Does preoperative oral carbohydrate reduce hospital stay? A randomized trial

Webster, Joan and Osborne, Sonya Ranee and Gill, Richard and Chow, Carina Faran Kalan and Wallin, Siobhan and Jones, Lee and Tang, Annie (2014) Does preoperative oral carbohydrate reduce hospital stay? A randomized trial. AORN Journal, 99 (2). pp. 233-242. ISSN 0001-2092


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 post-operative 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 pre admission 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.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Published version cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Health, Nursing and Midwifery
Date Deposited: 26 Jul 2019 04:04
Last Modified: 29 Jul 2019 01:53
Uncontrolled Keywords: colorectal surgery, perioperative care, preoperative high-carbohydrate fluid loading, length of stay
Fields of Research : 11 Medical and Health Sciences > 1110 Nursing > 111003 Clinical Nursing: Secondary (Acute Care)
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Identification Number or DOI: 10.1016/j.aorn.2013.12.003

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