Evidence map›Paper›PMID 38504189›Full record

Trial reportBMC anesthesiology2024

The efficacy and safety of modified ultraearly oral hydration for alleviating thirst in patients after thoracoscopic surgery: a prospective randomized controlled trial.

Yan Xue, Qian Wang, Hongyu Zhao, Ren Pan, Yanfei Xia, Hongmei Wang, Xiarong Qin

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
4.0field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

7 authors at 2 institutions in 1 country.

Yan XueDepartment of Anesthesiology, Zhejiang Hospital, Hangzhou, 310013, Zhejiang Province, China.
Qian WangDepartment of Anesthesiology, Zhejiang Hospital, Hangzhou, 310013, Zhejiang Province, China.
Hongyu ZhaoDepartment of Anesthesiology, Zhejiang Hospital, Hangzhou, 310013, Zhejiang Province, China.
Ren PanDepartment of Pain Management, Dongguan Songshan LakeCentral Hospital, Dongguan, 523320, Guangdong Province, China.
Yanfei XiaDepartment of Anesthesiology, Zhejiang Hospital, Hangzhou, 310013, Zhejiang Province, China.
Hongmei WangDepartment of Anesthesiology, Zhejiang Hospital, Hangzhou, 310013, Zhejiang Province, China.
Xiarong QinDepartment of Anesthesiology, Zhejiang Hospital, Hangzhou, 310013, Zhejiang Province, China. qinxr13588477081@163.com.
Zhejiang Hospital · CNSongshan Lake Materials Laboratory · CN

Funding

Science and Technology Programme for Traditional Chinese Medicine of Zhejiang Province 2024ZL224
6 · The paper itself

Abstract

objectivePostoperative fasting following thoracoscopic surgery can cause intense thirst and oral discomfort. However, there is currently no research on ultraearly oral hydration (UEOH) in middle-aged or elderly patients after thoracoscopic surgery. The aim of this study was to investigate the effectiveness and safety of UEOH for improving oral discomfort after thoracoscopic surgery.

methodsThis single-center prospective double-blind randomized controlled trial was conducted from April 2022 to November 2023. A total of 64 middle-aged and elderly patients who underwent the first thoracoscopic surgery on the day were enrolled at our institution. Postoperatively, in the Postanesthesia Care Unit (PACU), patients were randomly assigned at a 1:1 ratio to either the UEOH group or the standard care (SC) group. The primary outcome was the patient's thirst score at 6 h after surgery. Secondary outcomes included the incidence of postoperative oral discomfort; pain scores; the occurrence of adverse reactions such as nausea, vomiting, regurgitation and aspiration; anxiety scores on the first postoperative day; the time to first flatus; and recovery satisfaction scores.

resultsThe demographic and surgical characteristics were similar between the two groups. Patients in the UEOH group had lower thirst scores 6 h after surgery than did those in the SC group(16.1 ± 6.70 vs. 78.4 ± 8.42, P < 0.01). The incidence of postoperative oral discomfort (P < 0.01), anxiety scores on the first postoperative day (P<0.05), and time to first flatus (P<0.05) were better in the UEOH group. Additionally, the incidences of adverse reactions, such as postoperative nausea, vomiting, regurgitation and aspiration, were similar between the two groups (P>0.05).

conclusionFor middle-aged and elderly patients undergoing thoracoscopic surgery, the use of a modified UEOH protocol postoperatively can improve thirst and promote gastrointestinal recovery without increasing complications.

trial registrationThis single-center, prospective, RCT has completed the registration of the Chinese Clinical Trial Center at 07/12/2023 with the registration number ChiCTR2300078425.

Indexed as

Postoperative PainThirstAgedDouble-Blind MethodFlatulenceHumansMiddle AgedPostoperative Nausea and VomitingProspective StudiesThoracoscopyMiddle-aged and elderly patientsPostanesthesia Care UnitPostoperative ultraearly oral hydrationThoracoscopic surgery

Identifiers

PMID38504189
PMCPMC10949755
OpenAlexW4392964358

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Registered trials

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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.