Does preoperative oral carbohydrate reduce hospital stay? A randomized trial

Webster, Joan, Osborne, Sonya Ranee, Gill, Richard, Chow, Carina Faran Kalan, Wallin, Siobhan, Jones, Lee and Tang, Annie (2014) Does preoperative oral carbohydrate reduce hospital stay? A randomized trial. AORN Journal, 99 2: 233-242. doi:10.1016/j.aorn.2013.12.003

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Author Webster, Joan
Osborne, Sonya Ranee
Gill, Richard
Chow, Carina Faran Kalan
Wallin, Siobhan
Jones, Lee
Tang, Annie
Title Does preoperative oral carbohydrate reduce hospital stay? A randomized trial
Journal name AORN Journal   Check publisher's open access policy
ISSN 0001-2092
Publication date 2014-02
Sub-type Article (original research)
DOI 10.1016/j.aorn.2013.12.003
Volume 99
Issue 2
Start page 233
End page 242
Total pages 10
Place of publication Philadelphia, PA, United States
Publisher Elsevier
Collection year 2015
Language eng
Formatted abstract
Oral carbohydrate-rich fluids are used preoperatively to improve postoperative recovery, but their effectiveness for reducing length of hospital stay is uncertain. We assessed the effectiveness of preoperative loading with carbohydrates on the postoperative outcomes of 44 patients scheduled for elective colorectal surgery who were randomly allocated to a carbohydrate-rich fluid group or a usual care group during their preadmission clinic visit. Our primary outcome was the time patients required to be ready for discharge. Patients in the control group spent an average of 4.3 days (95% confidence interval [CI], 3.2-5.7) in the hospital and patients in the carbohydrate-rich fluid group spent 4.1 days (95% CI, 3.2-5.4) in the hospital until they met discharge criteria (P = .824). We found that the safety of administering preoperative oral carbohydrate-rich fluids is supported, but we were unable to confirm or refute the benefit of this treatment regimen for contributing to shorter hospital stays after elective colorectal surgery.
Keyword Colorectal surgery
Perioperative care
Preoperative high-carbohydrate fluid loading
Length of stay
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

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Created: Wed, 29 Jan 2014, 14:19:04 EST by Vicki Percival on behalf of Surgery - Royal Brisbane and Women's Hospital