Evidence map›Paper›PMID 39166554›Full record

Observational studyActa cirurgica brasileira2024

Association between preoperative fasting time and clinical outcomes in surgical patients in a private general hospital.

Rafaela Batista Coutinho, Wilza Arantes Ferreira Peres, Tatiana Pereira de Paula

Abstract readObservational Study
In one paragraph

Observational study in Acta cirurgica brasileira, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

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

3 authors.

Rafaela Batista CoutinhoUniversidade Federal do Rio de Janeiro - Instituto de Nutrição Josué de Castro - Departamento de Nutrição e Dietética - Rio de Janeiro (RJ) - Brazil.ORCID http://orcid.org/0000-0002-3432-5765
Wilza Arantes Ferreira PeresUniversidade Federal do Rio de Janeiro - Instituto de Nutrição Josué de Castro - Departamento de Nutrição e Dietética - Rio de Janeiro (RJ) - Brazil.ORCID http://orcid.org/0000-0003-0269-5363
Tatiana Pereira de PaulaUniversidade Federal do Rio de Janeiro - Instituto de Nutrição Josué de Castro - Departamento de Nutrição e Dietética - Rio de Janeiro (RJ) - Brazil.ORCID http://orcid.org/0000-0001-5861-6711

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurgical patients are routinely subjected to long periods of fasting, a practice that can exacerbate the metabolic response to trauma and impair postoperative recovery. The aim of this study was to evaluate the association between preoperative fasting time and clinical outcomes in surgical patients.

methodsAn observational, prospective study with a non-probabilistic sample that included patients of both sexes, aged over 18, undergoing elective surgeries. Data were extracted from electronic medical records, and a questionnaire was applied in 48 hours after surgery. Variables related to postoperative discomfort were assessed using an 11-point numeric rating scale.

resultsThe sample consisted of 372 patients, and the duration of the surgical event ranged from 30-680 minutes. The incidence of nausea (26.34%) was twice that of vomiting (13.17%) and showed an association with the surgical procedure's size (p = 0.018). A statistically significant difference was observed only between pain intensity and preoperative fasting times for liquids (p = 0.007) and postoperative fasting time (p = 0.08). The occurrence of postoperative complications showed no association with preoperative fasting time (p = 0.850).

conclusionsAlthough no association was observed between preoperative fasting time and surgical complications, it is noteworthy that both recommended and actual fasting time exceeded the proposed on clinical guidelines.

Indexed as

FastingHospitals, GeneralPreoperative PeriodAdultAgedElective Surgical ProceduresFemaleHumansMaleMiddle AgedPostoperative ComplicationsPostoperative Nausea and VomitingPostoperative PainPreoperative CareProspective StudiesSurveys and Questionnaires

Identifiers

PMID39166554
PMCPMC11328893

What OpenQuestion holds

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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.