Evidence map›Paper›PMID 39949966›Full record

ArticleF1000Research2024

Preoperative Carbohydrate Loading in Pediatric Surgery: A Scoping Review of Current Clinical Trials.

Yunita Widyastuti, Djayanti Sari, Anisa Fadhila Farid, Amar Rayhan

Abstract readScoping Review
In one paragraph

Article in F1000Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

4 authors.

Yunita WidyastutiDepartment of Anesthesiology and Intensive Care, Faculty of Medicine, Public Health and Nursing, Dr. Sardjito General Hospital, Gadjah Mada University, Yogyakarta, Special Region of Yogyakarta, Indonesia.ORCID https://orcid.org/0000-0002-9717-2030
Djayanti SariDepartment of Anesthesiology and Intensive Care, Faculty of Medicine, Public Health and Nursing, Dr. Sardjito General Hospital, Gadjah Mada University, Yogyakarta, Special Region of Yogyakarta, Indonesia.
Anisa Fadhila FaridDepartment of Anesthesiology and Intensive Care, Faculty of Medicine, Public Health and Nursing, Dr. Sardjito General Hospital, Gadjah Mada University, Yogyakarta, Special Region of Yogyakarta, Indonesia.
Amar RayhanDepartment of Anesthesiology and Intensive Care, Faculty of Medicine, Public Health and Nursing, Dr. Sardjito General Hospital, Gadjah Mada University, Yogyakarta, Special Region of Yogyakarta, Indonesia.ORCID https://orcid.org/0009-0003-0768-8549

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Preoperative carbohydrate loading (PCL), part of Enhanced Recovery After Surgery (ERAS) protocols, involves giving carbohydrate-rich liquids before surgery instead of traditional fasting. It improves glucose control, reduces insulin resistance, and enhances patient comfort. Methods: A comprehensive scoping review was conducted using databases such as PubMed, CINAHL, EMBASE, Cochrane Library, Scopus, and Web of Science, focusing on studies from 2017 to 2024. Primary, English-language clinical trial involving pediatric patients were included without restrictions on surgical procedure, or outcomes. Data extraction was focused on sample sizes, PCL types, and perioperative outcomes. Results: The scoping review examined 11 studies on PCL in pediatric surgery, covering various procedures with sample sizes ranging from 18 to 1200 participants. Most studies indicated metabolic benefits, with 7 out of 11 showing stabilized blood glucose and reduced hypoglycemia risk. Additionally, 5 studies associated PCL with reduced preoperative anxiety, agitation, and discomfort, including thirst and hunger. For stomach content, 5 studies showed PCL reduced gastric residual volume and improved pH. Postoperative findings were mixed: 4 studies found no significant difference in nausea and vomiting, while 2 suggested benefits. Length of hospital stay from 3 studies showed no clinical difference results. Conclusions: PCL in pediatric surgery shows potential to stabilize blood glucose, reduce metabolic risks, and improve recovery. However, the evidence regarding outcomes such as length of hospital stay and postoperative complications remains inconsistent, indicating the need for further investigation.

Indexed as

Diet, Carbohydrate LoadingPediatricsPreoperative CareBlood GlucoseChildClinical Trials as TopicHumansBlood GlucosePediatric SurgeryPerioperative CarePreoperative Carbohydrate LoadingPreoperative Fasting

Identifiers

PMID39949966
PMCPMC11822248

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.