The need for an organizational project of nutritional support for cardiac surgery patients in the hospital

Abstract


The article substantiates the need for a systematic approach to organizing nutritional support for cardiac surgery patients. The high prevalence of protein—energy deficiency among this patient population is noted, as well as its impact on treatment outcomes and postoperative rehabilitation. The reasons for the underestimation of nutritional therapy in clinical practice are analyzed, and organizational measures aimed at standardizing the processes of assessment, prescription, and monitoring of nutrition are described. The development of such a project is considered an important step toward optimizing the quality of medical care and ensuring the rational use of hospital resources.

About the authors

Olga A. Belysheva

Scientific Research Institute of Healthcare Organization and Medical Management of the Moscow Department of Healthcare, Moscow, Russia

Email: alta90@yandex.ru

References

  1. Lomivorotov V. V., Efremov S. M., Boboshko V. A. et al. Screening of nutritional status in cardiac surgery. General intensive care. 2013;9(1):43—50.;2. Leiderman I. N., Khachaturov S. A., Levit A. L. Features of nutritional support in cardiology and cardiac surgery: current state of the problem. Pacific Med. J. 2007;2(28):28—33.;3. Patel J. J., Martindale R. G., McClave S. A. Contemporary rationale for delivering enteral nutrition in critically ill adults. Crit. Care Med. 2025; 53(7):e1481—e1490. doi: 10.1097/CCM.0000000000006711;4. Powers J. Nutritional therapy. In: Sole's Introduction to Critical Care Nursing-E-Book: Elsevier; 2024. Р. 100.;5. Weimann A., Bezmarevic M., Braga M. et al. ESPEN guideline on clinical nutrition in surgery — Update 2025. Clin. Nutr. 2025;53:222—261. doi: 10.1016/j.clnu.2025.08.029

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Sherstneva Elena Vladimirovna
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FSSBI «N.A. Semashko National Research Institute of Public Health»

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