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.

View at publisher

Abstract

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.

Impact and interest:

2 citations in Scopus
Search Google Scholar™
1 citations in Web of Science®

Citation counts are sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

Full-text downloads:

194 since deposited on 25 Jun 2013
63 in the past twelve months

Full-text downloads displays the total number of times this work’s files (e.g., a PDF) have been downloaded from QUT ePrints as well as the number of downloads in the previous 365 days. The count includes downloads for all files if a work has more than one.

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
Current > Schools > School of Nursing
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: 13 Mar 2015 04:13

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page