The Effect of Preoperative Oral Carbohydrate or Oral Rehydration Solution on Postoperative Quality of Recovery: A Randomized, Controlled Clinical Trial
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{"title"=>"The effect of preoperative oral carbohydrate or oral rehydration solution on postoperative quality of recovery: A randomized, controlled clinical trial", "type"=>"journal", "authors"=>[{"first_name"=>"Ayako", "last_name"=>"Asakura", "scopus_author_id"=>"56577897600"}, {"first_name"=>"Takahiro", "last_name"=>"Mihara", "scopus_author_id"=>"55759807000"}, {"first_name"=>"Takahisa", "last_name"=>"Goto", "scopus_author_id"=>"7403938413"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"26317629", "doi"=>"10.1371/journal.pone.0133309", "sgr"=>"84943279602", "isbn"=>"1932-6203", "scopus"=>"2-s2.0-84943279602", "issn"=>"19326203", "pui"=>"606226531"}, "id"=>"4b149c01-02d3-34b4-b575-957adf3bc097", "abstract"=>"BACKGROUND: Numerous studies have demonstrated the beneficial effects of preoperative administration of oral carbohydrate (CHO) or oral rehydration solution (ORS). However, the effects of preoperative CHO or ORS on postoperative quality of recovery after anesthesia remain unclear. Consequently, the purpose of the current study was to evaluate the effect of preoperative CHO or ORS on patient recovery, using the Quality of Recovery 40 questionnaire (QoR-40). METHODS: This prospective, randomized, controlled clinical trial included American Society of Anesthesiologists (ASA) physical status 1 and 2 adult patients, who were scheduled to undergo a surgical procedure of body surface. Subjects were randomized to one of the three groups: 1) preoperative CHO group, 2) preoperative ORS group, and 3) control group. The primary outcome was the global QoR-40 administered 24 h after surgery. Intraoperative use of vasopressor, intraoperative body temperature changes, and postoperative nausea and vomiting (PONV) were also evaluated. RESULTS: We studied 134 subjects. The median [interquartile range (IQR)] global QoR-40 scores 24 h after the surgery were 187 [177-197], 186 [171-200], and 184 [171-198] for the CHO, ORS, and control groups, respectively (p = 0.916). No significant differences existed between the groups regarding intraoperative vasopressor use during the surgery (p = 0.475). CONCLUSIONS: Results of the current study indicated that the preoperative administration of either CHO or ORS did not improve the quality of recovery in patients undergoing minimally invasive body surface surgery. TRIAL REGISTRATION: www.umin.ac.jp UMIN000009388 https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr.cgi?function=brows&action=brows&ty pe=summary&recptno=R000011029&language=E.", "link"=>"http://www.mendeley.com/research/effect-preoperative-oral-carbohydrate-oral-rehydration-solution-postoperative-quality-recovery-rando", "reader_count"=>7, "reader_count_by_academic_status"=>{"Student > Doctoral Student"=>1, "Other"=>1, "Student > Master"=>1, "Student > Bachelor"=>2, "Lecturer"=>2}, "reader_count_by_user_role"=>{"Student > Doctoral Student"=>1, "Other"=>1, "Student > Master"=>1, "Student > Bachelor"=>2, "Lecturer"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>5}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>5}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Unspecified"=>{"Unspecified"=>1}}, "group_count"=>0}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/2232253"], "description"=>"<p>Consort flow study diagram.</p>", "links"=>[], "tags"=>["Controlled Clinical Trial BackgroundNumerous studies", "preoperative CHO", "surgery", "Preoperative Oral Carbohydrate", "QoR", "intraoperative body temperature changes", "2 adult patients", "asa", "Oral Rehydration Solution", "UMIN", "ors", "ponv", "iqr", "recovery", "intraoperative vasopressor use", "preoperative administration", "Recovery 40 questionnaire"], "article_id"=>1526787, "categories"=>["Uncategorised"], "users"=>["Ayako Asakura", "Takahiro Mihara", "Takahisa Goto"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0133309.g001", "stats"=>{"downloads"=>3, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Consort_flow_study_diagram_/1526787", "title"=>"Consort flow study diagram.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-08-28 03:23:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/2232254"], "description"=>"<p>Median values shown as solid line within box of 25 and 75<sup>th</sup> percentile values. Whiskers represent 10 and 90<sup>th</sup> percentile values. No significant differences were detected among the groups.