Does preoperative oral carbohydrate reduce hospital stay?


Autoria(s): Webster, Joan; Osborne, Sonya; Gill, Richard; Chow, Carina; Wallin, Siobhan; Jones, Lee; Tang, Annie
Data(s)

2014

Resumo

Background Carbohydrate-rich fluids are used to improve postoperative recovery but the effectiveness of the product for reducing length of hospital stay is uncertain. Objective To assess the effectiveness of preoperative loading with carbohydrates on postoperative outcomes. Participants Forty six patients booked for elective colorectal surgery. Methods Participants were allocated to a Carbohydrate-rich fluid group or Usual Care group during their pre-admission clinic visit. The primary outcome was ‘Time to readiness for discharge’. Results Patients in the control group spent on average 4.3 days (95% confidence interval 3.2 to 5.7) and the Carbohydrate-rich fluid group spent 4.1 days (95% confidence interval 3.2 to 5.4) until the primary outcome was met (p=0.824). Conclusion The safety of preoperative high carbohydrate fluids is supported but we were unable to confirm or refute the benefit of CHO for shorter hospital stay following elective colorectal surgery.

Formato

application/pdf

Identificador

http://eprints.qut.edu.au/60925/

Publicador

Elsevier Inc.

Relação

http://eprints.qut.edu.au/60925/3/60925.pdf

DOI:10.1016/j.aorn.2013.12.003

Webster, Joan, Osborne, Sonya, Gill, Richard, Chow, Carina, Wallin, Siobhan, Jones, Lee, & Tang, Annie (2014) Does preoperative oral carbohydrate reduce hospital stay? AORN Journal, 99(2), pp. 233-242.

Direitos

Copyright 2014 Elsevier Inc.

This is the author’s version of a work that was accepted for publication in AORN Journal. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in AORN Journal, [VOL 99, ISSUE 2, (2014)] DOI: 10.1016/j.aorn.2013.12.003

Fonte

Faculty of Health; Institute of Health and Biomedical Innovation; School of Nursing

Palavras-Chave #110000 MEDICAL AND HEALTH SCIENCES #colorectal surgery, perioperative care, preoperative high-carbohydrate fluid loading, length of stay
Tipo

Journal Article