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Preoperative carbohydrate drink in a randomized study improves postoperative quality of life after urological surgery.
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Urologi och andrologi.
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Urologi och andrologi.
2009 (Engelska)Ingår i: International Journal of Urological Nursing, ISSN 1749-771X, Vol. 3, nr 2, s. 64-68Artikel i tidskrift (Övrigt vetenskapligt) Published
Abstract [en]

Recently, fast track treatment in surgery has been advocated. Fasting time has been cut down to attenuate preoperative discomfort as irritable and preoperative thirst. We accessed effects of preoperative carbohydrate drink on preoperative quality of life (QOL) including hospitalization time, drinking first day, gut emptying, and return to work. A total of 170 patients scheduled for nephrectomy or prostatectomy were randomized to carbohydrate drink or overnight fasting. Responses a modified QLQ-C30 questionnaire were collected before and one month after surgery.

In patients treated with prostatectomy to the variables: did you worry, total health and total QOL improved, while most (19 of 30) variables were impaired. Nephrectomy patients had significantly fewer parameters with impaired QOL than prostatectomy (p = 0.01). There was significant weight loss despite surgical procedure (p < 0.001). When comparing the carbohydrate and control groups, there was no difference concerning age, sex and stages. After prostatectomy, only the QOL variable “worry” improved (p = 0.027) in the carbohydrate group. After nephrectomy, the carbohydrate group had less weight loss (p = 0.035) than controls and had improved QOL as: “short of breath” (p = 0.038), “feel tense” (p = 0.057), “worry” (p = 0.035), and “interfered social activities” (p = 0.024). There was no difference in hospitalization time, drinking 1st day, time to gut emptying, and return to normal activities between the groups, despite surgical procedure.

Carbohydrate drink before surgery significantly improved QOL variables such as “worry”, “tense”, and “social activities”. Weight loss was significantly reduced compared with controls after nephrectomy. Thus, carbohydrate drinking before elective surgery improves postoperative QOL parameters, but not postoperative drinking and hospitalization time.

Ort, förlag, år, upplaga, sidor
Wiley Blackwell , 2009. Vol. 3, nr 2, s. 64-68
Nyckelord [en]
Carbohydrate drink, Fasting, Nephrectomy, Quality of life, Radical prostatectomy
Nationell ämneskategori
Urologi och njurmedicin
Identifikatorer
URN: urn:nbn:se:umu:diva-35328DOI: 10.1111/j.1749-771X.2009.01073.xOAI: oai:DiVA.org:umu-35328DiVA, id: diva2:343244
Tillgänglig från: 2010-08-12 Skapad: 2010-08-12 Senast uppdaterad: 2018-06-08Bibliografiskt granskad

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