</p>", "links"=>[], "tags"=>["Controlled Clinical Trial BackgroundNumerous studies", "preoperative CHO", "surgery", "Preoperative Oral Carbohydrate", "QoR", "intraoperative body temperature changes", "2 adult patients", "asa", "Oral Rehydration Solution", "UMIN", "ors", "ponv", "iqr", "recovery", "intraoperative vasopressor use", "preoperative administration", "Recovery 40 questionnaire"], "article_id"=>1526788, "categories"=>["Uncategorised"], "users"=>["Ayako Asakura", "Takahiro Mihara", "Takahisa Goto"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0133309.g002", "stats"=>{"downloads"=>5, "page_views"=>33, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Box_plot_of_the_global_QoR_40_scores_24_h_after_surgery_/1526788", "title"=>"Box plot of the global QoR-40 scores 24 h after surgery.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-08-28 03:23:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/2232255"], "description"=>"<p>No significant differences were detected among the groups, but the maximum decreases tended to be smaller in the CHO and ORS groups than in the control group. <b>B. Box plot of the final temperature changes at the end of surgery.</b> No significant differences were detected among the groups. No patients in either the CHO or ORS groups aspirated during any of the procedures.</p>", "links"=>[], "tags"=>["Controlled Clinical Trial BackgroundNumerous studies", "preoperative CHO", "surgery", "Preoperative Oral Carbohydrate", "QoR", "intraoperative body temperature changes", "2 adult patients", "asa", "Oral Rehydration Solution", "UMIN", "ors", "ponv", "iqr", "recovery", "intraoperative vasopressor use", "preoperative administration", "Recovery 40 questionnaire"], "article_id"=>1526789, "categories"=>["Uncategorised"], "users"=>["Ayako Asakura", "Takahiro Mihara", "Takahisa Goto"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0133309.g003", "stats"=>{"downloads"=>1, "page_views"=>16, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_A_Box_plot_of_the_maximum_decrease_of_temperatures_from_the_baseline_/1526789", "title"=>"A. Box plot of the maximum decrease of temperatures from the baseline.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-08-28 03:23:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/2232256"], "description"=>"<p>Composition of Each Test Fluid.</p>", "links"=>[], "tags"=>["Controlled Clinical Trial BackgroundNumerous studies", "preoperative CHO", "surgery", "Preoperative Oral Carbohydrate", "QoR", "intraoperative body temperature changes", "2 adult patients", "asa", "Oral Rehydration Solution", "UMIN", "ors", "ponv", "iqr", "recovery", "intraoperative vasopressor use", "preoperative administration", "Recovery 40 questionnaire"], "article_id"=>1526790, "categories"=>["Uncategorised"], "users"=>["Ayako Asakura", "Takahiro Mihara", "Takahisa Goto"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0133309.t001", "stats"=>{"downloads"=>2, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Composition_of_Each_Test_Fluid_/1526790", "title"=>"Composition of Each Test Fluid.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-08-28 03:23:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/2232257"], "description"=>"<p>ENT, ear, nose, or throat</p><p>Data presented as mean ± SD, median (interquartile range), or number (%).</p>", "links"=>[], "tags"=>["Controlled Clinical Trial BackgroundNumerous studies", "preoperative CHO", "surgery", "Preoperative Oral Carbohydrate", "QoR", "intraoperative body temperature changes", "2 adult patients", "asa", "Oral Rehydration Solution", "UMIN", "ors", "ponv", "iqr", "recovery", "intraoperative vasopressor use", "preoperative administration", "Recovery 40 questionnaire"], "article_id"=>1526791, "categories"=>["Uncategorised"], "users"=>["Ayako Asakura", "Takahiro Mihara", "Takahisa Goto"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0133309.t002", "stats"=>{"downloads"=>2, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Subjects_characteristics_and_clinical_details_/1526791", "title"=>"Subjects characteristics and clinical details.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-08-28 03:23:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/2232258"], "description"=>"<p>Data presented as median (interquartile range).</p>", "links"=>[], "tags"=>["Controlled Clinical Trial BackgroundNumerous studies", "preoperative CHO", "surgery", "Preoperative Oral Carbohydrate", "QoR", "intraoperative body temperature changes", "2 adult patients", "asa", "Oral Rehydration Solution", "UMIN", "ors", "ponv", "iqr", "recovery", "intraoperative vasopressor use", "preoperative administration", "Recovery 40 questionnaire"], "article_id"=>1526792, "categories"=>["Uncategorised"], "users"=>["Ayako Asakura", "Takahiro Mihara", "Takahisa Goto"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0133309.t003", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Global_and_five_dimensional_postoperative_quality_of_recovery_scores_/1526792", "title"=>"Global and five-dimensional postoperative quality of recovery scores.