Cargando…

Postoperative fasting is associated with longer ICU stay in oncologic patients undergoing elective surgery

BACKGROUND: Cancer patients present nutritional and complications risks during the postoperative period. Fasting contributes to surgical catabolic damage. This study evaluates the consequence of fasting time on the surgical outcomes of cancer patients undergoing elective surgeries. METHODS: Prospect...

Descripción completa

Detalles Bibliográficos
Autores principales: Fachini, Caroline, Alan, Claudio Z., Viana, Luciana V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9344771/
https://www.ncbi.nlm.nih.gov/pubmed/35915513
http://dx.doi.org/10.1186/s13741-022-00261-4
_version_ 1784761288217329664
author Fachini, Caroline
Alan, Claudio Z.
Viana, Luciana V.
author_facet Fachini, Caroline
Alan, Claudio Z.
Viana, Luciana V.
author_sort Fachini, Caroline
collection PubMed
description BACKGROUND: Cancer patients present nutritional and complications risks during the postoperative period. Fasting contributes to surgical catabolic damage. This study evaluates the consequence of fasting time on the surgical outcomes of cancer patients undergoing elective surgeries. METHODS: Prospective cohort, evaluating two categories of patients according to postoperative fasting: less than or greater than 24 h. Outcomes: Hospitalization time, 28-day mortality, ICU stay and infection rates. DISCUSSION: We included 109 patients (57% men, 60 ± 15 years, BMI: 26 ± 5 kg/m(2), SAPS3 43 ± 12), hepatectomy was the most frequent surgery (13.8%), and colon and rectum were the most common neoplasia (18.3%). The ICU stay was longer in postoperative fasting > 24 h (5.5 [4–8.25] vs. 3 [2–5] days, p < 0.001). Fasting > 24 h persisted as a risk factor for longer length of stay (LOS) in the ICU after adjustments. There were no differences in the mortality analysis within 28 days and total hospitalization time between groups. A tendency to experience more infections was observed in patients who fasted > 24 h (34.8% vs. 16.3%, p = 0.057). Onset of diet after the first 24 h postoperatively was a risk factor for longer ICU stay in cancer patients who underwent major surgeries. GRAPHICAL ABSTRACT: [Image: see text] SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13741-022-00261-4.
format Online
Article
Text
id pubmed-9344771
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-93447712022-08-03 Postoperative fasting is associated with longer ICU stay in oncologic patients undergoing elective surgery Fachini, Caroline Alan, Claudio Z. Viana, Luciana V. Perioper Med (Lond) Methodology BACKGROUND: Cancer patients present nutritional and complications risks during the postoperative period. Fasting contributes to surgical catabolic damage. This study evaluates the consequence of fasting time on the surgical outcomes of cancer patients undergoing elective surgeries. METHODS: Prospective cohort, evaluating two categories of patients according to postoperative fasting: less than or greater than 24 h. Outcomes: Hospitalization time, 28-day mortality, ICU stay and infection rates. DISCUSSION: We included 109 patients (57% men, 60 ± 15 years, BMI: 26 ± 5 kg/m(2), SAPS3 43 ± 12), hepatectomy was the most frequent surgery (13.8%), and colon and rectum were the most common neoplasia (18.3%). The ICU stay was longer in postoperative fasting > 24 h (5.5 [4–8.25] vs. 3 [2–5] days, p < 0.001). Fasting > 24 h persisted as a risk factor for longer length of stay (LOS) in the ICU after adjustments. There were no differences in the mortality analysis within 28 days and total hospitalization time between groups. A tendency to experience more infections was observed in patients who fasted > 24 h (34.8% vs. 16.3%, p = 0.057). Onset of diet after the first 24 h postoperatively was a risk factor for longer ICU stay in cancer patients who underwent major surgeries. GRAPHICAL ABSTRACT: [Image: see text] SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13741-022-00261-4. BioMed Central 2022-08-02 /pmc/articles/PMC9344771/ /pubmed/35915513 http://dx.doi.org/10.1186/s13741-022-00261-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Methodology
Fachini, Caroline
Alan, Claudio Z.
Viana, Luciana V.
Postoperative fasting is associated with longer ICU stay in oncologic patients undergoing elective surgery
title Postoperative fasting is associated with longer ICU stay in oncologic patients undergoing elective surgery
title_full Postoperative fasting is associated with longer ICU stay in oncologic patients undergoing elective surgery
title_fullStr Postoperative fasting is associated with longer ICU stay in oncologic patients undergoing elective surgery
title_full_unstemmed Postoperative fasting is associated with longer ICU stay in oncologic patients undergoing elective surgery
title_short Postoperative fasting is associated with longer ICU stay in oncologic patients undergoing elective surgery
title_sort postoperative fasting is associated with longer icu stay in oncologic patients undergoing elective surgery
topic Methodology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9344771/
https://www.ncbi.nlm.nih.gov/pubmed/35915513
http://dx.doi.org/10.1186/s13741-022-00261-4
work_keys_str_mv AT fachinicaroline postoperativefastingisassociatedwithlongericustayinoncologicpatientsundergoingelectivesurgery
AT alanclaudioz postoperativefastingisassociatedwithlongericustayinoncologicpatientsundergoingelectivesurgery
AT vianalucianav postoperativefastingisassociatedwithlongericustayinoncologicpatientsundergoingelectivesurgery