Evidence map›Paper›PMID 30916121›Full record

Trial reportBrazilian journal of cardiovascular surgery

Benefits of Fasting Abbreviation with Carbohydrates and Omega-3 Infusion During CABG: a Double-Blind Controlled Randomized Trial.

Gibran Roder Feguri, Paulo Ruiz Lúcio de Lima, Anna Carolina Franco, Felipe Ramos Honorato De La Cruz, Danilo Cerqueira Borges, Laura Ramos Toledo, Neuber José Segri, José Eduardo de Aguilar-Nascimento

2 registry-linked trialsOpen access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of cardiovascular surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06951308 narecruitingnot on this map

Efficacy of Carbohydrate Loading in Diabetic Type 2 Patients Undergoing CABG Surgery on CPB

TypeinterventionalSponsorDamascus UniversityRan2025 to 2026Enrolled50ConditionsHeart Surgery, Ischemic Heart DiseaseArmsCarbohydrate loading before surgery
NCT06995586 nanot yet recruitingnot on this map

The Synergistic Action of Vitamins and Dietary Supplements in Patients With Coronary Artery Bypass Grafting for Improving the Quality of Healthcare Delivery.

TypeinterventionalSponsorNicosia General HospitalRan2026 to 2028Enrolled108ConditionsCardio-pulmonary Bypass, Cardiovascular Diseases, Omega-3 Polyunsaturated Fatty Acids, Omega-3 SupplementationArmsVitamin C, Omega 3 PUFA (EPO/DHA), Lignin, Lactulose
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Gibran Roder FeguriDepartment of Cardiology and Cardiovascular Surgery, Hospital Geral Universitário, Universidade de Cuiabá (HGU-UNIC), Cuiabá, MT, Brazil.ORCID 0000-0002-1132-9667
Paulo Ruiz Lúcio de LimaDepartment of Cardiology and Cardiovascular Surgery, Hospital Geral Universitário, Universidade de Cuiabá (HGU-UNIC), Cuiabá, MT, Brazil.
Anna Carolina FrancoDepartment of Cardiovascular Surgery, Hospital Geral Universitário, Universidade de Cuiabá (HGU-UNIC), Cuiabá, MT, Brazil.
Felipe Ramos Honorato De La CruzDepartment of Cardiovascular Surgery, Hospital Geral Universitário, Universidade de Cuiabá (HGU-UNIC), Cuiabá, MT, Brazil.
Danilo Cerqueira BorgesDepartment of Cardiology and Cardiovascular Surgery, Hospital Geral Universitário, Universidade de Cuiabá (HGU-UNIC), Cuiabá, MT, Brazil.
Laura Ramos ToledoDepartment of Physical Therapy, Hospital Geral Universitário, Universidade de Cuiabá (HGU-UNIC), Cuiabá, MT, Brazil.
Neuber José SegriDepartment of Statistics, Universidade Federal do Mato Grosso (UFMT), Cuiabá, MT, Brazil.
José Eduardo de Aguilar-NascimentoUniversidade Federal do Mato Grosso (UFMT), Cuiabá, MT, Brazil.
Universidade Federal de Mato Grosso · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess postoperative clinical data considering the association of preoperative fasting with carbohydrate (CHO) loading and intraoperative infusion of omega-3 polyunsaturated fatty acids (ω-3 PUFA).

methods57 patients undergoing coronary artery bypass grafting (CABG) were randomly assigned to receive 12.5% maltodextrin (200 mL, 2 h before anesthesia), (CHO, n=14); water (200 mL, 2 h before anesthesia), (control, n=14); 12.5% maltodextrin (200 mL, 2 h before anesthesia) plus intraoperative infusion of ω-3 PUFA (0.2 g/kg), (CHO+W3, n=15); or water (200 mL, 2 h before anesthesia) plus intraoperative infusion of ω-3 PUFA (0.2 g/kg), (W3, n=14). The need for vasoactive drugs was analyzed, in addition to postoperative inflammation and metabolic control.

resultsThere were two deaths (3.5%). Patients in CHO groups presented a lower incidence of hospital infection (RR=0.29, 95% CI 0.09-0.94; P=0.023), needed fewer vasoactive drugs during surgery and ICU stay (P<0.05); and had better blood glucose levels in the first six hours of recovery (P=0.015), requiring less exogenous insulin (P=0.018). Incidence of postoperative atrial fibrillation (POAF) varied significantly among groups (P=0.009). Subjects who receive ω-3 PUFA groups had fewer occurrences of POAF (RR=4.83, 95% CI 1.56-15.02; P=0.001). Patients in the W3 group had lower ultrasensitive-CRP levels at 36 h postoperatively (P=0.008). Interleukin-10 levels varied among groups (P=0.013), with the highest levels observed in the postoperative of patients who received intraoperative infusion of ω-3 PUFA (P=0.049).

conclusionFasting abbreviation with carbohydrate loading and intraoperative infusion of ω-3 PUFA is safe and supports faster postoperative recovery in patients undergoing on-pump CABG.

Indexed as

FastingAgedAnalysis of VarianceBlood GlucoseCoronary Artery BypassDietary CarbohydratesDouble-Blind MethodFatty Acids, Omega-3FemaleHumansInsulin ResistanceLength of StayMaleMiddle AgedPerioperative PeriodPostoperative ComplicationsBlood GlucoseDietary CarbohydratesFatty Acids, Omega-3

Identifiers

PMID30916121
PMCPMC6436776
OpenAlexW2922757593

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.