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Prolonged preoperative fasting and prognosis in critically ill gastrointestinal surgery patients.
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- Author(s): Gang Zhou; Fengxue Zhu; Youzhong An; Lixia Qin; Jie Lv; Xiujuan Zhao; Jiawei Shen; Zhou, Gang (AUTHOR); Zhu, Fengxue (AUTHOR); An, Youzhong (AUTHOR); Qin, Lixia (AUTHOR); Lv, Jie (AUTHOR); Zhao, Xiujuan (AUTHOR); Shen, Jiawei (AUTHOR)
- Source:
Asia Pacific Journal of Clinical Nutrition. Mar2020, Vol. 29 Issue 1, p41-47. 7p. - Source:
- Additional Information
- Subject Terms: GASTROINTESTINAL surgery; PREPROCEDURAL fasting; PROPENSITY score matching; CRITICALLY ill; FASTING; PROGNOSIS; SURGICAL intensive care; ELECTIVE surgery; INTENSIVE care units; PREOPERATIVE period; TIME; RETROSPECTIVE studies; APACHE (Disease classification system); SURGICAL complications; CATASTROPHIC illness; DIGESTIVE organ surgery
- Subject Terms:
- Abstract:
Background and Objectives: This study aimed to assess the influence of prolonged preoperative fasting on prognosis in elective surgery.Methods and Study Design: A retrospective, controlled study involving patients admitted to our surgical intensive care unit who underwent a gastrointestinal operation under general anesthesia. Patients were divided into regular preoperative fasting time (n=57) and prolonged preoperative fasting time (n=73) groups. Clinical data were collected including patients' demographics, intraoperative and postoperative operation time, volume of blood loss, intensive care unit stay, hospital stay, postoperative complications and other factors.Results: Patients in the regular preoperative fasting time group had less duration of mechanical ventilation support after surgery [245 (177, 450) min vs 315 (210, 812) min (p=0.021)] and the postoperative myocardial injuries (myocardial injury 2 cases vs 11 cases, p=0.038) and reoperation percentages (reoperation 0 cases vs 7 cases, p=0.044) were lower compared to the prolonged preoperative fasting time group. In addition, patients in the regular preoperative fasting time group presented with a significantly shorter period of postoperative fasting time [6.0 (5.0, 8.0) vs 8.0 (6.0, 13.0), p=0.005].Conclusions: Prolonged preoperative fasting time led to unfavorable outcomes after gastrointestinal operations. Thus, reducing preoperative fasting time is likely to accelerate postoperative recovery in gastrointestinal surgery patients. [ABSTRACT FROM AUTHOR] - Abstract: Copyright of Asia Pacific Journal of Clinical Nutrition is the property of Qingdao University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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