Evidence map›Paper›PMID 38282499›Full record

ArticleAnaesthesiology intensive therapy2023

The use of the ERAS protocol in malnourished and properly nourished patients undergoing elective surgery: a questionnaire study.

Paweł Kutnik, Michał Bierut, Elżbieta Rypulak, Aleksandra Trwoga, Kamila Wróblewska, Paweł Marzęda, Kamil Kośmider, Maciej Kamieniak, Agnieszka Pająk, Natalia Wolanin and 2 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Anaesthesiology intensive therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07442721 (Sacral Erector Spinae Plane Block Versus Pericapsular Nerve Group Block For Analgesia In Hip Hemi Arthroplasty), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 19% 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.

NCT07442721 narecruitingnot on this mapstarted 2026, after this paper: background citation

Sacral Erector Spinae Plane Block Versus Pericapsular Nerve Group Block For Analgesia In Hip Hemi Arthroplasty: A Randomized Comparative Study

TypeinterventionalSponsorFayoum University HospitalRan2026 to 2027Enrolled80ConditionsHip Arthroplasty, Hip Fracture Surgeries, Femoral Neck Fractures, Postoperative PainArmsSacral erector spinae plane block, PENG block
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Observational
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

12 authors at 1 institution in 1 country.

Paweł KutnikSecond Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Michał BierutStudent Research Group, Second Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Elżbieta RypulakSecond Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Aleksandra TrwogaStudent Research Group, Second Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Kamila WróblewskaStudent Research Group, Second Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Paweł MarzędaStudent Research Group, Second Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Kamil KośmiderStudent Research Group, Second Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Maciej KamieniakStudent Research Group, Second Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Agnieszka PająkStudent Research Group, Second Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Natalia WolaninStudent Research Group, Second Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Martyna Gębska-WolińskaStudent Research Group, Second Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Michał BorysSecond Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Medical University of Lublin · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEnhanced recovery after surgery (ERAS) is a modern approach to perioperative management. This study aimed to evaluate compliance with certain aspects of the ERAS protocol in malnourished and properly nourished patients undergoing elective surgery. MATERIAL AND

methodsA questionnaire study was conducted among 197 patients undergoing elective surgery at the university hospital. We divided patients into two groups according to nutritional status.

resultsThe study's results showed that 67 patients (34%) lost weight before admission (the weight-loss group). Twenty-five participants (37%) in the weight-loss group and 15 patients (12%) in the preserved-weight group underwent surgery due to cancer ( P < 0.001). More patients in the weight loss group (45 of 67) than in the preserved-weight group (40 of 129, P < 0.001) limited their food intake a week before the surgery. The preserved-weight group participants were mobilized earlier than the weight-loss group ( P = 0.04). The median number of hours since drinking their last fluids and eating their last meals before the surgery were 12.2 hours and 25.4 hours for both groups, respectively. Only eight patients received preoperative carbohydrate loading. We found higher serum protein concentrations in the preserved-weight group (7.10 [0.5] vs. 6.92 [0.71], P = 0.023); however, white blood cell count was higher in the weight-loss group (7.85 (2.28) vs.7.10 (0.50), P = 0.04). Both groups were highly satisfied with their hospital treatments.

conclusionsOur study revealed relatively high malnutrition in patients undergoing elective surgery. As a standard of perioperative care in the studied centre, the ERAS protocol implementation level is low.

Indexed as

Enhanced Recovery After SurgeryMalnutritionHumansLength of StayNutritional StatusPerioperative CarePostoperative ComplicationsWeight Losscancerelective surgeryenhanced recovery after surgery (ERAS).malnutrition

Identifiers

PMID38282499
PMCPMC10801458
OpenAlexW4391319258

What OpenQuestion holds

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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.