Proposed Topic (Most preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Authors (including presenting author) :
Wong KKK, Cheng KP, Yau YPP
Affiliation :
Department of Dietetics, Prince of Wales Hospital, Hong Kong
Introduction :
Patients with head and neck cancer are at risk of poor oral intake and malnutrition due to dysphagia and treatment related problems such as mucositis and nausea. Malnutrition is associated with poorer prognosis, postoperative complications and treatment interruption of chemo(radio)therapy. An ERAS program for patient with head and neck cancer was implemented in Prince of Wales Hospital since 2020. Dietetics counselling on nutrition support and carbohydrate loading were provided to patients as part of the multidisciplinary team in the ERAS program. The main goal was to optimize patients’ nutrition (i.e. meet their energy and nutrient requirements) throughout the journey. Carbohydrate loading drinks have been shown to enhance post operation recovery
Objectives :
To evaluate the nutrition outcome of patients with head and neck surgery under the Enhanced Recovery Surgery (ERAS) program.
Methodology :
Nutrition assessment records of 27 patients between 1st August 2022 to 31st October 2022 were retrieved. Anthropometric data, nutrition (energy and protein) intake and requirement data were analyzed. Compliance to preoperative carbohydrate loading drinks was also evaluated.
Result & Outcome :
In this study, 27 patients (16 male, 11 female, mean age 66.9) were recruited. The mean body weight and mean body mass index was 58.9 kg, 22.6 kg/m2 and 56.1 kg, 22.0 kg/m2 at the first consultation and last follow up respectively. The mean dietetics consultations were 7 times (include inpatient and outpatient) during the study period. Preoperative carbohydrate loading drinks compliance for this cohort was 77%. During the first consultation, only 46% and 50% of patients could meet 80% of the energy and protein requirement respectively. At the last follow up, more than 95% of the patients could meet 80% of both energy and protein requirement. Hence, Dietetics intervention was effective in optimizing nutrition in patient with head and neck cancers in this study.
