Does preoperative oral carbohydrate reduce hospital stay?

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.

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Carbohydrate-rich fluids are used to improve postoperative recovery but the effectiveness of the product for reducing length of hospital stay is uncertain.


To assess the effectiveness of preoperative loading with carbohydrates on postoperative outcomes.


Forty six patients booked for elective colorectal surgery.


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’.


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).


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.

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2 citations in Scopus
1 citations in Web of Science®
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ID Code: 60925
Item Type: Journal Article
Refereed: Yes
Keywords: colorectal surgery, perioperative care, preoperative high-carbohydrate fluid loading, length of stay
DOI: 10.1016/j.aorn.2013.12.003
ISSN: 1878-0369
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2014 Elsevier Inc.
Copyright Statement: 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
Deposited On: 25 Jun 2013 00:50
Last Modified: 24 Jun 2017 09:01

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