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-08-28 03:23:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/2232259"], "description"=>"<p>Data presented as number (%).</p>", "links"=>[], "tags"=>["Controlled Clinical Trial BackgroundNumerous studies", "preoperative CHO", "surgery", "Preoperative Oral Carbohydrate", "QoR", "intraoperative body temperature changes", "2 adult patients", "asa", "Oral Rehydration Solution", "UMIN", "ors", "ponv", "iqr", "recovery", "intraoperative vasopressor use", "preoperative administration", "Recovery 40 questionnaire"], "article_id"=>1526793, "categories"=>["Uncategorised"], "users"=>["Ayako Asakura", "Takahiro Mihara", "Takahisa Goto"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0133309.t004", "stats"=>{"downloads"=>1, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Incidence_of_intraoperative_vasopressor_use_and_PONV_/1526793", "title"=>"Incidence of intraoperative vasopressor use and PONV.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-08-28 03:23:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/2232261", "https://ndownloader.figshare.com/files/2232262", "https://ndownloader.figshare.com/files/2232263", "https://ndownloader.figshare.com/files/2232264", "https://ndownloader.figshare.com/files/2232265"], "description"=>"<div><p>Background</p><p>Numerous studies have demonstrated the beneficial effects of preoperative administration of oral carbohydrate (CHO) or oral rehydration solution (ORS). However, the effects of preoperative CHO or ORS on postoperative quality of recovery after anesthesia remain unclear. Consequently, the purpose of the current study was to evaluate the effect of preoperative CHO or ORS on patient recovery, using the Quality of Recovery 40 questionnaire (QoR-40).</p><p>Methods</p><p>This prospective, randomized, controlled clinical trial included American Society of Anesthesiologists (ASA) physical status 1 and 2 adult patients, who were scheduled to undergo a surgical procedure of body surface. Subjects were randomized to one of the three groups: 1) preoperative CHO group, 2) preoperative ORS group, and 3) control group. The primary outcome was the global QoR-40 administered 24 h after surgery. Intraoperative use of vasopressor, intraoperative body temperature changes, and postoperative nausea and vomiting (PONV) were also evaluated.</p><p>Results</p><p>We studied 134 subjects. The median [interquartile range (IQR)] global QoR-40 scores 24 h after the surgery were 187 [177–197], 186 [171–200], and 184 [171–198] for the CHO, ORS, and control groups, respectively (<i>p</i> = 0.916). No significant differences existed between the groups regarding intraoperative vasopressor use during the surgery (<i>p</i> = 0.475).</p><p>Conclusions</p><p>Results of the current study indicated that the preoperative administration of either CHO or ORS did not improve the quality of recovery in patients undergoing minimally invasive body surface surgery.</p><p>Trial Registration</p><p><a href=\"http://www.umin.ac.jp/\" target=\"_blank\">www.umin.ac.jp</a> UMIN000009388 <a href=\"https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr.cgi?function=brows&action=brows&type=summary&recptno=R000011029&language=E\" target=\"_blank\">https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr.cgi?function=brows&action=brows&type=summary&recptno=R000011029&language=E</a></p></div>", "links"=>[], "tags"=>["Controlled Clinical Trial BackgroundNumerous studies", "preoperative CHO", "surgery", "Preoperative Oral Carbohydrate", "QoR", "intraoperative body temperature changes", "2 adult patients", "asa", "Oral Rehydration Solution", "UMIN", "ors", "ponv", "iqr", "recovery", "intraoperative vasopressor use", "preoperative administration", "Recovery 40 questionnaire"], "article_id"=>1526795, "categories"=>["Uncategorised"], "users"=>["Ayako Asakura", "Takahiro Mihara", "Takahisa Goto"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0133309.s001", "https://dx.doi.org/10.1371/journal.pone.0133309.s002", "https://dx.doi.org/10.1371/journal.pone.0133309.s003", "https://dx.doi.org/10.1371/journal.pone.0133309.s004", "https://dx.doi.org/10.1371/journal.pone.0133309.s005"], "stats"=>{"downloads"=>25, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_Effect_of_Preoperative_Oral_Carbohydrate_or_Oral_Rehydration_Solution_on_Postoperative_Quality_of_Recovery_A_Randomized_Controlled_Clinical_Trial_/1526795", "title"=>"The Effect of Preoperative Oral Carbohydrate or Oral Rehydration Solution on Postoperative Quality of Recovery: A Randomized, Controlled Clinical Trial", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2015-08-28 03:23:51"}

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{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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