Targeted nutritional intervention with enhanced recovery after surgery for carotid endarterectomy: A prospective...

Area of Science:

• Neurosurgery
• Vascular Surgery
• Nutritional Science

Background:

• Ischemic stroke, often caused by vascular obstruction, is a leading cerebrovascular disease.
• Carotid endarterectomy (CEA) is a primary treatment for carotid artery stenosis, aiming to prevent ischemic events.
• Optimizing perioperative nutrition is crucial for patient recovery after major vascular surgery.

Purpose of the Study:

• To evaluate the efficacy of a novel enhanced recovery after surgery (ERAS) nutritional support regimen in patients undergoing carotid endarterectomy (CEA).
• To assess the impact of the ERAS protocol on perioperative nutritional status, clinical outcomes, and patient satisfaction.

Main Methods:

• A randomized controlled trial involving 74 patients undergoing CEA.
• Patients were divided into two groups: one receiving ERAS nutritional support and a control group receiving standard care.
• Key clinical and biochemical parameters, length of stay, complication rates, and patient satisfaction were measured.

Main Results:

• The ERAS group demonstrated significantly higher levels of albumin, hemoglobin, creatinine, calcium, and magnesium post-surgery compared to the control group (p < 0.05).
• Patients in the ERAS group experienced a significantly shorter postoperative length of stay and reported higher satisfaction at discharge (p < 0.001).
• No significant differences were found in postoperative complication rates or cognitive function (Mini-mental State Examination scores).

Conclusions:

• The implemented neurosurgical ERAS nutritional support program effectively enhances perioperative nutritional status in CEA patients.
• This specialized nutritional intervention notably reduces postoperative hospital stays and improves patient satisfaction.
• ERAS protocols represent a valuable strategy for optimizing recovery in patients undergoing carotid endarterectomy.