Optimizing Postoperative Clinical Outcomes in Spinal Surgery Through Preoperative Oral Carbohydrate Loading: A Case-control Study

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing Pub Date : 2025-02-01 DOI:10.1016/j.jopan.2024.03.002

Özlem İbrahimoğlu PhD, RN , Eda Polat PhD, RN , Merve Beke MSc, RN , Serhat Pusat MD

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Abstract

Purpose

Preoperative oral carbohydrate loading is a component of enhanced recovery after surgery protocols. The aim of this study is to investigate the effects of preoperative oral carbohydrate loading on postoperative clinical outcomes in spinal surgery patients.

Design

This is a prospective case-control study.

Methods

This study was conducted with patients who underwent spinal surgery from October 1, 2020 to October 1, 2021 in a neurosurgery clinic of an education and research hospital. The intervention group (n = 46) ingested 800 mL oral carbohydrate drinks at least 8 hours before surgery. The postoperative clinical outcomes were nausea, vomiting, antiemetic and analgesic drug medication, inflammation, and bleeding. The first flatus and defecation time, oral intake time, mobilization time, and length of stay in hospital were assessed postoperatively. Adverse events were monitored up to 24 hours postoperatively. The control group (n = 46) underwent routine fasting protocols.

Findings

Lower rates of vomiting and bleeding during and after surgery and earlier defecation time and first mobilization time were determined in the intervention group, and the difference compared with the control group was statistically significant.

Conclusions

Preoperative oral carbohydrate loading is a nonpharmacological intervention that has a positive effect on postoperative clinical outcomes in patients who underwent spinal surgery and should be included in the enhanced recovery after surgery protocol.

查看原文本刊更多论文

通过术前口服碳水化合物优化脊柱手术的术后临床效果：病例对照研究

目的：术前口服碳水化合物是加强术后恢复方案的一个组成部分。本研究旨在探讨术前口服碳水化合物对脊柱手术患者术后临床效果的影响：这是一项前瞻性病例对照研究：本研究的对象是2020年10月1日至2021年10月1日期间在一家教育研究医院神经外科门诊接受脊柱手术的患者。干预组（n = 46）在手术前至少 8 小时摄入 800 毫升口服碳水化合物饮料。术后临床结果为恶心、呕吐、止吐和镇痛药物用量、炎症和出血。术后对首次排气和排便时间、口服时间、活动时间和住院时间进行了评估。不良反应监测时间长达术后 24 小时。对照组（n = 46）采用常规禁食方案：结果：干预组的术中和术后呕吐率和出血率较低，排便时间和首次活动时间较早，与对照组相比差异有统计学意义：结论：术前口服碳水化合物是一种非药物干预措施，对脊柱手术患者的术后临床效果有积极影响，应纳入术后恢复强化方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perianesthesia Nursing NURSING-

CiteScore

2.20

自引率

17.60%

发文量

279

审稿时长

90 days

期刊介绍： The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.