Evidence map›Paper›PMID 38546251›Full record

Trial reportAfrican journal of paediatric surgery : AJPS2024

Fast Track versus Conventional Perioperative Care Protocols in Paediatric Intestinal Stoma Closure ‒ A Randomised Study.

Tanzil Farhad, Md Khurshid Alam Sarwar, Mohammad Zonaid Chowdhury, Adnan Walid, Ayesha Sadia, Tanvir Kabir Chowdhury

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in African journal of paediatric surgery : AJPS, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07016919 (Early vs Conventional Enteral Nutrition After Uncomplicated Paediatric Open appendectomy-a Randomised Control Trial), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 27% 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.

NCT07016919 narecruitingnot on this mapstarted 2025, after this paper: background citation

Early vs Conventional Enteral Nutrition After Uncomplicated Paediatric Open appendectomy-a Randomised Control Trial

TypeinterventionalSponsorShaikh Zayed Hospital, LahoreRan2025 to 2025Enrolled88ConditionsUncomplicated Acute Appendicitis in ChildrenArmsearly enteral nutrition, Conventional enteral nutrition
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 1 institution in 1 country.

Tanzil FarhadDepartment of Paediatric Surgery, Chittagong Medical College and Hospital, Chittagong, Bangladesh.
Md Khurshid Alam Sarwar
Mohammad Zonaid Chowdhury
Adnan Walid
Ayesha Sadia
Tanvir Kabir Chowdhury
Chittagong Medical College · BD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is still unclear to what extent fast-track (FT) surgery is applicable in paediatric surgery. The aim of the study was to compare the outcome between FT and conventional perioperative care protocols in paediatric intestinal stoma closure to assess the safety for future application. MATERIALS AND

methodsThis study was a prospective randomised study. Twenty-six paediatric patients who underwent intestinal stoma closure from December 2019 to March 2021 were divided into two groups: group A, conventional methods and Group B FT protocol. The FT protocol included minimal pre-operative fasting, no pre-operative bowel preparation, no routine intraoperative use of nasogastric tube, drain tube, urinary catheter, early post-operative enteral feeding, early mobilisation, non-opioid analgesics and prophylactic use of anti-emetic. Total length of post-operative hospital stays and complications between these two groups were compared.

resultsNo significant differences were found between the two groups regarding anastomotic leak (nil in both groups), wound infection (7.7% in Group A vs. 0% in Group B; P = 1.0) and wound dehiscence (7.7% in Group A vs. 0% in Group B; P = 1.0). No significant differences were found in post-operative length of stay (median 5, interquartile range [IQR] 4-9 in Group A and median 6, IQR 4-7 in Group B, P = 0.549) and time to appearance of bowel function (passage of stool) (median 2 days in both groups; P = 0.978).

conclusionsFT surgery was comparable to the conventional method in terms of complication and thus can reduce unnecessary interventions.

Indexed as

EnterostomyChild, PreschoolFemaleHumansInfantLength of StayMalePerioperative CarePostoperative ComplicationsProspective Studies

Identifiers

PMID38546251
PMCPMC11003579
OpenAlexW4393287589

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.