (duration of hospitalisation, time spent in the intensive care unit (ICU), and readmission) at day 30 were recorded. Descriptive statistics were applied. Results Two hundred eleven patients (58.5% men, mean age: 65.76 years (SD 11.5), 75.2%. non-smokers; mean body mass index (BMI): 28.32 (SD 5.38); mean Nutritional Risk Score (NRS) 3.71 (SD 1.35; oncology diagnosis: 88.6%) were included: 135 in the intervention group, and 76 in the control group. The average duration of the presurgical optimisation programme was 20 days (SD 5). Frequency of postoperative complications was 25% (n = 33) in the intervention group and 52.6% (n = 40) in the control group (p < 0.001) [odds ratio (OR) = 3.4; 95% confidence interval (CI) (1.8; 6.2)]. 14.5% (n = 19) of patients in the intervention group and 34.2% (n = 26) in the control group had remote postoperative complications [OR = 3.1; 95% CI (1.6; 6.2)]. Patients in the intervention group spent fewer days in the hospital [mean 8.34 (SD 6.70) vs 11.63 (SD 10.63)], and there were fewer readmissions at 30 days (7.6% vs 19.7%) compared with the control group. Conclusions A presurgical optimisation programme led by a liaison nurse decreases the rate of immediate and late surgical complications and reduces hospital stays and readmissions in patients undergoing major surgery.

Keywords

Colon-cancerEnhanced recoveryGuideline clinical nutritionHospital stayImpactMajor abdominal-surgeryMajor surgeryMalnutritionNrs-200Postoperative complicationPostoperative complicationsPrehabilitationPreoperative optimisationPresurgical optimisation programmeSurgical outcomes

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Perioper Med (Lond) due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2024 there are still no calculated indicators, but in 2023, it was in position 26/64, thus managing to position itself as a Q2 (Segundo Cuartil), in the category Anesthesiology.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-07-04:

  • WoS: 1

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-04:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 23.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 23 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 16.1.
  • The number of mentions on the social network X (formerly Twitter): 23 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.